Unreasonable Costs of Goods or Services Fraud
If you report fraud by a healthcare provider for unreasonable costs of goods or services, you may be entitled to a whistleblower reward, as outlined in this website. (Click here if you want Attorney Joel Hesch to review your claim in confidence.)
Medicare and Medicaid reimburse hospitals, nursing homes and other healthcare providers for reasonable costs of goods or services. Unfortunately, many cheat Medicare and Medicaid by charging for tests or services not really needed. For instance, some healthcare providers will routinely order tests that are not necessary. For instance, some hospitals routinely order x-rays or of blood work for all Medicare patients regardless of why they came to see the doctors. Others order full panels of blood or lab tests where only one or two are needed. Similar fraud schemes take place by those providing services, such as therapy sessions by providing psychotherapy to people with Alzheimer disease who are not able to benefit from the treatment.
If you know of a company cheating or defrauding Medicare or Medicaid through unreasonable costs of goods or services fraud and are interested in a reward, fill out our fraud questionnaire.