Have You Witnessed Medicare Fraud?
Under federal and state False Claims Acts, whistleblowers who report Medicare fraud – such as off-label marketing, risk-adjustment fraud, fraudulent billing, fraudulent CMS-1500 certifications, referral kickbacks, or other home health and hospice fraud – are entitled to a large reward if their reporting leads to a recovery. Whistleblowers can receive up to 30 percent of the total amount recovered by federal government for health care fraud. Some Medicare fraud whistleblowers have received tens of millions of dollars under the False Claims Act. If the government declines a whistleblower case the whistleblower can proceed anyway and potentially recover a larger award.
The basic idea behind the prosecution of Medicare fraud cases under the False Claims Act is that Medicare will not properly pay for every bill sent to it for every service, or for the use of every product put on the market by pharmaceutical and medical device companies. Both federal and state health care programs are limited and constrained by budget concerns, common sense and the plain requirement that products be used and paid for by the government only where there is demonstrated medical necessity for the product or service.
Medicare fraud whistleblowers are uniquely situation to catch fraud against the government in Medicare billing and other schemes. If you believe you’ve witnessed Medicare fraud, report it.
