Medicare Fraud and Medicaid Fraud – Whistleblowers and Qui Tam Cases

Medicare fraud whistleblowers and Medicaid fraud whistleblowers are valuable and important for our nation’s healthcare system and patients. They help stop healthcare fraud and help the government recover billions of dollars. Through qui tam lawsuits, whistleblowers have stopped harmful practices that endanger the health and lives of Medicare and Medicaid patients – children, senior citizens, nursing home residents, cancer patients, dialysis patients and many others.

Whistleblower lawsuits also can stop healthcare frauds that steal money from TRICARE, the health insurance program for the military.

Those who have filed "qui tam" (False Claims Act) lawsuits have received millions in whistleblower rewards under the False Claims Act. The law also provides whistleblowers job protection through provisions that offer recourse to those who suffer job retaliation for whistleblowing.

Phillips & Cohen is the nation’s top law firm representing healthcare fraud whistleblowers. For nearly 30 years, Phillips & Cohen attorneys have had unmatched success in Medicare and Medicaid whistleblower  cases both in the number of successful qui tam cases as well as the total amount of money recovered.

Our victories in healthcare fraud cases include  record-setting settlements with pharma companies GlaxoSmithKline ($3 billion) and Pfizer Inc. ($2.3 billion) as well as major settlements against Davita Healthcare, Quest Diagnostics and many hospitals, medical testing labs and medical device companies.

If you are aware of any Medicare fraud or Medicaid fraud and would like to discuss with an attorney how to proceed as a whistleblower in your situation, please contact us, or get a quick start by filling out this email form. Phillips & Cohen works with whistleblowers on a contingency basis, which means there is no payment unless the government recovers funds from the case and pays the whistleblower a reward.

Some common types of healthcare fraud:

· Medicare Advantage Risk-Adjustment Fraud

· Medical Loss Ratio Fraud

· Off-label marketing, kickbacks and other fraud by Pharmaceutical Companies

· Medical Devices and Implants

· Upcoding and Unbundling/Fragmentation

· Anti-Kickback and Stark Law Violations

· False Certifications and Information

· Lack of Medical Necessity