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
Owners of California durable medical equipment (DME) firm convicted of Medicare fraud
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In a July 17, 2009 press release, the US Department of Justice (DOJ) announced the conviction of the owners and operators of Los Angeles-based durable medical equipment (DME) firm of Medicare fraud.

King Pharmaceuticals settles Medicare fraud and Medicaid fraud charges
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The U.S. Department of Justice (DOJ), in a November 11 press release, revealed it had reached agreement with Bristol, Tennessee-based King Pharmaceuticals for its Medicaid fraud violations. The company will pay a Medicaid rebate of $124 million plus interest as a result of its failure to pay accurate rebates.

Health Care Fraud and Abuse Control Program Annual Report: Medicare fraud in 2009
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On May 13, 2010, Attorney General Eric Holder and U.S. Department of Health and Human Services Secretary Kathleen Sebelius reported the results of the 2009 Health Care Fraud and Abuse Control Program Annual Report (HCFAC).

More inter-agency cooperation needed to help combat Medicare fraud
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One of the ongoing challenges in the fight against health care fraud, including Medicare fraud and Medicaid fraud, is to foster strong ties and lines of communication between governmental agencies, both on the state and federal level, who are waging the war to stem the growing tide of this fraud.

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