Reporting Medicare and Medicaid Fraud

How to Report Medicare and Medicaid Fraud

When clients retain Berger Montague when reporting a Medicaid or Medicare fraud claim, the firm typically utilizes the False Claims Act (“FCA”) to recover the fraudulently obtained funds.  Under the FCA, the whistleblower can receive 15% – 30% of the funds recovered as a reward for uncovering the fraud.

Hundreds of billions of dollars are paid by the government each year for Medicaid and Medicare services, so the potential for fraud against the government is vast, particularly since the government relies on the “honor system” to obey the law.  Sadly, we know individuals and companies routinely break the law and submit fraudulent or false charges to the government.  Berger Montague’s Whistleblower Practice can help unravel healthcare fraud against the government.  We understand each step in the whistleblower process, and we are sensitive to our client’s needs when deciding how to best collect evidence and present their claims.  For a free and confidential consultation with an experienced Whistleblower attorney, please call (215) 875-4699 or email

Why Talk to Medicare Whistleblower Lawyers?

  1. As healthcare fraud lawyers, we understand you might have concerns about being a whistleblower, and that you want to know, in advance, how it may affect your career, family and loved ones.
  2. Medical and healthcare law is extremely complex and can require experienced and knowledgeable lawyers.
  3. Experienced Medicare whistleblower lawyers have working relationships with the government which are critical to increasing the likelihood that the case will be successful (when the government “intervenes” in qui tam whistleblower claims under the FCA, the vast majority of the cases are successfully resolved).
  4. Having expansive resources for research – and proven lawyers on your side – is imperative.  Some cases can be very expensive and complex.  Many smaller firms do not have the resources or the experience to successfully “carry” such cases.

Medical Fraud and Healthcare Fraud Examples

Different programs within the healthcare realm where fraud is possible include Medicare, Medicaid, TRICARE, and other government healthcare programs.   Moreover, there are many sectors within the healthcare industry which have been the subject of fraudulent actions, including pharmaceutical manufacturers, medical device manufacturers, hospitals, physician practices, nursing homes, physical therapy offices, hospice providers, and more.  Billions of dollars of taxpayer money is stolen every year due to healthcare fraud.  To read further about different healthcare and medical device fraud examples, please click here.

Medicare Whistleblower Lawyers & Attorneys at Law

Berger Montague’s Healthcare Whistleblower, Qui Tam & False Claims Act Practice Group represents whistleblowers alleging healthcare fraud against the government throughout the healthcare industry.  We invite you to learn more about our Whistleblower Practice Group. For more information or to schedule a confidential, please call us at (215) 875-4699 or email us at

If you have discovered evidence of government fraud, contact an experienced False Claims Act attorney before blowing the whistle. You may be entitled to a substantial reward and the legal protections afforded to whistleblowers under state and federal laws. The attorneys of Berger Montague are nationally recognized experts in Whistleblower/Qui Tam actions with over a decade of experience pursuing these complex fraud cases. For more information or to schedule your confidential consultation, call us at 1-800-424-6690.

Contact For More Information (Green)

For further reading:

Why be a Whistleblower?

Whistleblower Litigation Trends

Immunity and Protection for Whistleblowers

Federal And State Whistleblower Laws

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By | 2018-04-18T16:07:06+00:00 April 18th, 2018|Healthcare Fraud|