Is Your Employer Cheating Medicare, Medicaid or Tricare?
Our Attorneys Help Pharmacists, EMTs, Doctors, Billing Pros and other Healthcare Employees and Ex-Employees Report Fraud and Claim a Reward
The U.S. Department of Justice knows healthcare employees are often the first to identify Medicare fraud and are invaluable in bringing violations to light. The False Claims Act provides a cash incentive (whistleblower reward) for healthcare pros who are the first to report Medicare fraud and bring those violations to light.
Since 2010 the U.S. government has recovered more than $2 billion each year for false claims made to federal healthcare programs: Medicare, Medicaid, and TRICARE and whistleblower rewards paid are in the hundreds of millions. In one case a whistleblower collected $96 million for helping recover $3 billion for taxpayers from a pharmaceutical company that was defrauding Medicare.
Examples of Medicare Fraud
Nursing homes, home healthcare providers, pharmacies, medical equipment providers, drug companies, hospitals and research laboratories who receive reimbursement from Medicare and/or Medicaid funds are subject to the U.S. False Claims Act. The following activities (some examples) could violate the law and trigger liability under the False Claims Act and the first person to report the fraud could be eligible for a whistleblower reward:
- Charging Medicare patients higher rates
- Improper or excessive billing for services or products
- Failing to provide accurate data on reports
- Altering medical documents or billing support documents
- Paying kickbacks to increase referrals
- Prescribing medications or equipment that are not medically necessary
- Knowingly providing substandard products or services
- “Upcoding” or assigning an incorrect billing code falsely reflecting more expensive treatment
- Falsely diagnosing an illness to bill for higher Medicare or Medicaid reimbursement
To claim a reward when you report fraud your claim must be flawless from the very first step. MahanyLaw whistleblower claim process maximizes the amount of rewards.
How to Report Medicare Fraud and Qualify for Whistleblower Reward
If you have inside information on Medicare or Medicaid fraud and want to claim a reward, you do not go directly to the Department of Justice. They will gladly receive your information but there is a different process if want to claim a cash reward.
Brian Mahany, a veteran whistleblower lawyer with America’s largest whistleblower case recently to his credit, or one of MahanyLaw’s whistleblower lawyers will confidentially discuss your observations and any evidence you may have with you and let you know whether you qualify to file a whistleblower action under the False Claims Act.
The key to getting the whistleblower reward under the False Claims Act is non-public (inside) information that Medicare, Medicaid, or Tricare (department of defense healthcare system) has been defrauded and directly or indirectly financially harmed.
If you are the first to report this fraud and can prove your case (often with the help of our investigators), MahanyLaw’s whistleblower and fraud recovery expert attorneys, upon your approval, may file an action on your behalf spotlighting the fraud, seeking recovery of fraudulently obtained money for the federal healthcare programs, asking for Department of Justice intervention, and seeking a whistleblower reward which can be anywhere from 10 to 30 percent of any money recovered by verdict or settlement.
Will Your Employer Know You Have Reported the Violations?
Your initial consultation with a MahanyLaw attorney is confidential. We recommend that you do not contact us from your employer’s office either by phone or email. Your employer will only be notified of a claim if you decide to proceed with a False Claims Act action which will absolutely not take place without your approval.
Also, the False Claims Act contains a strong “anti-retaliation” provision providing the whistleblower protection against demotion, harassment or termination. We will discuss this in detail in your initial conversation with our office so that you can make an informed decision on your risks and potential reward.
Your MahanyLaw no-fee consultation is absolutely private and there is no obligation to report the fraud. Call now for a no-cost conversation with an experienced MahanyLaw False Claims Act lawyer: 202.800.9791 or Report Online
Timing is Everything with Whistleblower Reward Claims – Be the First to Report Medicare Fraud
It is important to report suspected Medicare fraud as soon as you feel confident in a violation. Being the first to report a violation can solidify your role as a valuable whistleblower, increasing your chances of cash reward.
Due to the False Claims Act’s statute of limitations, an action must be filed within six years of the violation date or within three years from when material facts should have reasonably become known.
MahanyLaw Proven Process Maximizes Whistleblower Claims
Our process involves investigating and preparing the best possible case before filing a whistleblower action and our healthcare-specific expert attorneys understand the rules and realities of all sectors of the healthcare industry.