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Over 20 Years Standing Up For Whistleblowers In Nationwide Fraud Litigation
Healthcare billing can be complex, and errors happen for many reasons - a coding mix-up, missing paperwork or confusion about a billing rule. An honest mistake is not necessarily fraud. However, if someone knowingly submits a false claim to a government healthcare...
Healthcare fraud has moved far beyond cash-filled envelopes. Modern kickback schemes hide within normal-looking business deals. For compliance officers and billing staff, spotting these schemes means knowing what to look for and where problems often appear....
Suspected Medicaid fraud can affect healthcare programs, taxpayers, and patients who rely on essential services. Before filing a qui tam complaint, it is important to gather accurate information so that investigators can properly evaluate the allegation. Taking a few...
When you uncover health care fraud at work, you face a critical decision that demands quick action. Witnessing false billing, kickbacks or unnecessary procedures puts you in a difficult position where both patient care and taxpayer dollars are at risk. The choice...
Upcoding is a type of fraud that can occur in medical institutions. It is often associated with Medicaid fraud or Medicare fraud, but it can also arise in other types of health care fraud schemes. Medical procedures are assigned specific billing codes. When seeking...
If you are a compliance officer or billing manager who has uncovered healthcare fraud, you may feel an urgent need to speak out. However, the legal process for reporting these issues requires a period of secrecy. This quiet phase is known as filing a case under seal....
Whistleblowers matter because they protect patients and taxpayer dollars. Frontline billing staff possess unique knowledge of an office’s daily operations, making them crucial guardians against Medicare fraud. Their awareness and action can stop illegal schemes that...
If you’ve noticed suspicious billing practices or fraudulent claims in Medicare programs, you might be wondering if speaking up is the right thing to do. Being a whistleblower can feel intimidating, understandably. There’s a lot at stake, from your career to your...
Medicare fraud is not just a financial crime—it affects patients, providers and taxpayers alike. Every fraudulent claim drains resources from the healthcare system, increases costs for patients and can put vulnerable individuals at risk of harm. For billing...
Two types of potential Medicaid or Medicare fraud are double billing and phantom billing. These do have some similarities in that they are issues with the way Medicaid is billed by healthcare providers, but they are also a bit different. Whistleblowers need to be...