Healthcare Fraud Whistleblower Rewards
If you have evidence that your employer is submitting false claims to Medicare and Medicaid, then you have two choices.
John Howley, Esq. is an experienced whistleblower lawyer. He protects the rights of individuals who help the government stop Medicare and Medicaid fraud. To arrange a free and confidential consultation, call Mr. Howley at (212) 601-2728.
What is Medicare and Medicaid Fraud? Some common types of Medicare and Medicaid fraud include billing for treatments and services that are not medically necessary, billing for treatments and services that were not actually provided, and submitting claims using diagnostic codes that result in higher reimbursement rates than the treatment or services justify (known as "upcoding" and "unbundling").
Are Kickbacks a Form of Fraud? Paying kickbacks to patients or individuals who refer patients is another type of Medicare and Medicaid fraud. The kickbacks can be in the form of cash payments, free products, commissions, consulting fees, free or low-cost office space, or anything else of value. Health care providers who routinely waive deductibles or co-payments can also be accused of giving kickbacks to patients. If kickbacks are paid, then all claims for any services related to the kickbacks are considered "false claims," even if the services were medically necessary and actually provided to the patient.
What is Off-Label Marketing? In the pharmaceutical industry, promoting drugs for off-label or unapproved uses may be considered a form of Medicare and Medicaid fraud. While individual physicians are free to prescribe drugs for off-label uses based on their professional judgment and expertise, the pharmaceutical company may not market or promote the same drug for an off-label use.
What is a Whistleblower or Qui Tam Lawsuit? Anyone who has evidence of Medicare or Medicaid fraud may commence a qui tam lawsuit to recover inappropriate payments for the government. The lawsuit is initially filed in secret, and the evidence of fraud is given only to the government. After the government reviews the evidence, it may decide to join the lawsuit or it may let the whistleblower pursue the lawsuit with their own lawyer.
How Much Are the Whistleblower Rewards? Whistleblowers are entitled to a reward of between 15% and 30% of the amount the government actually recovers. This can include the amounts paid by the government, treble damages, and a penalty of up to $11,000 per false claim. It is not unusual for whistleblower rewards to reach hundreds of thousands of dollars and, in some cases, even millions of dollars.
An Experienced Whistleblower Lawyer. John Howley has more than 25 years of experience representing clients in complex healthcare lawsuits. His experience includes representing major pharmaceutical companies, individual physicians and other healthcare professionals, and their accounting and billing staff. He will review your evidence, explain your options, and explain the process of seeking a whistleblower reward.
Arrange a Free and Confidential Consultation. If you have evidence of Medicare or Medicaid fraud, then you should consult with an experienced whistleblower lawyer immediately. Call Mr. Howley at (212) 601-2728.
John Howley, Esq.
350 Fifth Avenue, 59th Floor
New York, New York 10118
$8 Million Reward for Reporting Kickbacks