False Claims Act, Qui Tam Litigation

Since Medicare fraud is often hidden and difficult for authorities to detect, Congress passed a law known as the False Claims Act to incentivize the reporting of Medicare Fraud by allowing people (Relators) to bring claims on behalf of the US government to recover monies fraudulently obtained through Medicare Fraud. It is estimated that improper billing practices and other types of Medicare fraud cost American taxpayers billions of dollars every year.

If you choose to blow the whistle on a hospital, skilled nursing facility, hospice facility etc., you may be able to help recover money stolen from U.S. taxpayers and, in return, obtain a financial reward for your efforts.

Our legal team at Christopher C. Copeland PA will meet with you, review the facts of your case, and help you determine if you can file a lawsuit under the qui tam provision of the False Claims Act.

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Do you have knowledge of a hospital, skilled nursing facility or hospice submitting false claims to the government? Contact our qui tam attorneys in Jupiter, Florida today to learn more about the important role whistleblowers play in reporting fraud.

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Who Can Blow The Whistle?

Any current or former employee of a hospital, nursing home, hospice, or other healthcare organization who has knowledge of overbilling, the payment or receipt of illegal kickbacks, or other schemes to defraud Medicare and Medicaid may be able to file a whistleblower lawsuit. In addition, independent contractors, consultants, and other individuals who have knowledge of healthcare fraud at hospitals may also be eligible to take legal action and receive a monetary reward for their efforts.

These types of qui tam cases may involve the following types of professionals:

  • Hospital, nursing home, and hospice administrators

  • Doctors, nurses, and physician assistants

  • Benefit administrators

  • Accountants

  • Benefit consultants

  • Medical billing specialists

  • Medical coding specialists

  • Coding supervisors

Qui Tam Lawsuits: Types of Fraud

Common examples of fraud known to occur at hospitals, nursing homes, and other healthcare organizations include:

  • Billing for medical services that were not provided to patients

  • Billing for supplies that were never actually purchased or used

  • Admitting patients to hospitals, hospices, and nursing homes who do not meet the eligibility requirements of Medicare or Medicaid

  • Upcoding, which involves manipulating billing codes to bill Medicare or Medicaid for a more expensive procedure or tests

  • Unbundling, which involves related procedures or composite lab tests that were performed together and should be billed using a single billing code. Instead, they are billed separately to obtain higher levels of compensation from Medicare or Medicaid

  • Paying kickbacks to doctors and other healthcare providers in exchange for referring patients to the health care facility

  • Knowingly mischaracterizing medical services so that they are reimbursed by Medicare and Medicaid

  • Billing Medicare or Medicaid for services performed by medical residents without the required participation of a supervising teaching physician

  • Overcharging for the costs of ambulance services

The legal team at Christopher C. Copeland PA works with skilled and knowledgeable investigators and experts in the healthcare field to identify and flesh out fraud so that a claim under the False Claims Act can be properly brought and presented to the Federal government for consideration. Our legal team in Jupiter, Florida works hand in hand with the government’s team to bring about the best results possible for each case.

If you have knowledge about a healthcare organization that has submitted false or misleading information to Medicare, Contact us today by calling (561) 691-9048. We may be able to help you receive a financial reward for reporting the fraudulent conduct to the federal government.

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Attorney Christopher C. Copeland

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Christopher C. Copeland PA


Office Address
1003 W Indiantown Rd.
Suite #208
Jupiter, Florida 33458
Phone (561) 691-9048
Fax (866) 259-0719

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