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Medicare fraud occurs when Medicare is billed for medical services or supplies that patients did not receive. If a health care provider sends an invoice for services not provided, or an equipment provider invoices for equipment not provided as described, Medicare fraud may have occurred. If a health care company bills for services improperly to enhance the amount of Medicare payments they receive for medical care that is provided, Medicare fraud may have occurred. If you are a billing department employee or health care provider and suspect your employer of such fraudulent billing, you have a moral obligation and duty to do something about it. But you may also be entitled to a “reward” in effect for doing your duty. The False Claims Act allows whistleblowers to be compensated by being paid a percentage or the amount the government recovers when the information provided leads to discovery and prosecution of Medicare fraud. CGWC represents whistleblowers in such cases.
Suspect Medicare fraud? Call us for a free consultation.