We know that Medicare fraud is a multi-billion dollar business, and we are convinced a practice called "upcoding" Medicare bills is a potentially huge part of Medicare fraud nationwide.
(PRWEB) May 13, 2014
The Corporate Whistleblower Center says, "We know that Medicare fraud is a multi-billion dollar business, and we are convinced a practice called "upcoding" Medicare bills is a potentially huge part of Medicare fraud nationwide. Upcoding involves billing for a higher reimbursement rate for Medicare, when the procedure should have been billed at a lower rate.
"In most instances, Medicare never realizes they are being fleeced, and we believe this trend continues to grow. The reward potential for this type of information can be extremely substantial, provided the potential whistleblower has very well documented proof, and provided the overbilling or fraud is in the hundreds of thousands or millions of dollars."
For more information potential whistleblowers are urged to contact the Corporate Whistleblower anytime at 866-714-6466. http://CorporateWhistleblowerCenter.Com
According to a March 2014 Justice Department press release, "American Family Care Inc. has agreed to pay the government $1.2 million to resolve allegations under the False Claims Act that it knowingly submitted claims to Medicare for outpatient office visits that were billed at a higher rate than was appropriate, the Justice Department announced. American Family Care is a network of walk-in medical clinics headquartered in Birmingham, Ala., with additional offices in Alabama, Tennessee and Georgia." http://CorporateWhistleblowerCenter.Com
The DOJ press release went on to say, "Following guidance adopted by the Centers for Medicare and Medicaid Services, health clinics such as American Family Care bill Medicare for their services by selecting a corresponding Evaluation and Management code. The codes are divided into five different levels - from basic (level 1) to most complex (level 5). Higher level codes result in higher reimbursement from Medicare than lower level codes. The government alleged that American Family Care knowingly selected Evaluation and Management codes for a level of services that exceeded those actually provided in order to artificially increase the amount of reimbursement it received for those visits."
The Corporate Whistleblower Center says, "If you are in billing or the Medicare coding department of a hospital, a nursing home, or any type of healthcare facility, and you have very well documented proof your company is involved in substantial Medicare fraud, or overbilling, we urge you to contact us. We will help you package your information, and get you to the some of the best whistleblower attorneys in the nation. No other group offers this thorough of service. For more information, please contact the Corporate Whistleblower Center anytime at 866-714-6466. http://CorporateWhistleblowerCenter.Com
Simple rules for a whistleblower from the Corporate Whistleblower Center:
- Do not go to the government first if you are a major whistleblower. The Corporate Whistleblower Center says, “Major whistleblowers frequently go to the federal government thinking they will help. It’s a huge mistake.”
- Do not go to the news media with your whistleblower information. Any public revelation of a whistleblower’s information could destroy any prospect for a whistleblower reward with the DOJ.
- Do not try to force a government contractor, or corporation to come clean to the government about their wrongdoing. The Corporate Whistleblower Center says, “Fraud is so rampant among federal contractors that any suggestion of exposure might result in an instant job termination, or harassment of the whistleblower. Come to us first, tell us what type of information you have, and if we think it’s sufficient, we will help find the right law firms to assist in advancing your information.”
Any type of insider or employee who possesses significant proof of their employer or a government contractor defrauding the federal government is encouraged to contact to Corporate Whistleblower Center anytime at 866-714-6466 or via their web site at http://CorporateWhistleBlowerCenter.Com
For attribution purposes please refer to the March 2014 Justice Department press release: http://www.justice.gov/opa/pr/2014/March/14-civ-281.html
Case number: The lawsuit is captioned United States ex rel. Anita C. Salters v. American Family Care Inc. (N.D. Ala.).