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
DOJ: $4.1 Billion in Medicare Fraud Recovered in 2011
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A report released February 14, 2012 shows a record-breaking $4.1 billion has been recovered as a result of health care fraud prevention and enforcement efforts during the 2011 Fiscal Year. The findings, listed in the annual Health Care Fraud and Abuse Control Program report, credit the Obama administration with making it a top priority to eliminate fraud, abuse and waste in Medicare and Medicaid programs.

Physician and Six Others Linked To Huge $375 Million Medicare Scheme
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Seven people, including a doctor and his office manager, were arrested for allegedly making fraudulent claims as part of a Medicare scheme. The damage nears $375 million.

U.S. Files Medicare Fraud Claim Against Hospice Provider With Help from Medicare Fraud Whistleblower
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The Justice Department has filed a complaint in an Alabama District court against Golden Gate Ancillary LLC, a company providing end of life care at an estimated 65 locations in Alabama, Wisconsin, Georgia, and 16 other states. The complaint alleges that Golden Gate Ancillary was in violation of the law when it deliberately defrauded the government by receiving millions of dollars in taxpayer funds to provide hospice care to Medicare patients who they knew were not entitled to the funds because they were not terminally ill.

Los Angles Woman Sentenced to Sixty Months Imprisonment following her Involvement in a Medicare Fraud plot worth $6.2 Million
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A woman from Los Angles was sentenced to a sixty months imprisonment period after pleading guilty to making use of stolen physician's identities as well as counterfeit medical clinics to swindle Medicare up to $6.2 Million.

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