Call Now: 888.986.6274

Report Medical Fraud Anonymously.

Claim your reward for speaking out on medical fraud.

Healthcare Fraud

What is Healthcare Fraud?

Federal Whistleblower Rewards & Compensation

© 2017 Troxel, Krauss & Chapman LLP. All Rights Reserved.

Call Now: 888.986.6274

Whistleblowers who report a healthcare fraud provide an invaluable service to our country since the government spends over $600 billion on Medicare yearly. Some of the biggest profit-driven healthcare companies in the United States took advantage of the honor system, defrauding taxpayers for over $40 billion annually. In the last three decades, the False Claims Act’s Program has become the Department of Justice’s (DOJ) most effective tool to fight this kind of misconduct, with recoveries exceeding $15 billion thanks to the over 4,000 whistleblowers who successfully brought their cases to court.

Medicare is a federal insurance program that mostly helps senior citizens paying their nursing facility, hospital, and home health care expenses. Medicaid is a federal-state assistance program that helps impoverished and low-income patients cover their medical expenses. The government and the states pay healthcare providers reimbursements for almost all medical supplies and services, from nursing home care to doctor visits, as well as wheelchairs and knee braces. Medicare and Medicaid are the Federal government’s largest and most expensive healthcare programs.

Billing and reimbursement are self-reporting, so any provider ranging from a local clinic or family dentist to large hospital networks and diagnostic testing laboratories may ask for it. The programs reimburse the provider for most services within 30 days, without requiring any proof that the patient actually received the treatment to be submitted. This makes committing Medicare fraud as easy as checking a different box that pays a higher reimbursement amount than they are owed. The programs lack the monitoring capabilities to make sure that every request for payment is legitimate, and even when overbilling is eventually detected, the company has already spent their improperly earned money or simply disappeared altogether.

In the last decade we already fought and won dozens of similar battles, and we have the experience and skill required to help you in court. Whistleblowers International’s attorneys and investigators have fought in some of the largest medical fraud cases ever. We have helped many people secure some of the most notable settlements in the history of the United States. These included in the below list are just some examples of our past successes and victories we already achieved:

• Rite Aid Corp. – $330 million for allegations that management overstated Rite Aid’s earnings.
• Warner Chilcott PLC – $125 million for helping the government find illegal kickbacks to physicians, as well as submitting fraudulent prior authorizations.
• Medline Industries, Inc. – $85 million for allegations of illegal kickbacks.

Why should you choose us to help file your claim?

Several laws provide whistleblowers with financial rewards when they submit information that helps the government recover funds from companies or individuals committing fraud. Over the past 30 years, the U.S. authorities have paid hundreds of millions in total awards, with an average payout of approximately $1.5 million, up to $100 million. The number of cases settled in the last ten years has increased steadily. The size of the final award is calculated as a percentage of the total recovery that resulted from the information provided by the relator. The percentage range is set by different statutes and equals to 15-30% for FCA an IRS Tax programs, and 10-30% for the SEC and FCPA ones.