Aug 12

Report Medicare fraud and get a reward

If you report Medicare fraud you could get a whistleblower reward. Why does the government pay rewards for reporting Medicare fraud?

Here’s the problem. It is estimated that ten percent of Medicare costs are lost due to fraud by healthcare providers. Because the Medicare program spends $500 billion a year, it means $50 billion a year goes down the drain by healthcare providers submitting fraudulent bills. On its own, the government is unable to catch those cheating Medicare. It’s no wonder we have a healthcare crisis.

Now here’s the solution. The government was wise enough to create a new reward program to invite whistleblowers to step forward. The twist that makes the reward program successful is paying a reward based upon a combination of how good the information was and the result.

First, there are no rewards for simply calling a hotline with a tip and hoping that the government opens an investigation and develop proof. Instead, the new whistleblower reward program requires you to hire an attorney to file a qui tam complaint alleging specific and detailed evidence of fraudulent billings by a healthcare provider.

Second, the reward is based on results. You get a reward of between 15% and 25% of what the government collects back from the fraudster—no matter how much is recovered. In one Medicare fraud case I worked at as an attorney with the Department of Justice, a whistleblower alleged that a large chain of hospitals was keeping two sets of books to keep track of how much it was cheating Medicare. We ended up settling the case for $641 million and paid the whistleblower $100 million!

Here’s why the new Medicare whistleblower reward program works. The incentive is large enough to make it worth the effort. In fact, the average whistleblower reward is $1 million and the largest rewards top $100 million. So far, whistleblowers have received $2.9 billion in rewards for helping the government collect back $18.5 billion in fraudulent billings. This is one of the best returns on investment the government has ever done. By paying whistleblower rewards of roughly 16% of what it would not have otherwise recovered, the Medicare program netted over $15 billion!

Rewards are available for reporting all types of Medicare fraud, whether it is a doctor, hospital, nursing home, dentist, or durable medical equipment provider. Unlike the government budget, there is no limit to the number or amount of rewards because whistleblowers get a portion right of the top of the money brought in for reporting Medicare fraud.

The whistleblower reward program is working wonderfully, but there is much more work ahead because most people still don’t know that it exists. Here’s how you can do your part. First, if you know of Medicare fraud, report it. Second, and more importantly, pass along this blog to everyone you know. The more who know about the whistleblower reward program the better because more people will report Medicare fraud and the more who do the less brazen will be those who think they can get away with ripping off Medicare leaving you and me to pay for it.

Let’s go out and change the world by doing the right thing of reporting Medicare fraud and get a reward in the process.

  1. Anonymous 3 Sep 2013 | reply

    Bookmarked!!, I like your website!

  2. Burton Haynes 6 Sep 2013 | reply

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  3. Anonymous 11 Sep 2013 | reply

    Very likely I’m likely to bookmark your blog . You absolutely have great article content. Thanks for sharing your web site.

  4. Anonymous 12 Sep 2013 | reply

    Loved your take on Report Medicare Fraud and get a rewards!

  5. Jean Ickes 16 Oct 2013 | reply

    Please advise me who to contact to report fraud. Thank You

  6. Jean Ickes 16 Oct 2013 | reply

    Please tell me how to report fraud and a chiropractor in N Port Fl who I am almost sure he is taking advantage of this man who is 88 years old. Thank You

  7. ANONYMOUS 28 Nov 2013 | reply

    Amazing information to wake people up and take action against individual people who work in the healthcare corporation for their personal gain and steal money from govt by creating a scheme and return increase cost of healthcare and blame govt for it. If you share information like this people will wake up and take action. Knowledge and information is the power to make world better and to do right thing. Thank You.

  8. Anonymous 25 Jan 2014 | reply

    A lot of thanks for all of the effort on this website.

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