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How to report fraud by Home Health Agencies (Home Healthcare …

WEBReporting Home Health care fraud. This article shows you how to get a reward for reporting fraud against Medicare or Medicaid by reporting home healthcare fraud.Click here

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How to report unnecessary blood tests billed to Medicare …

WEBReporting blood test fraud against Medicare. This article addresses how to get a whistleblower reward for reporting a hospital or laboratory for overbilling Medicare by ordering blood tests that were not needed.

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How to report therapy fraud by mental health professionals or …

WEBReporting therapy session fraud. This article shows you how to get a reward for reporting Medicare/Medicaid fraud by reporting therapy fraud by mental health professionals or physical therapy.

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How to report Durable Medical Equipment fraud (DME fraud) …

WEBReporting Durable Medical Equipment fraud (DME fraud) This article addresses how to get a whistleblower reward for reporting Medicare fraud by durable medical equipment (DME) companies.

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Report Medicare Fraud or Medicaid Fraud and get a whistleblower …

WEBApproximately 10% of all Medicare/Medicaid bills are inflated or fraudulent. That helps explain why the Department of Justice pays such large whistleblower rewards for reporting Medicare fraud. DOJ needs your help in uncovering Medicare and Medicaid fraud. Below are just a sampling of the ways hospitals and other health care providers cheat

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How to report Medicare Advantage fraud against Medicare and …

WEBReporting Medicare Advantage fraud (Medicare Part C Fraud) If you properly report Medicare Advantage or Part C fraud, you may be entitled to a significant whistleblower reward.

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How to Report Genetic Testing or DNA Test Fraud for a …

WEBOne of the fastest growing areas of Medicare fraud is genetic testing fraud or DNA testing fraud. The Department of Justice is offering huge monetary whistleblower rewards for reporting DNA testing fraud. Medicare does cover certain genetic tests when a patient has a history of certain types of illnesses, such as breast cancer and tumors […]

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How to report nursing home fraud and get a whistleblower reward

WEBTo get a whistleblower reward for reporting nursing home fraud it is not sufficient to call a Medicare or Medicaid fraud hotline. Instead, to apply for a reward for reporting nursing home fraud you must use an attorney (on a contingency basis) to file qui tam suit under the False Claims Act. In addition, your attorney must strictly follow the

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report Home Healthcare fraud

WEBTwo common fraud schemes by home healthcare companies are (1) paying a doctor a kickback, either financially or through other benefits, to certify the Medicare patient as homebound, or (2) forging the physician’s signature or otherwise using false data or certifications. 1. Assisted living facility fraud (ALF fraud)

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How to report Medicare kickback fraud and receive a …

WEBTo get a whistleblower reward for reporting kickback fraud requires using a lawyer filing a qui tam suit under the False Claims Act. Your lawyer will use a contingency fee, which means he gets a percentage of any whistleblower reward. He must scrupulously follow the procedures in the reward program for reporting Medicare kickback fraud.

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Reporting cost report fraud and seeking a whistleblower reward

WEBreport fraud through the use of an attorney (on a contingency basis) and have them actually file a qui tam suit under the False Claims Act. In addition, your attorney must strictly follow all of the exacting procedures of the whistleblower

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What is a stark law violation

WEBAn example of a Stark law violation is a hospital paying doctors money to refer cardiac patients to their hospital. Similarly, it is a violation of Stark for a laboratory or outpatient clinic to pay hospitals to refer patients to them. Often, however, the kickback is disguised, such as offering free or reduced rental space or other services

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Rewards for Reporting Medicaid “Best Price” Violations under the

WEBWhy aggregating or stacking drug manufacturer rebates paid to unrelated entities must be included in Best Price calculation. This page outlines how to receive a whistleblower reward for reporting Medicaid best price fraud when a drug manufacturer fails to aggregate or stack rebates paid to unrelated entities in calculation of best price under the Medicaid Rebate …

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How to report unapproved devices or non-FDA approved …

WEBHesch also has represented whistleblowers obtain rewards for reporting Medicare fraud because the device or implant was not approved by the FDA.

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How to get a Reward for Reporting Fraud against the Government

WEBIf a company is cheating the government by $100,000 you would only get a reward of around $15,000. That’s because a reward for reporting fraud against the government is between 15 and 25 percent of the amount the government actually gets back from the company defrauding the government.

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Joel Hesch files a brief before the Supreme Court supporting a

WEBThe Supreme Court will soon decide a case filed by a whistleblower alleging massive Medicaid fraud by a health care company that used unlicensed professionals to bill the taxpayers millions of dollars for counseling services despite a clear requirement that it must use licensed professionals. The Supreme Court will decide if contractors that …

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Representative Cases

WEBThe following are examples of the whistleblower fraud cases Joel D. Hesch has worked on while at the Department of Justice in Washington, D.C. and currently in private practice representing whistleblowers, totaling over $1.7 billion in False Claims Act (FCA) judgments or settlements and paid out over $265 million in whistleblower rewards.. $641 million …

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Whistleblower attorney founds “National

WEBTo bring awareness to available whistleblower rewards for reporting fraud against the government, Joel Hesch founded National Whistleblower Reward Day to be celebrated each February 20. After working in the national whistleblower reward office of the U.S. Department of Justice in Washington, D.C., Joel Hesch formed his own firm to …

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In The Supreme Court of the United States

WEB2 and several scholarly articles3 relating to the FCA. Professor Hesch has been previously authorized to submit amicus briefs in three other FCA cases before this Court.4 From 1990 1 The parties have consented to the filing of this brief.

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