Healthcare Whistleblower Attorney
We Help Healthcare Workers, Researchers, and Others Blow the Whistle on Federal Fraud, Waste, and Abuse
Fraud, waste, and abuse are major concerns in the healthcare sector. While this shouldn’t be the case, the federal government and private insurers pay billions of dollars in false claims each year. Not only do these fraudulent claims result in additional financial costs for patients and other taxpayers; but, in many cases, they put patients’ health and safety at risk as well.
As a result, if you have information about fraud, waste, or abuse in healthcare, it is important that you speak with a whistleblower attorney about coming forward.
The federal government relies on whistleblowers to help it identify bad actors. While federal agencies and Medicare auditors monitor for various forms of fraud, waste, and abuse, their resources only stretch so far. Whistleblowers help the government identify unlawful practices that it cannot identify on their own—and, when they do so, they are entitled to protection under federal law.
We Have Extensive Experience in the Area of Federal Healthcare Fraud
Each healthcare whistleblower lawyer at Oberheiden P.C. has extensive experience in the healthcare sector. Along with experience representing whistleblowers, this includes prior experience investigating and prosecuting healthcare fraud for the federal government. Our team includes several former U.S. Attorneys, Assistant U.S. Attorneys, and U.S. Department of Justice (DOJ) trial lawyers who were responsible for holding fraudulent actors accountable during their time in civil service.
Due to this experience, we are extremely well-versed in all aspects of healthcare whistleblowing. We know what information employees (and others) need to come forward, and we know how to make sure our clients receive the protections that are available. We also know the federal government’s healthcare-related enforcement priorities, and we are able to work with federal prosecutors (many of whom are our attorneys’ former colleagues) to ensure that our clients’ information receives the attention and consideration it deserves.
Our Attorneys Help Whistleblowers Report All Forms of Healthcare Fraud
We help employees and other individuals report all forms of healthcare fraud to the federal government. This includes (but is not limited to):
Medicare fraud alone is responsible for billions of dollars in taxpayer losses annually. When healthcare providers provide (and bill for) services that aren’t medically necessary and engage in other fraudulent practices, they can put their patients at risk as well. We help whistleblowers report all forms of Medicare billing fraud, including upcoding, unbundling, double billing, and phantom billing, among others.
Medicaid fraud is a major issue as well. If you work for a healthcare provider, pharmacy, or other entity that is fraudulently billing Medicaid for items or services, we can help you blow the whistle. Like other forms of healthcare fraud, fraudulently billing Medicaid violates the federal False Claims Act (FCA), which provides clear and substantial whistleblower protections.
Healthcare providers that bill Tricare for items and services provided to active duty service members, veterans, and their family members must strictly comply with Tricare’s unique billing rules and requirements. Whether intentional or not, Tricare billing violations can lead to unnecessary costs for patients and taxpayers, and they can—and should—be reported.
U.S. Department of Labor (DOL) Fraud
We also represent employees of healthcare providers that bill the U.S. Department of Labor (DOL) for items and services provided to federal government employees. Similar to Medicare, Medicaid, and Tricare, the DOL’s healthcare benefit program has specific billing rules and requirements. If you are aware of DOL billing violations, you should speak with a healthcare whistleblower attorney promptly.
Federal Healthcare Contract Fraud
In addition to representing employees (and former employees) of healthcare providers and other patient-facing entities, we also represent employees (and former employees) of federal healthcare contractors. If you are aware of a contractor overbilling the government, billing for services not provided, substituting inferior items or services, or engaging in any other form of government contract fraud, you should speak with an attorney about coming forward in this scenario as well.
Federal Healthcare Grant Fraud
Federal healthcare grant fraud is a concern that has been gaining attention in recent years. However, despite awareness of the issue, the federal government still lacks the authority and insight to independently uncover fraud in many cases. If you work for a federal healthcare grant recipient and you have concerns about false data, false claims, or any other form of fraud, we can help you decide whether to contact the federal government.
Private Health Insurance Fraud
Healthcare whistleblowers can also aid in the federal government’s fight against private health insurance fraud. Fraudulently billing private insurers violates federal law, and providers that engage in private insurance fraud can—and should—be held accountable. Here, too, the federal government relies heavily on whistleblowers to come forward with the information it needs to take appropriate legal action.
Important Information for Potential Healthcare Whistleblowers
Since we regularly speak with individuals who are thinking about blowing the whistle, we know that you have lots of questions as a potential healthcare whistleblower. Here are some important pieces of information you may want to know:
- When you contact us, you are under no obligation to come forward. We do not expect you to have already made up your mind about blowing the whistle when you contact us for a free initial consultation. If you decide not to come forward after speaking with an attorney, we will not pressure you to change your mind.
- No matter what you decide to do, we will protect your identity and the information you share with us. We will protect your identity regardless of whether you decide to blow the whistle, and we will only share your information with the government if you authorize us to do so. Otherwise, all information you share with your attorney will be held in strict confidence.
- You do not need to publicly disclose your identity to come forward. As a healthcare whistleblower, you are entitled to keep your name confidential. In many cases, it will be possible to maintain this confidentiality throughout the entire whistleblower process.
- Your healthcare whistleblower lawyer at Oberheiden P.C. will advise and represent you every step of the way. When you choose to work with a whistleblower lawyer at Oberheiden P.C., you will have direct access to your attorney at all times. Your attorney will communicate with the government on your behalf while staying in close communication with you as well.
- If you have information about healthcare fraud, coming forward is the right thing to do. While it is ultimately your decision whether to come forward, it is important to understand that exposing healthcare fraud is the right thing to do. You should not feel pressured to hide information about fraud, waste, or abuse—and you should always keep in mind that exposing healthcare fraud benefits the greater good.
FAQs: Working with a Healthcare Whistleblower Attorney to Report Fraud, Waste, or Abuse
What records or information do I need to blow the whistle on healthcare billing fraud?
You do not need any specific types of records or information to blow the whistle on healthcare billing fraud. If you are aware of improper billing practices (or if you have concerns about improper billing practices), you can simply bring any information you currently have in your possession when you speak with a healthcare whistleblower attorney.
Where do I report healthcare billing fraud?
The steps involved in reporting healthcare billing fraud vary depending on the specific program, contract, or grant at issue. If you have information about billing fraud, our attorneys can guide you step-by-step through the process of disclosing the fraud to the federal government.
Am I entitled to protection as a healthcare whistleblower?
Healthcare whistleblowers are entitled to protection under the False Claims Act and other pertinent federal statutes. You have the right to file your whistleblower complaint under seal (which protects your identity); and, in the event that your employer retaliates against you in violation of federal law, your attorney will be able to take appropriate legal action on your behalf.
What happens if I am wrong?
You are entitled to whistleblower protection as long as you reasonably believe that the information you have in your possession is evidence of fraud, waste, or abuse. If it turns out that your suspicions are wrong, you will not face any adverse consequences from the government, and your employer will still be prohibited from retaliating against you.
When should I contact a healthcare whistleblower attorney?
You should contact a healthcare whistleblower attorney as soon as possible after uncovering evidence of potential fraud, waste, or abuse. Your attorney will be able to determine if your information is sufficient to substantiate a whistleblower complaint; and, either way, your attorney can then guide you through your next steps.
Speak with a Healthcare Whistleblower Attorney at Oberheiden P.C.
If you would like to speak with a healthcare whistleblower lawyer about possibly reporting fraud, waste, or abuse to the federal government, we invite you to get in touch. Please call 888-680-1745 or contact us online to arrange a confidential initial consultation at Oberheiden P.C.