Health Care Providers

The federal government financed 26 percent of total health spending in the United States in 2012, spending more than 900 billion dollars.

Every year, untold billions of that amount are lost to Medicare fraud, Medicaid fraud, and fraud committed against other federal health care programs.

Health care providers—including hospitals, physicians, home healthcare agencies, hospice facilities, nursing homes, and ambulatory care and diagnostic centers—have been frequent targets for whistleblower lawsuits. They have been sued for a variety of fraudulent practices, including:

  • Billing for medically unnecessary services
  • Billing for services not actually provided
  • Falsifying data to misrepresent medical conditions of patients
  • Retaining overpayments
  • Waiving patient co-payments
  • Paying or receiving kickbacks in exchange for patient referrals
  • Billing on an inpatient basis for procedures that should be performed on an outpatient basis
  • Using billing codes that reflect a more severe condition than actually existed or more expensive care than was actually provided (“upcoding”)
  •  Self-referring (Stark Law)

If you are a healthcare provider, or work for a health care provider, for example, in a doctor’s office, clinic, hospital, hospice facility, nursing home, ambulatory care or diagnostic center, you may have witnessed some of these fraudulent practices. If so, we’d like to speak to you.

If you have knowledge and solid evidence of fraud or false claims by a health care provider, please contact our whistleblower attorneys.
Consultations are free and confidential.