What is Medicare Fraud?

Medicare fraud occurs when a hospital, nursing home, doctor's office, hospice care facility, ambulance service, pharmacy, rehabilitation center, or any other type of healthcare provider overbills Medicare.


Who can report Medicare fraud?

Medicare fraud whistleblowers are almost always healthcare professionals. They are commonly employed as hospital administrators, nurses, hospice or nursing home workers, ambulance drivers, pharmacists, or as any other type of healthcare professionals.

Receive a financial reward for your information.

Healthcare professionals may be entitled to a significant financial reward for becoming Medicare whistleblowers. Learn about receiving a financial reward for your information here.


Medicare Fraud News
Medical Care Company Owner and Recruiter in Louisiana Take a Guilty Plea to Medicare Fraud Plot
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Two Baton Rouge residents have taken a guilty plea to charges of their active role in a Medicare fraud plot that allegedly involved an amount more than $21 million, as stated by the Department of Justice, the FBI, the Department of Health and Human Services and the State Attorneys General Office of Louisiana.

Patient Recruiters for Home Health Care Agency Guilty of $14 Million Medicare Scheme
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Four people who took part in a scheme to defraud the Medicare program of $14 million entered guilty pleas in federal court. Curtis Mallory and Theodore Haile worked as patient recruiters for Patient Choice Home Care Inc. and All American Home Care Inc., two home health agencies located in Oakland County, Michigan. The two admitted they paid kickbacks to beneficiaries who provided their Medicare information and signed therapy documents. The owners and operators used the information and documents to bill Medicare for physical therapy services the agencies never provided. Haile and Mallory received a payment for each beneficiary they recruited.

Home Health Agency Owner Pleads Guilty to Medicare Fraud
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On January 24, 2012, the Department of Health and Human Services issued a statement claiming that Marietha Morales, the owner of Prime Home Health, and Eduardo Saborit Dominguez, an employee the agency, plead guilty to their involvement in a 22 million home health care fraud scheme before U.S. District Judge Seitz. Morales confirmed that she was guilty of one count of conspiracy to commit healthcare fraud and her employee Saborit Dominguez pleaded guilty to his involvement of violating the anti-kickback statue.

Biggest Medicare Fraud Scheme in History Netted $375 Million for Texas Doctor
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Federal prosecutors say a Dallas doctor netted nearly $375 million in the biggest Medicare fraud scheme in history.

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