News & Views

Medicare Fraud Laws

Title XI of the Social Security Act includes Medicare and Medicaid program-related anti-fraud laws, which not only punish violators with civil and criminal penalties, but also possible exclusion from federal healthcare programs. The laws address Medicare fraud, which occurs when providers bill Medicare for services or supplies Medicare patients don’t receive. They also tackle the illegal activities associated with Medicare abuse–when doctors, suppliers and others don’t follow good medical practices, resulting in unnecessary costs to Medicare, improper payments, or services that aren’t medically necessary.

Having Medicare fraud laws in place is especially important given the financial toll of this type of fraud. The Medicare program makes about $500 billion in payments each year. Each year, approximately 10% of the Medicare payments are improper and the result of fraud.

Some of the more commonly used laws to fight heathcare fraud and abuse were amended in March 2010, with passage of legislation aimed at improving health care fraud and abuse enforcement, called the Patient Protection and Affordable Care Act (PPACA).

Specific laws

OUR PROMISE Being a healthcare whistleblower can feel like David taking on Goliath. We help level the playing field.

Our law practice is dedicated exclusively to representing healthcare whistleblowers who are willing to take a stand against unscrupulous corporations that are ripping off our government. Whether the fraud involves __________, we pride ourselves on unparalleled level of service, support and legal assistance for our clients.

    Contact Us

    Contact Us

    The more detailed the response, the more likely it is that we will be able to evaluate and determine if your potential False Claims Act case falls within our case requirements. IF IT DOES, WE WILL RESPOND TO YOU WITHIN 24 HOURS. (Names of potential defendants are not necessary at this point, should you feel more comfortable omitting them.) By law, all communications to us are 100% confidential.

    No. of Employees at the Company?
    Please read the following statement and then click "Send Form":

    Any response to your e-mail will be solely to communicate about our possible representation of you under the qui tam provisions of the False Claims Act. All e-mails submitted to us, whether we take your case or not, are 100% confidential. If we do not respond to your e-mail, then you have communicated information which we cannot address because it appears to fall outside of the False Claims Act or our case requirements.