You Can Be Nicely Rewarded for Blowing the Whistle on Healthcare Fraud
Reports published in 2009 estimate that Medicare made nearly $47 billion in payments to fraudsters and organized scammers. But Medicare is only one of the victims; the criminal gangs are targeting Medicaid and private insurers as well.
You May End Up on the Losing Side of Healthcare Fraud
Some methods of healthcare fraud are based on identity fraud. This leaves you with medical bills for services, equipment and drugs that are not yours. This type of fraud is extremely detrimental to your medical record and may put your health at risk. Even if this doesn’t happen to you, you will still have to pay out of pocket. In fact, every consumer may end up paying more for healthcare if the industry’s costs keep going up due to the escalating fraud.
Fighting Healthcare Fraud Can Be Very Profitable
If you are aware of fraud being that is being committed on Medicare or Medicaid, you can bring a lawsuit under the False Claims Act or corresponding state laws. This fraud may be committed by or through a number or different venues, including:
Uncovering fraud can save the government substantial amounts of money to which you, the whistleblower, are entitled to a share. In fact, you may be entitled to 15 to 30 percent. This is called a “Qui Tam” suit. These types of suits have already saved the government billions of dollars – and have also made many whistleblowers very wealthy.
If you know of a situation where the government is being cheated, you could take advantage of these significant financial incentives to combat healthcare fraud. All you have to do is contact reputable nationwide Qui Tam lawyer Kay Van Wey.
How Does Healthcare Fraud Work?
Fraudsters are creative people who sometimes use very elaborate schemes to defraud the government. One basic method consists of charging for services, drugs and equipment that were never delivered, using a false Social Security number and identity. Medical treatments and supplies are then billed to Medicare or Medicaid, based on a “code” that forms the basis of the payment. Certain group of services must be bundled together under a single code. “Upcoding” and “unbundling” to collect higher reimbursement constitutes fraud.
Dishonest or fake providers of medical treatment and equipment can collect reimbursement by falsifying the required documentation in order to justify the medical necessity. Under certain specific circumstances, the practice of offering kickbacks and financial incentives to care providers in exchange for the purchase of goods or services can be the subject of a Qui Tam lawsuit.
The practice of selling drugs or medical supplies for purposes other than their FDA-approved use (also called “off-label” use) is unlawful and has been a source of huge illegal profits for certain suppliers.
Still other care providers falsify their “cost reports” to generate higher reimbursement rates.
If you work with or for institutions, companies, or individuals who engage in these or similar unlawful activities, and if you can provide witness reports and documented evidence of these practices, you could earn a substantial share of the value of the uncovered fraud.
Qui Tam lawsuits are a special area of the law. They require an extensive amount of experience, as well as excellent knowledge of our healthcare system. Whether you live in Texas or anywhere in the United States, contact healthcare fraud lawyer Kay Van Wey. She will listen to your concerns, make sure your rights are protected, and team up with you to bring the healthcare fraud lawsuit to a successful end.
Don't hesitate to contact Kay Van Wey at (800)489-5082 for a free, no obligation consultation.
Van Wey Law serves:
The entire state of Texas, including Dallas, Plano, Frisco, McKinney, Fort Worth, Austin, Houston, and San Antonio
The entire state of Oklahoma, including Tulsa and Oklahoma City
Chicago, Illinois and surrounding areas
The entire United States for health care fraud, “pill mill” cases, and dangerous pharmaceutical products
Contact us today for a free, no obligation consultation about your personal injury legal needs.
Van Wey Law, P.L.L.C.
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