Medicare fraud is a serious and growing problem that has led to the government losing billions of dollars every year, and whistleblowers are essential in the fight against it. Unbundling fraud is one of the most common types of Medicare fraud and whistleblowers can help to stop it. In this blog post, we’ll look at what unbundling fraud is and how a whistleblower attorney can help you report Medicare fraud, protect your rights, and make sure that you are rewarded for what the vital role whistleblowers play in the fight against unbundling fraud.
What is Unbundling Fraud?
Unbundling fraud is a type of healthcare fraud that involves the intentional mis–coding of services in order to receive more reimbursement from Medicare than is due. It is also known as “upcoding” and is a common form of Medicare fraud. Unbundling fraud occurs when a provider bills for multiple procedures that should be billed as a single procedure. For example, if a provider bills for three separate tests when they should be billed as one, that is considered unbundling fraud.
Why is Unbundling Fraud Such a Problem?
Unbundling fraud is a serious problem in the healthcare industry. It costs the government billions of dollars every year and can lead to higher healthcare costs for consumers. Additionally, unbundling fraud can lead to incorrect diagnoses, as providers may be incentivized to order unnecessary tests in order to receive more money. Unbundling fraud also takes away funding from those who need it most, as providers are taking money that could be used to provide necessary services to patients. Whistleblowers can help to reduce unbundling fraud by reporting any suspected fraud through the help of an experienced medicare quitam lawyer.
How Can a Whistleblower Attorney Help?
A whistleblower attorney can help to protect you when you report Medicare fraud and ensure that you receive the reward that is due to whistleblowers through the False Claims Act (FCA). Whistleblowers are protected by the False Claims Act, which allows them to recover a portion of the damages that the government recovers from the perpetrator. A whistleblower attorney can help to ensure that your complaint is filed correctly and that you are protected from any retaliation that may occur as a result of your report. Additionally, a whistleblower attorney can help to ensure that you receive the maximum amount of damages due to you and protect the confidentiality of the process. Unbundling fraud is a serious problem in the healthcare industry, and whistleblowers can help to stop it. If you suspect that unbundling fraud is occurring, you should speak to a whistleblower attorney in order to ensure that you are protected and to maximize the amount of damages you may be owed. A whistleblower attorney can also help to ensure that your complaint is filed correctly and that the perpetrator is held accountable. Unbundling fraud costs the government billions of dollars every year, and whistleblowers are essential in the fight against it.
At Price Armstrong, our qui tam attorneys have extensive experience representing whistleblowers and litigating Medicare fraud under the False Claims Act. If you have information about potential fraud against the government, you may have a valuable claim as a whistleblower. Contact us today for a free initial consultation and review of your case.
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Before you do anything else: do not publicize your allegations — online, to the press, or at work. False Claims Act cases are filed under seal, and only the first whistleblower to file can recover. Talk to a lawyer before you talk to anyone. Use a personal device and personal email, not your employer’s.
Submitting this form does not create an attorney‑client relationship, and information sent before we complete a conflict check cannot be guaranteed confidential — please do not include detailed evidence or your employer’s name yet. Attorney responsible for this content: Graham Cotten, Price Armstrong LLC, Birmingham, Alabama. We represent whistleblowers nationwide in federal False Claims Act matters, associating local counsel where required.
