Medicare Fraud

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False Claims Act: Medicare Fraud

As False Claims Act attorneys, one potential area for fraud against the Government is Medicare fraud.  Our team of qui tam lawyers stand ready to discuss Medicare fraud with you.

Medicare processes over one billion fee-for-service claims per year through its contracts with regional insurance companies. Given the enormous volume of claims submitted under the Medicare and Medicaid programs, it is not surprising that the federal and state governments are not sufficiently staffed to effectively detect the fraud and abuse perpetrated by dishonest healthcare providers and medical goods providers. These dishonest healthcare provider cost honest taxpayers and the United States Government money in the form of unnecessary goods and services provided; unbundled and upcoded/upcharged medical supplies and services, and more. Medicare and Medicaid lose an estimated $60 billion or more annually to fraud, making fraud on these programs one of the most profitable crimes in America. It is no surprise that since 1990, the Government Accountability Office has labeled Medicare a high-risk program.

SELECT TYPES OF HEALTH CARE FRAUD:

  • Anti-Kickback Statute and Stark Law Violations
  • Pharmaceutical Companies and Medical Device Fraud
  • Fraudulent Healthcare Billing
  • Services Not Rendered/Add-On Services
  • Upcoding and Unbundling/Fragmentation
  • False Certifications and Information
  • Fraudulent Cost Reports
  • Grant or Program Fraud

If you have information concerning fraud on a government healthcare program, such as Medicare or Medicaid, then you may be able to bring a qui tam/whistleblower lawsuit under the False Claims Act or similar state law. Through the qui tam/whistleblower lawsuit, you can help the federal and state governments recover money that was paid as a result of fraudulent claims. As a reward for blowing the whistle, you can receive a share of the government’s recovery. A whistleblower who brings a successful qui tam lawsuit under the False Claims Act is eligible to receive between 15-30% of the amount the government recovers.

Helping You

If you have information concerning fraud on a government healthcare program, such as Medicare or Medicaid, then you may be able to bring a qui tam/whistleblower lawsuit under the False Claims Act or similar state law. Through the qui tam/whistleblower lawsuit, you can help the federal and state governments recover money that was paid as a result of fraudulent claims. As a reward for blowing the whistle, you can receive a share of the government’s recovery. A whistleblower who brings a successful qui tam lawsuit under the False Claims Act is eligible to receive between 15-30% of the amount the government recovers. For more information, please contact our team of whistleblower and qui tam attorneys:

TOLL FREE: 1-800-632-1404

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OR VISIT OUR OTHER PAGES ON FALSE CLAIMS ACT:

Health Care Fraud

  • Anti-Kickback Statute and Stark Law Violations
  • Pharmaceutical Companies and Medical Device Fraud
  • Fraudulent Healthcare Billing
  • Services Not Rendered/Add-On Services
  • Upcoding and Unbundling/Fragmentation
  • False Certifications and Information
  • Fraudulent Cost Reports
  • Grant or Program Fraud

Government Contract/Benefits Fraud

  • Fraudulent Use of Minority Business Enterprise / Disadvantaged Business Enterprise
  • Defense Contracting Fraud
  • Procurement Fraud
  • Disaster Relief Fraud
  • Stimulus Fund Fraud
  • Education False Claims

Taxpayer Whistleblower Program

  • IRS Whistleblower Claims
  • IRS Section 7623 Claim Submission Assistance