How do I Report Medicare Fraud?

Healthcare fraud costs the country billions of dollars every year and the problem is expanding. Multiple state and federal agencies coordinate their efforts at investigating unlawful activity that targets all levels of the industry. Medicare fraud is not one single action that a doctor, clinic, or company takes. It can be multiple different bad-faith practices like upcoding, unbundling, phantom billing, and more. The fact that the healthcare industry is so fast and incorporates state agencies, federal agencies, private companies both small and large, and hundreds of billions of dollars a year, means that it is prone to some form of corruption. Law enforcement cannot investigate all of the actors involved with the industry so it relies on whistleblowers, people within who see and report unlawful actions done by their employers or someone they work with. This reporting is usually tied to the False Claims Act.

Why might you report this kind of illegal activity? There could be a few reasons. You might feel a moral or civil responsibility to see justice brought forth. It’s possible you also tried stopping the illegal activity and are afraid of retaliation. There is also a financial incentive. The government can provide a reward for reporting these actions. Whatever your individual and private reason

for reporting healthcare fraud you should know a few things.

Reporting fraud is not as easy as just calling a number or going to the police. Often, you would need to file a civil suit. Attorney Peter McCoy can help prepare you and hammer out the legal details and process. Attorney McCoy is a former US Attorney in South Carolina with a history of fighting against this type of corruption. Peter has worked with many whistleblowers before and

has prosecuted fraud at all levels.

If you are thinking about reporting healthcare fraud in South Carolina contact us today by clicking here.



Who can be a whistleblower? What is the reward for reporting fraud?

Not everyone can be a whistleblower. Usually those who file suit work directly with a healthcare facility, company, organization, or someone else who works in the healthcare industry. Those who allege fraud have rights which are protected by both federal and state laws like the False Claims Act. Having this inside knowledge is essential to filing a fraud claim, but the government

will usually require some form of evidence to be able to launch their own investigation or bring charges against the fraudster. In successful cases the whistleblower can expect up to 30% of funds recovered. On top of this the whistleblower is protected from retaliation. A lot of factors have to be weighed before going forward with prosecution, thus it is advisable to contact an

attorney with experience in this field to be best prepared. 

Contact Us Today

The McCoy Law Group can represent you if you would like to come forward with information related to your employer possibly misusing funds procured through Medicare. Not all attorneys can handle all types of cases. Peter has the unique experience to navigate a fraud case and come up with the best strategies. Peter has over 20 years of legal experience and as a former US attorney he has seen the ins and outs of all sorts of fraud cases. Contact Us Today by clicking here.