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
$25 Million Miami Home Health Care Medicare Fraud Scheme Busted by Fraud Strike Force
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A combined effort of the Justice Department, the FBI, and the Department of Health and Human Services managed to bust three defendants who were running a $25 million scheme to defraud Medicare.

Detroit Medicare Fraud Earns Hefty Sentence
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Since March of 2007, 1,140 individuals have committed Medicare fraud by falsely billing the Medicare program for more than $2.9 billion; likewise, the Medicare Fraud Strike Force has worked diligently to charge these individuals. In the meantime, the Department of Health and Human Services’ Centers for Medicare and Medicaid Services is working to increase overall accountability among health care providers and patients. While the process remains an arduous one, progress is being made.

91 individuals charged with Medicare Fraud, totaling $295 million in false billing
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In a September 8, 2011 press release the US Department of Justice (DOJ) announced a nationwide bust that charged 91 individuals with Medicare fraud. In all, the group perpetrated almost $295 million in false billing.

Atlanta doctor charged with Medicare Fraud
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On June 6, 2011, the US Department of Justice (DOJ) issued a press release that told of the guilty plea of Dr. Robert Williams, Atlanta, on two counts of healthcare fraud. He used a scheme to bill for group psychological therapy which he often never delivered.

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