We start by carrying out a detailed evaluation of the alleged scams, using our deep understanding of health care law to assess the feasibility of starting a whistleblower (qui tam) case under the False Claims Act This first evaluation is crucial for ensuring the situation is durable and fulfills the standards essential for whistleblower actions.
Invoicing for Provider Not Provided: Healthcare providers claim settlement for treatments or solutions that were never ever provided to the client. By adhering to these procedures, you can substantially contribute to the battle against Medicaid fraudulence, fostering an extra honest and efficient healthcare system.
It is vital to use a seasoned medicaid fraudulence lawyer to submit this sort of legal action. Upcoding: Carriers intentionally pump up invoicing codes to higher-value services or procedures than those carried out, seeking unjustly increased compensations from Medicaid.
The medicaid fraud attorneys at Di Pietro Partners represent whistleblowers. Our Medicaid fraud attorneys play a crucial duty in sustaining whistleblowers to reveal deceptive techniques within the medical care system. Incorrect Paperwork: Includes deceitful methods like billing for non-performed procedures, non-visited patients, or make believe home health care appointments.
Medicaid plays a vital role in offering medical care services to people and family members with limited revenue and sources. The intricacy and scale of Medicaid, including considerable expenditures, underscore the importance of whistleblower involvement in determining illegal tasks.
This can be achieved through the Office of the Inspector General (OIG) of the United State Division of Wellness and Human Being Provider (HHS) or specific hotlines committed to Medicaid scams. This step consists of the mindful prep work and presentation of detailed proof to the federal government, Bookmarks comprehensive documentation of the illegal tasks, and a clear demonstration of the fraud's impact on the Medicaid program.