Healthcare Fraud

Sick or injured individuals who are unable to pay for important healthcare services often depend on government assistance to provide necessary support for medical procedures, check-ups, and operations. False claims or unfair practices on the part of healthcare providers may be halted by private citizens through Qui Tam lawsuits.

Healthcare fraud can come in many forms, and many schemes target programs like Medicare and Medicaid. Whistleblowers who bring about legal action under the Federal False Claims laws may be eligible for a reward of 15%-30% of money that the government is able to recover. If you would like to discuss a Qui Tam case involving healthcare fraud, contact an attorney from the law firm of Tycko & Zavareei, LLP at 202-973-0900.

Types of Medicare and Medicaid Fraud

Fraudulent actions on the part of healthcare providers can be very costly to government agencies and U.S. taxpayers. Examples of Medicare or Medicaid fraud include:

  • Charging for medical services that were not provided
  • Charging for medical supplies that were not given to the patient
  • Misrepresenting the nature of services provided (also known as “upcoding”)
  • Charging an individual separately for services that should have been “bundled” together to keep costs down
  • Falsifying medical records and necessity of certain procedures
  • Kickback schemes and other scams to obtain Medicare and Medicaid covered patients

Pharmaceutical companies have also been found guilty of committing fraud against Medicare and Medicaid programs by using schemes like off-label marketing to convince physicians to prescribe their drugs for uses other than those approved by the FDA.

Contact Us

The Qui Tam attorneys of Tycko & Zavareei, LLP are here to help you if you have knowledge about a Healthcare fraud or scheme and wish to bring legal action against those responsible. For a free initial consultation, contact us at 202-973-0900 today.

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The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation.
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