Medicare fraud costs taxpayers billions of dollars each year. It also takes away services from those really in need. If you know of Medicare or Medicaid fraud you can take action now. There are several different ways to report Medicare fraud.
What is Medicare Fraud?
Medicare fraud includes all types of acts to illegally obtain money from Medicare or fail to pay Medicare money owed. The Medicare fraud is typically committed by providers, doctors, hospitals, nurses and medical staff. Medicare and Medicaid fraud can include the following:
- upcoding or billing more than the service needed
- billing by un-bundling procedures or services
- providing medically necessary services or performing procedures that the patient does not need
- billing inappropriate amounts
- paying kickbacks for referrals
- billing for services not actually provided
Report Fraud Directly to the Government
You can report the Medicare fraud (anonymously) directly to the government by calling:
- the Office of Inspector General at 1-800-HHS-TIPS
- Medicare at 1-800-MEDICARE
- Report fraud online, click here.
Report Fraud Through the False Claims Act
You can have a free and confidential consultation with an experienced attorney to determine if you have a False Claims Act case. There are qui tam provisions in the False Claims Act that allows you to file a case on behalf of the government. If you do file a case and become a whistleblower you can receive a financial reward for reporting fraud.
Report Fraud Through the California Insurance Prevention Act
If the fraud occurred in California and was against private insurance company, you could file a case under the California Insurance Fraud Prevention Act. Whistleblowers receive a financial reward if they file under this Act as well.
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