Do you know that most of the fraud against the Federal Government under the False Claims Act has been in the health care sector? Originally passed under President Lincoln during the Civil War to fight fraud by military contractors, the act was amended in 1986 and since then over $40 billion dollars has been recovered. Basically, it allows people who have insider information of fraud against the Federal Government to file suit against the bad guys on behalf of the government. If the case is settled or there’s a judgement against the defendant, the whistle blower typically receives anywhere from 15 to 30 percent of the recovery (minus attorney’s fees and costs). Healthcare fraud is the biggest area of fraud, so if you need a Medicare lawyer or Medicaid lawyer with a statewide practice throughout South Carolina, feel free to contact The Law Offices of David L. Hood.
Fraud in billing is big, usually involving doctors, hospitals, or labs that (1) bill for services that were never done, 2) bill for services that weren’t needed, 3) upcoding for services or equipment. These schemes are usually uncovered by doctors, nurses, accountants, administrators or billing specialists who know exactly what’s going on and may have been written up or even fired for trying to stop it. Another scam involves doctors getting kickbacks for referring Medicare or Medicaid patients to other healthcare providers.
If you’ve witnessed government fraud at work and would like to discuss possibly filing suit, contact The Law Offices of David L. Hood for a free, confidential consultation. Take care and best wishes.