Fraud Against The Federal Medicare Program
What is Medicare?
The Medicare Program is a Federal program that provides healthcare coverage for 57 million Americans who are over the age of 65 or disabled. With more than $540 billion in annual expenditures, it is no wonder that Medicare Fraud continues to cost taxpayers tens of billions of dollars a year.
What is Medicare Fraud?
Medicare Fraud occurs when healthcare providers knowingly submit claims to Medicare that are inflated or not eligible for reimbursement. The Medicare program is separated into four different “Parts,” including Part A (hospital stays, skilled nursing and home health), Part B (physician services, outpatient drugs and laboratory testing); Part C or Medicare Advantage (managed care plan options), and Part D (prescription drug coverage). Fraud affecting any program or plan funded by these Parts can be considered Medicare Fraud.
What are some common Medicare Fraud schemes?
Some of the most commons forms of Medicare Fraud include:
- Double billing;
- Up-coding;
- Billing for services that were not provided or not medically necessary;
- Kickbacks schemes;
- Physician Self-Referral Law, also known as Stark Law, violations;
- Pharmaceutical marketing violations, including off-label marketing;
- Inflating patients’ risk scores for managed care plans;
- Improperly inflating drug pricing measures such as Average Sales Price;
- Hospice fraud;
- Improper inpatient admissions or prolonging Part A hospital stays;
- Unnecessary laboratory testing and physician kickbacks; and
- Fake clinical trial and research schemes.
How is Medicare Fraud Different than Medicaid Fraud?
Medicare is administered by the Federal Government, meaning False Claims Act cases for Medicare Fraud must be brought under the Federal False Claims Act. Many types of Healthcare Fraud cases involve both Medicare and Medicaid, meaning many cases are simultaneously brought under the Federal False Claims Act and each State’s False Claims Act.
What can I do to stop Medicare Fraud?
If you have knowledge and proof that a company or individual is submitting false claims in relation to Medicare Fraud, then give us a call today for a free consultation and case review with an experienced whistleblower attorney.
This information is for educational purposes. It is not offered as and does not constitute legal advice or legal opinions. You should not act or rely upon this information without seeking the advice of an attorney.
WHISTLEBLOWER NEWS
- 2017 False Claims Act Year in Review: Government Recovers $3.7 Billion
- Do You Work For A Motor Vehicle Manufacturer, Supplier, Or Dealership And Came Across Safety Violations Your Employer Is Trying To Keep Hidden? Don’t Let Them Get Away With It, Call Now!
- 2016 False Claims Act Year in Review: Whistleblowers Collect $519 Million
- New Study Confirms Importance of Whistleblowers in Preventing Corporate Fraud
- Where was the Wells Fargo Whistleblower? Part II.
- Fiscal Year 2016 Record Year for SEC Whistleblowers - $57 Million Awarded to Whistleblowers!
- SEC Investigating Wells Fargo Fraudulent Practices
- Whistleblower First! SEC Rewards Whistleblower $3.75 Million For Reporting Violations of the Foreign Corrupt Practices Act.
- Did Your Employer Actually Qualify For That Government Set-Aside It Received? Did Your Competition Win A Contract It Didn’t Deserve?
- Hiding Wealth Offshore To Avoid Paying Taxes Is Illegal And IRS Will Reward Those Who Blow The Whistle On Anyone That Tries
- Aware of Banks and Mortgage Lenders Defrauding the Government Through FHA or VA Insured Loans? Don’t “Short” The Market, Contact Us!
- U.S. Education Department Creates New Unit to Investigate Student Aid Fraud
- The False Claims Act Year in Review: Whistleblowers Collect a Record $597 Million
- False Claims Act Update: Top Recoveries & Enforcement Trends from 2014
- Whistleblower Attorneys Recover $1M in Medicare Fraud Case
- Qui Tam Attorney Discusses the DOE’s Final Gainful Employment Rules
- Career Education Corporation Agrees to $10.5 Million Settlement Over Inflated Employment Rates
- Pharmaceutical Company to Pay $40.1 M to Settle Whistleblower Lawsuit
- Qui Tam Lawsuit Involving Healthcare Fraud Intervened by US Government
- Medicare Fraud Responsible for $23 Million Paid to the Dead in 2011?

Find out whether you have a case by speaking to one of our experienced mesothelioma lawyers via our 24/7 toll-free hotline or by submitting an email inquiry. Our attorneys will be quick to respond to you and happy to answer all of your questions.


Know the Difference
Committed to Doing What's Right-
Over $3 Billion Won
We have represented numerous individuals and groups of workers, winning for them multi-million-dollar settlements and verdicts.
-
There's No Case Too Big
Our team has achieved groundbreaking victories in highly complex cases and has gone up against some of the toughest defendants in the country.
-
Trial Attorneys
Our attorneys excel in the courtroom and are not afraid to bring a case in front of a jury if a fair settlement for the client has not been reached.
-
A Thought Leader in the Industry
Our firm's knowledge and experience are in high demand, and many news outlets have asked us to share our legal expertise.
-
Access to World Class Resources
Our experienced attorneys use cutting-edge technology and highly regarded experts to help us achieve the best possible result for our clients.
-
Changing the World for Good
We not only want to achieve the best possible results for our clients, but we also strive to prevent future harm by changing public health policies.

Thousands of Clients Helped
Hear What They Have to Say
-
They truly made a difference in our lives!
“Levy Konigsberg went above and beyond in representing my father in his mesothelioma case against multiple parties. From providing a risk free introduction (even flying out at their expense to speak to my father in person) to fighting diligently for us.”
- Jonathan McNulty -
Outstanding law firm!
“Jerry and Bob are not only experts in their field, but genuinely care about their clients. They explain the entire process in a step like manner and are keenly aware that the health and medical treatment of the defendant should not be compromised.”
- R.M. -
No need to look any further.
“The attorneys were attentive to my fathers needs during all proceedings while at the same time aggressive with the defendants making sure my father got everything he deserved.”
- Todd Allen -
They were the clear choice!
“Jerry Block was compassionate and assembled a team of attorneys that knew exactly what to do. Although no amount of money can replace my father, we are grateful to them for giving him the gift of knowing that his family would be taken care of.”
- Bruce Totterdale -
Forever grateful!
“They were not only knowledgeable but also compassionate. It was comforting to know they were diligently working on his case so we could focus on his medical care. Levy Konigsberg became part of our journey and we are forever grateful.”
- Diane Hoefer -
The best and brightest!
“They never failed to keep us informed of all important developments in the case, and they always gave a realistic idea of when the matter would be resolved. I always felt that my dad was excellently represented, and that his case was in the best hands.”
- Paulette -
Simply incredible!
“Corey Stern was simply incredible! Not only did he keep me well informed as to what was transpiring with my case, but was direct and honest all the way through. His hard work and compassion resulted in an amazing settlement.”
- IBS LMM -
Knowledgeable guidance and representation.
“Your firm explained all of the steps involved in filing my case, took the time to update me as it progressed, prepared me for my meeting with NYS officials… Without your knowledgeable guidance and representation, I may not have been successful.”
- Steven Simon -
They are good people who want to help you.
“I am now in a more comfortable financial situation. I can now go out and buy myself the things I need, without worrying how I am going to do that. Because I am well aware that I am not capable of getting or keeping a job.”
- Edwin Jimenez -
They won us a lot of money.
“Levy Konigsberg, in my opinion, is a great law firm. They took very well care of us and I believe that they cared very much about our case. They were great attorneys.”
- Karen
