Whistleblowers reporting upcoding and other medical coding fraud leads to billions of dollars in recoveries by the government. Whistleblowers can receive protection and up to a 30% reward of recovered funds for exposing fraud against the government.

Upcoding fraud inflates medical bills by claiming patients require more expensive procedures than actually provided, or for unnecessary treatment and services. Whistleblowers are uniquely able to report upcoding and other medical billing fraud and potentially receive rewards and protections under whistleblower programs.

Upcoding and other medical billing fraud can reflect routine practices or policies of providers to submit claims for certain services at a level (or code) that categorically does not apply to treatment or services provided. This type of upcoding fraud reflects a more serious, prolonged, complex set of treatments or episodes of care than are medically justified. Sometimes unnecessary tests or other treatments were not warranted and constitute medical billing fraud.

Tacoma-based Sound Physicians paid the government $14.5 million in an upcoding whistleblower lawsuit filed by our firm’s whistleblower lawyers. Sound allegedly cheated the government out of millions of dollars by upcoding its bills to Medicare.

Our whistleblower attorneys are skilled in representing those reporting upcoding and other medical billing fraud to the government. We know how to build your case and maximize potential for rewards and protections.

MORE ABOUT THE FALSE CLAIMS ACT

ABOUT THE FALSE CLAIMS ACT

FREQUENTLY ASKED QUESTIONS

LAWS AND STATUTES

HAGENS BERMAN'S QUI TAM WHISTLEBLOWER PRACTICE