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Government spending on healthcare has grown dramatically in the past few decades along with the rise of healthcare costs in general, and it now accounts for around forty percent of overall federal expenditure. With costs escalating, the federal government has more incentive than ever before to root out fraud and corruption in the healthcare sector that costs taxpayers billions of dollars each year.
The False Claims Act allows whistleblowers with knowledge of fraudulent claims against the government to file suit on the government’s behalf to recover the payments made. The False Claims Act was amended by Congress in 1986 and one of the changes was to increase the reward for whistleblowers to 15-30% of the full amount recovered. For instances of significant fraud, whistleblower rewards can reach into the millions of dollars.
Types of Healthcare Fraud
Violation of the False Claims Act involves making fraudulent claims for payment from the government. In the healthcare sector, this generally means submitting false claims to government healthcare programs such as Medicare, Medicaid, and TRICARE, overbilling, or receiving payments under these programs while not in compliance with healthcare regulations.
In other words, entities that participate in federally funded healthcare programs are held to a very strict standard of compliance with all relevant laws. Any entity that is not in compliance with the law and still receives payment from these programs is potentially liable under the False Claims Act even without evidence of direct, intentional fraud in billing or reimbursement. Several of the most common types of healthcare fraud are:
- Medicare Fraud
- Anti-Kickback Statute Violations
- Stark Statute Violations
- Home Healthcare Fraud
- Ambulance Fraud
- Durable Medical Equipment Fraud
- Medical Device Fraud– Noncompliance with Adverse Events Reporting
Experienced Qui Tam Representation
If you have knowledge of any of these types of healthcare fraud, your knowledge may enable you to be a whistleblower under the False Claims Act. The experienced qui tam attorneys of Kenney & McCafferty can help build your case and file a successful qui tam whistleblower lawsuit. Kenney & McCafferty has represented whistleblowers in hundreds of successful cases nationwide, and we have the skills to provide you with complete whistleblower protection while maximizing your compensation.
If you have knowledge of a fraud or false claim against the government, please contact our qui tam lawyers today. Kenney & McCafferty attorneys will consult with you about your case, without obligation. All communications with Kenney & McCafferty attorneys during these consultation services are confidential and protected by the attorney-client privilege.