MEDICAL BILLING FRAUD

Physicians and health clinics bill Medicare and Medicaid for services rendered and products provided to their patients. These government programs employ a sophisticated medical coding system to track billing and payments. Fraud within that system is often described as rampant, as these program providers use fraudulent billing practices to illegally obtain government payments. Any US citizen can bring a whistleblower lawsuit, called a qui tam lawsuit, to expose such illegal activity and in the process become eligible for a percentage of the recovered funds.

The law firm of Tarshish Cody PLC is experienced in representing whistleblowers and successfully recovering funds due under the whistleblower and False Claims Act. Here are different types of fraud that will qualify for a qui tam whistleblower legal claim:

• Upcoding: Physicians exaggerate claims of time billed, or upcode a procedure in order to bill for more costs. These are fraudulent billing practices.
• Unbundling/fragmentation: Physician testing and examination procedures that are normally bundled in the program coding system, can be unbundled by fraudulent physicians, and thereby allow increased reimbursement for the same services.
• Phantom billing: Fraudulent conduct by physicians and clinics by billing for services and products never used in patient services.
• Double billing: Clinics or physicians that simply charge twice for a single procedure or service.

Schedule a free initial consultation with the attorneys at Tarshish Cody PLC to discuss the specific details of your potential qui tam lawsuit. Our law firm does not bill unless we win your case. We welcome your call today at 952-361-5556 (or fill out the free case evaluation form below) to help you through the legal issues of your medical billing fraud case.

Attorney Practicing In This Area

Kyle Kosieracki