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Medicare Frauds are a Matter of Concern for All – Help in Combatting It by Blowing the Whistle

Author: Harry Warren
by Harry Warren
Posted: Oct 12, 2021

Approximately $1000 is estimated to be lost per Medicare member through fraud, waste or theft each year in the USA. About 10 percent of the amount budgeted for Medicare and Medicaid healthcare insurance programs is either misdirected or wasted in frauds before it helps any program beneficiary. As per some experts, the true amount of federal funded government healthcare schemes lost to frauds, abuse or improper payments could be as high as 30 percent. Estimates place Medicare fraud losses to the tune of $70 billion each year. In fact, the amount of taxpayer dollars wasted to Medicare frauds each year is greater than the entire annual budget of some of the federal government’s most important programs.

Medicare fraud can happen in a variety of ways, such as charging for services never delivered, billing for institutional facilities such as nursing home, inflating claims, billing for durable medical equipment such as the wheelchair, receiving kickbacks, charging Medicare for a more expensive service than was rendered, improper marketing of health insurance plans, providing unneeded equipment, and billing non-covered services as covered.

Medicare fraud hinders a patient’s ability to receive the treatment they are entitled to. It hurts us all. You end up paying for things you never needed and get tests that you do not require. It is not only the taxpayer who pays the price, Medicare beneficiaries also have to foot the bill in the form of higher copays, deductibles, and reduction in care services. Additionally, every other person has to pay for Medicare frauds in terms of higher health insurance premiums. Moreover, as fake treatment is part of the patient’s electronic health record (EHR), it has the potential to affect the patient’s future treatment outcomes and health insurance premiums.

Medicare frauds a priority for the government

The US Department of Justice (DOJ) recovered more than $2.6 billion in 2019 from the lawsuits involving Medicare and Medicaid frauds. DOJ recovered millions of dollars more from the state Medicare programs. The significant number of settlements and judgments obtained by the DOJ demonstrates the government’s high priority in deterring Medicare fraud. Medicare whistleblowers brought most of the 505 cases filed before DOJ in the year through a whistleblower law firm. Reckitt Benckiser paid $500 million to the federal government to resolve civil claims, while Insys Therapeutics paid $105 million to settle allegations of kickbacks against them for prescribing an addictive painkiller. Whistleblower lawyers were able to obtain more than $244 million in awards for their Medicare whistleblowers.

Note that under the False Claims Act (FCA), Medicare whistleblowers are entitled to receive up to 25% of the amount recovered by the government due to their reporting Medicare fraud. However, if the government does not join investigations of fraud and the Medicare whistleblower pursues their case through a trusted whistleblower law firm, they may receive anything from 15% to 30% in cash as whistleblower award. It is also mandatory under FCA to hire the services of whistleblower lawyers for reporting Medicare fraud as there are certain legal procedures to be followed.

Reporting Medicare fraud is in the interest of all

When fraudsters steal money from the government healthcare programs, there is less money in the system for the healthcare that you really require. Reporting Medicare fraud should be a matter of concern for all including those who are not the program beneficiaries as they help pay for it through taxes. You too can be a part of the solution by becoming a whistleblower to a Medicare fraud that you suspect is occurring at your former or current employer.

Brown LLC is the leading whistleblower law firm with some of the best Medicare whistleblower lawyers who have been able to recover tens of millions for their Medicare whistleblower clients. You can call Brown LLC’s Medicare fraud hotline number at (877) 561-0000 to discuss the potential Medicare fraud that you are aware of, or visit their website at https://www.ifightforyourrights.com/

Who can qualify to be a whistleblower?

You can discuss with them whether you qualify to file a Qui Tam or whistleblower lawsuit against the fraudsters. Not every fraud can qualify to be a Qui Tam lawsuit under FCA as mere suspicion of the fraud is not sufficient, your claim needs to be supported by credible documentary evidence that Brown LLC can help you to collect. Moreover, the information that you provide should not already be known to the government or already available in the public domain. To qualify for a Medicare whistleblower lawsuit, you should be the first person to blow the whistle about the Medicare fraud. The best whistleblower lawyers at Brown LLC whistleblower law firm will evaluate your case for free and advice whether you should file a lawsuit, and help you in reporting Medicare fraud in a legally acceptable way before the courts.

The best whistleblower attorneys of Brown LLC law firm will ensure that you are protected from any retaliatory action such as unreasonable transfer, discrimination at the workplace, dismissal from the service, demotion, threats, etc. under the FCA. Whistleblower protection is available to your family also, even if the complaint was lodged in suspicion and did not turn out to be a Qui Tam lawsuit.

Your information will remain confidential and not shared with anyone

Your information will remain 100% confidential with Brown LLC whistleblower law firm. Even if it is decided that your case does not qualify for a Medicare whistleblower lawsuit, your information will not be shared with anyone else and become inaccessible to all. You are protected by the attorney-client privilege under the lawyer regulations, and the law firm will lose its license if it discloses anything about your information to anybody in any form. Your identity will not be disclosed to anyone until your case has progressed to a certain stage. Brown LLC won’t charge you anything until you receive your whistleblower award.
About the Author

Brown Llc whistleblower law firm is headed by a former Fbi Special Agent. The law firm is bound by its client privileges, and won’t disclose your information to any third party.

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Author: Harry Warren

Harry Warren

Member since: Mar 15, 2021
Published articles: 7

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