Healthcare Rebate Program Kickback Whistleblowers
We Can Help You Blow the Whistle on Healthcare Rebate Program Kickbacks and Other Forms of Program Fraud
Medicare and Medicaid fraud cost the federal government (and U.S. taxpayers) more than $100 billion per year. Healthcare rebate program fraud also presents risks for patients, as kickbacks and other illicit payments can unduly influence healthcare providers’ treatment and prescription recommendations.
Whistleblowers play an important role in the government’s fight against kickbacks and other forms of healthcare rebate program fraud. If you have information about unlawful kickbacks, improper rebate program billings or receipts, or any other form of healthcare fraud, it is important that you come forward. The information you provide to the federal government could help preserve taxpayer dollars—and, even more importantly, protect patients—and coming forward is absolutely the right thing to do in your situation.
As a potential whistleblower, it is also important to know that you are not alone. Healthcare rebate program fraud is a pervasive issue, and the federal government routinely works with whistleblowers to hold bad actors accountable. Whether you feel a moral obligation or a civil duty, when you come forward, you will be helping to safeguard one of the most important institutions in our society.
We Represent Healthcare Rebate Program Whistleblowers Nationwide
At Oberheiden P.C., we represent healthcare rebate program whistleblowers nationwide. We assist employees, contractors, and other individuals with exposing all forms of fraud under Medicare, Medicaid, and other federal healthcare programs. This includes illegal healthcare rebate program kickbacks as well as fraudulent program billings and other illegal practices.
What Qualifies as an Illegal “Kickback” Under Medicare or Medicaid?
The term “kickback” comes from the federal Anti-Kickback Statute. This is a law that Congress enacted specifically to target fraud in the healthcare industry. Under the Anti-Kickback Statute, it is illegal to offer, pay, solicit or receive “any remuneration (including any kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind,” in exchange for business involving Medicare or Medicaid rebates or reimbursements.
While the Anti-Kickback Statute is specific to Medicare and Medicaid, other federal statutes impose similar prohibitions for Tricare and other federal healthcare programs. These include the Stark Law and Eliminating Kickbacks in Recovery Act (EKRA), among others. Under all of these statutes, the general rule is that compensating healthcare providers (or other entities or individuals) for referrals or business is prohibited—and then there are various “safe harbors” that exempt certain specific types of financial relationships and transactions.
In one recent case, the U.S. Department of Justice (DOJ) investigated a pharmaceutical distributor for making illegal payments to physician practices. Following its investigation, the DOJ concluded that the distributor was liable for paying illegal kickbacks because “the upfront discounts it provided to its customers were not attributable to identifiable sales or were purported rebates which Cardinal Health’s customers had not actually earned.” Noting that the kickback scheme “cost health benefit programs millions of dollars in potentially fraudulent claims,” the DOJ entered into a $13 million settlement to recoup taxpayers’ losses.
When you contact us, our attorneys can review your information to determine if it exposes an unlawful healthcare rebate program kickback arrangement. If it does, we can then contact the federal government on your behalf. This costs you nothing; and, if the information you supply leads to a successful enforcement action, you may be entitled to a sizable whistleblower award.
What Other Types of Healthcare Program Fraud Should Be Reported?
Along with the payment and receipt of illegal kickbacks, several other types of healthcare program fraud can—and should—be reported as well. If you have information about any form of healthcare rebate program fraud, we encourage you to contact us for a confidential consultation. In addition to illegal kickback schemes, we also assist whistleblowers with reporting fraudulent practices such as:
- Overbilling Medicare, Medicaid, Tricare, or other federal healthcare programs for reimbursements
- Double-billing federal healthcare programs and other payors
- Submitting inflated Medicaid Drug Rebate invoices
- Inflating healthcare program rebates or reimbursements in order to pay kickbacks
- Billing for healthcare services or items not actually provided to Medicare, Medicaid, or Tricare patients
Again, these types of practices cost taxpayers billions of dollars, and they can (and too often do) put patients’ health at risk due to compromised decision-making. Honest people like yourself are critical to protecting the integrity and reputation of the healthcare system, and under no circumstances should you feel reservations about coming forward.
What To Expect When You Contact Us About Your Whistleblower Claim
If you are like most people who are thinking about blowing the whistle on healthcare rebate program fraud, you have questions about what you can expect if you decide to move forward. Here is what you can expect when you contact the whistleblower lawyers at Oberheiden P.C.:
- We Will Hold Your Information in Complete Confidence – As your legal counsel, we will hold your information in complete confidence. We will protect your identity, and we will not share your information with the federal government unless and until you decide that you are comfortable moving forward.
- We Will Not Charge You Anything – We will not charge you anything to assess your whistleblower claim and help you make informed decisions. If you decide to move forward and you receive whistleblower compensation from the government, our legal fees will be deducted from your award. Otherwise, you owe us nothing.
- We Will Deal with the Federal Government for You – Our attorneys will deal with the federal government for you throughout the process. Several of our attorneys used to handle healthcare program fraud cases at the DOJ, so we are intimately familiar with what to expect along the way.
- We Will Keep You Informed Throughout the Process – You can expect to remain in close contact with our attorneys throughout the process. We will keep you informed every step of the way, and we will help you make informed decisions when your involvement is necessary.
- We Will Be There for You When You Have Questions or Concerns – We understand what it’s like to blow the whistle, and we understand that you will have questions and concerns along the way. When you do, we want you to get in touch, and we will prioritize making sure you have the information you need.
FAQs: Blowing the Whistle on Federal Healthcare Rebate Program Fraud
What information do I need to report illegal healthcare rebate program kickbacks?
To report illegal healthcare rebate program kickbacks to the federal government, you need sufficient information to substantiate allegations of fraud under the Anti-Kickback Statute or another pertinent federal law. With that said, if you believe that you may have sufficient information to come forward, there is a good chance that you do. Our lawyers can provide a complimentary and comprehensive assessment so that you can make an informed decision.
How do I report illegal healthcare rebate program kickbacks to the government?
There are specific steps you need to follow to report illegal healthcare rebate program kickbacks to the government and receive protection as a federal whistleblower. The steps you need to take depend on the agency you contact, among other factors. Once we know more about the information you have in your possession (which we will maintain in strict confidence), we can walk you through the process of submitting a whistleblower complaint to the appropriate authorities.
Will I receive whistleblower compensation for reporting rebate program kickbacks to the federal government?
Employees, contractors, and other individuals who report illegal healthcare rebate program kickbacks to the federal government will qualify for whistleblower compensation in many cases. For you to receive compensation, the information you provide must lead to a successful healthcare fraud enforcement action. When we evaluate your information, we can also provide an assessment of your likelihood of receiving whistleblower compensation.
Should I talk to a lawyer if I have information about illegal healthcare rebate program kickbacks?
Yes, if you have information about illegal healthcare rebate program kickbacks, we strongly recommend that you speak with a lawyer before you make any decisions about your next steps. Our lawyers will explain everything you need to know in a free and confidential consultation; and, if you decide to submit a whistleblower complaint after this consultation, we will deal with the federal government on your behalf.
Can I remain anonymous if I report illegal kickbacks under Medicare, Medicaid, or Tricare?
Yes, when you file a whistleblower complaint related to illegal kickbacks under Medicare, Medicaid, or Tricare, our lawyers can protect your anonymity. The DOJ and other federal agencies take whistleblower protections very seriously, and they will generally assist with protecting whistleblowers’ identities as well.
Speak with a Federal Healthcare Whistleblower Lawyer in Confidence
If you need to know more about what you can expect if you blow the whistle on healthcare rebate program fraud, we encourage you to contact us promptly. To speak with an experienced federal healthcare whistleblower lawyer in confidence as soon as possible, please call 888-680-1745 or request a complimentary consultation online today.