Cost Report Fraud - Qui Tam - False Claims Act Attorney

Martindale-Hubbell Bar Register of Preeminent Lawyers

Premier Nationally Recognized Whistleblower Law Firm

The firm that healthcare fraud whistleblowers turn to.

Representing whistleblowers nationwide with offices located in Florida and California.

Home > Cost Report Fraud

Cost Report Fraud

The purpose of the qui tam provisions of the False Claims Act is to encourage private individuals who are aware of cost report fraud, or any other type of fraudulent acts being perpetrated against the government to bring such information forward. Cost report fraud typically occurs with Medicare Part A providers, such as hospitals, nursing homes and home health agencies. Most providers are now paid based on the prospective payment system, and therefore much less financial impact occurs if cost report entries are falsified. Even so, some areas remain fully cost-based. Some cost report fraud scenarios include:

Falsely inflating costs related to patient care; i.e. including costs of non-covered services, supplies and equipment.
Seeking reimbursement for costs apportionable to non-Medicare patients;
Seeking reimbursement for costs that are not related to patient care;
Failing to disclose the related nature or the relationship between business entities with whom the provider is dealing;
Improperly manipulating statistics (e.g. patient census, cost center allocations, square footage).
Shifting costs to improper cost centers.

The States of California, Florida, Texas and New York lead Medicare cost reimbursement provided to the U.S. hospital and other provider systems. Some providers still commit cost report fraud due to a lack of commitment to compliance. Medicare Part A cost report fraud is relatively easy to get away with because of the lack of oversight and enforcement resources. Whistleblowers who have tried to correct cost report fraud internally to no avail (or those who can't) have the incentive of the qui tam provisions of the False Claims Act should they choose. Nolan & Auerbach and its experts provide experienced representation and knowledgeable expert consultants in this very specialized area of healthcare reimbursement whistleblower representation.

Toll Free: 800-FRAUD 04
Do you think you have a claim? Contact Us

Offices: 435 North Andrews Avenue, Suite 401, Ft Lauderdale, FL 33301
Tel: (954) 779 3943 | Fax: (954) 779 3937
110 Pacific Avenue, Suite 162, San Francisco, CA 94111
750 Grant Avenue, Suite 250, Novato, CA 94945

Overviews:
Qui Tam | Medicare Fraud | Health Care Fraud | Pharmaceutical Fraud
Site Map

The hiring of a lawyer is an important decision that should not be based solely on advertisements. Before you decide, ask us to send you free written information about our qualifications and experience.