Medicaid, and the similar program Medicare, are huge programs. They provide an essential service that allows individuals to receive the medical care that they need, even if they are unable to afford it. These programs work with trillions of dollars every year, and they experience fraud that ultimately costs the taxpayers billions of dollars per year. This is how that looks. |
Let’s suppose you utilize the Medicaid program. You are injured and require surgery on your leg. For the next several weeks you have to use the help of a physical therapist in order to get back to 100% healthy. Every day you visit the physical therapist for 45 minutes. Medicaid receives the bills for those visits so you never really know what is going on.
What you don’t know is that your physical therapist knows that Medicaid doesn’t pay out quite as much as he or she would like. So instead of recording that you were in for 45 minutes, your physical therapist puts in that you were there for one full hour. It may not seem like much, but if that Medicaid fraud happens with every patient, for years on end, those costs add up significantly.
How Your Physical Therapist is Caught
Since Medicaid deals with so many people, it would be impossible to do an audit on every single provider. Instead, they rely on every day citizens like the patient, or those who work in the facility. By claiming protection with the whistleblower laws , and utilizing the qui tam clause in the Federal False Claims Act, every day citizens can file a lawsuit on behalf of the government and collect a reward for turning in those defrauding the system.
If you know of a company that is cheating the system, you don’t have to just watch it happen. Hire a qui tam attorney today and get the process started to bringing these fraudsters to justice. You will earn a reward for your trouble, and you will save the taxpayers money.
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