Over the last few years, several home health companies have been sued by the Department of Justice for improperly billing the Medicare and Medicaid programs.  Often these investigations begin when a home health employee comes forward and provides the government with information related to the fraud.  If the company is required to pay the government back, then the person who brought that information to the government is often entitled to share in the money returned to the government under the False Claims Act.

Common areas of home health fraud include:

medicare medicaid fraud
  • Falsely certifying that a patient is home-bound;
  • Falsely reporting a patient's medical condition or exaggerating a diagnosis in order to qualify for larger reimbursements;
  • Paying money or giving other valuable things (vacations, jobs, etc.) in exchange for patient referrals or;
  • Arranging transportation to appointments in an ambulance when the patient is mobile and does not qualify for this service.

The schemes are numerous.  If you believe your company is involved in a fraudulent practice, you should speak to a qualified attorney, experienced in filing a proper complaint under seal. We have handled numerous cases of this nature and are available to discuss your case on a confidential basis with you.  Under the law, employers cannot retaliate against you for whistleblowing activities, even if your case does not lead to a recovery.  The cases are initially filed “under seal” and are not public until the government has concluded its initial investigation which can take several months.

Call us for a free, no obligation and confidential analysis.  All calls seeking legal advice are protected by the attorney-client privilege.