Complaints from CMS fraud whistleblowers – those who report information about Medicare or Medicaid fraud to the government – lead to billions in recovered funds through health care fraud enforcement and whistleblowers have been rewarded billions of dollars for doing so.

WHAT IS CMS FRAUD?

CMS fraud – fraud against the Centers for Medicare and Medicaid Services – comes in a variety of forms, and whistleblowers are uniquely able to report these acts under the federal False Claims Act whistleblower law:

  • pharmaceutical and medical device companies marketing products unlawfully through off-label promotion for unapproved or unsafe use, under CMS contracts
  • payments through CMS programs (Medicare or Medicaid) that violate the Anti-Kickback Statute
  • Medicare or Medicaid plans unlawfully providing false risk-adjustment or other data to CMS regarding patient-members
  • health care providers unlawfully billing CMS through upcoding, improper unbundling, or billing for services not provided or medically unnecessary
  • fraudulent CMS billing of Medicare or Medicaid by health care providers for services that are not provided or that are not necessary and proper

If you are aware of CMS fraud and want to discuss your potential for filing a whistleblower case under the False Claims Act, contact us for a review of your allegations. Hagens Berman works on a contingency basis, which means there is no cost to you unless the government issues a reward for your CMS fraud reporting.

CMS whistleblowers can receive up to 30% rewards of the government's recovered funds from fraud, depending on the strength of your case and your whistleblower counsel.

MORE ABOUT THE FALSE CLAIMS ACT

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