Reporting: Health Care Fraud
If you are aware of someone making fraudulent health care claims and violating the False Claims Act (FCA), you can report them with us:
The first step is always to protect yourself. Read our How to Protect Yourself guide.
About Health Care Fraud
Whistleblowing in healthcare can revolve around malpractice including healthcare fraud, violations of the Physician Self-Referral Law, Anti-Kickback Statute, any medical decisions that intentionally risk patient safety, and more. You can learn more about the False Claims Act and Federal Funds Fraud by going here.
Some examples of concerns that could lead to whistleblower lawsuits include:
Unsafe patient care
Failure to properly safeguard patients
Falsifying research results
Inadequate administration of medications
Violation of laws or regulations
Improper use of testing and labs to increase payment
Unsafe working conditions
Upcoding of medical services
Unethical medical billing practices
Falsely diagnosing patients and administrating expensive treatments
Accepting kickbacks for recommending a prescription, product, or service
A kickback is an instance where a medical provider accepts any form of compensation in return for referrals. These actions are prohibited by the Anti-Kickback Statute (AKS) and violations can result in hefty fines, up to five years in prison, and more.