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Bothwell Law Group 304 Macy Dr, Roswell, GA 30076
Medicaid fraud whistleblower

INS AND OUTS OF BECOMING A MEDICAID FRAUD WHISTLEBLOWER

Medicaid fraud whistleblower

If you have knowledge of fraud being committed by an organization that receives Medicaid funds, you may have grounds to become a Medicaid fraud whistleblower. Medicaid provides healthcare benefits to qualifying households from government funds. In order to become a Medicaid recipient, you must fall within certain income guidelines, having no health insurance or inadequate insurance for your medical needs.

Hospitals, physicians, pharmaceutical companies, or medical suppliers may commit Medicaid fraud. When a healthcare organization falsely conveys information to Medicaid, resulting in receiving additional compensation, this is considered to be Medicaid fraud.

HAVE REASON TO SUSPECT YOUR EMPLOYER OR YOUR PROVIDER OF MEDICAID FRAUD?

You can become a Medicaid fraud whistleblower. One way to report suspected fraud is to make a complaint by calling the Attorney General’s Medicaid Investigations Division in your state. When you make the call, you will need to provide the following information:

  • First, the client’s name and Medicaid identification information.
  • Also, the name of the healthcare provider you are reporting.
  • Details concerning the service performed.
  • Finally, any evidence you have that fraud was committed.

IS THIS THE EASIEST AND SAFEST WAY TO REPORT MEDICAID FRAUD?

Calling a hotline concerning suspected fraud may seem like the easiest and safest way to report Medicaid fraud. However, there are downsides to making this choice. The False Claims Act entitles whistleblowers to up to 25 percent of the government funds recovered. The requirements for obtaining these funds have created a very involved process, one most whistleblowers are unable to navigate themselves. Don’t have an experienced Medicaid fraud attorney? You could miss out on the reward available to you for filing complaint against a healthcare organization committing Medicaid fraud.

When you hire a healthcare fraud lawyer who is knowledgeable of the process of filing a False Claims Act lawsuit, they will walk hand-in-hand with you through the process of becoming a Medicaid fraud whistleblower. Together with your FCA attorney, you can take the steps that will increase your chances of a successful case and obtaining a portion of the recovered funds.

CAN AN ATTORNEY HELP YOU PROTECT YOURSELF FROM RETALIATION?

The False Claims Act clearly outlines the legal aspects of protection for whistleblowers. However, this statute can be difficult to navigate without proper representation. Having the right assistance and guidance will provide you with peace of mind as you move forward.

If you feel you have grounds for reporting suspected fraud and becoming a Medicaid fraud whistleblower, you need a qualified attorney on your side. You can learn more about Medicaid fraud and becoming a Medicaid fraud whistleblower. Most of all, call 770.643.1606 to contact one of our team members at Bothwell Law Group.

How Do I Report Fraud?

A common question raised by our clients is, “How do I report fraud?” Do I report the fraud internally? To whom do I report the fraud? What do I say? How do I protect myself? Should I call an internal or Government hotline?

Unfortunately, many of our clients come to us only after they’ve already reported the fraud, without first seeking advice of counsel.

There is a scale of effectiveness and protection that needs to be considered when considering reporting suspected misconduct.  Reporting fraud in less conspicuous ways can lessen the protection of the False Claims Act or other whistleblower statutes, but it might also avoid triggering retaliation.  The manner and method of reporting as well as the content and timing can affect the strength of the case and should be considered before being executed.

Whistleblowers often come to us only after they have been fired for reporting to their employers the fraud that they have discovered. While it is better to seek advice before reporting, the Bothwell Law Group often finds a way to extend the protection of the False Claims Act’s anti-discrimination protections to their clients.

Reporting to the Government can also be problematic because those reports can either be completely ineffective or they might trigger an investigation that can prevent the whistleblower from being rewarded for coming forward with crucial information.  Sometimes if you have not already filed a qui tam action, you can be left completely out in the cold with no chance for recovery because of a public disclosure or a government lawsuit.

You want to do the right thing and you need to protect your own well-being in the process. Before you speak to anyone else about the fraud, you should call or a reliable Medicare fraud and False Claims Act qui tam whistleblower attorney.

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