Coming to be a whistleblower and notifying federal authorities of Medicare fraud is a big public service and can even cause a financially rewarding whistleblower honor. Because of the strong possibility that the federal government will decline to intervene in your healthcare fraud case and due to the fact that the examination that your lawful team would then need to do can be very intensive, it is critical for whistleblowers to think about working with a big law firm for their instance highly.
This is why the federal government counts so greatly on whistleblowers to discover evidence of devoting Medicare fraud, which is why, under the qui tam arrangements, the government legislation shields whistleblowers from retaliation and gives such a profitable economic reward to blow the whistle on believed fraud within the health care system.
As an example, one registered nurse expert was convicted and punished to 20 years in prison for defrauding the program of $192 million in a phantom payment plan in which she fraudulently billed the program for, among other things, telemedicine sees that frequently amounted to more than 24 hours in a single day.
Because a number of different whistleblower laws might apply to their scenario, one reason why it is so important for prospective healthcare whistleblowers to work with a lawyer is. The case's proceeds would include the amount defrauded from Medicare, plus a civil fine of over $13,000 per offense - which can stack up, as there is one violation for every single fraudulent bill sent to Medicare.
Medicare whistleblower rewards Oberheiden is an $800 billion government program, yet price quotes are that 10s of billions, if not virtually $100 billion of that is lost to fraud every year - which price quote is widely considered a conservative one. There are lots of ways to do a deceptive repayment insurance claim and illegally line your pockets, in addition to the unidentified variety of manner ins which law enforcement officials do not know yet.