Fighting Health Care Fraud For Florida

They are among our most vulnerable

With insufficient manpower to keep watch over every nursing home, hospital, doctor or medical provider, laws now exist protect those, including employees, patients, and or their families, who take action on healthcare fraud.

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What is Fraud?

Government dollars are being wasted or fraudulently diverted to services, products, drugs and devices that are NOT medically necessary.

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Where Does Fraud Occur?

Fraud occurs in nursing homes, hospitals, doctor’s offices, big pharma and device manufacturers and home health care

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Suspect Health Care Fraud?CONTACT US

Where the wrongdoing occurs

Most medical providers are honest and work hard to improve their patients’ health. However, a few want to illegally increase the size of their bank accounts. Learn some of the basic health care provider schemes and how to deter them from taking some easy money.

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Laws Addressing Fraud

In addition to the Federal False Claims Act, there are twenty-nine states that have enacted false claims acts and at least two municipalities, New York and Chicago, have false claims laws. A false claims statute allows the whistleblower to bring the suit in the name of the government, even where the whistleblower is not personally injured. Where the suit is successful, the whistleblower is entitled to a bounty.

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Whistleblower Information

Whistleblowers bringing suit under False Claims Acts have enabled the government to recover more than $20 billion since 1986. These statutes generally provide for recovery of three times actual damages in addition to civil penalties for each false statement used to secure payment from the government.

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Whistleblower Protections

In the United States and in Florida, there are laws protecting the rights of individuals to blow the whistle on wrongful conduct. Today, government regulatory bodies, including the United States Securities and Exchange Commission and the Internal Revenue Service, actually rely on information from whistleblowers to enforce compliance with laws and regulations.

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Frequent Questions

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False Claims Acts

Employees, doctors, patients and families who suspect fruad in billing, medical care, prescriptions and medical facility operations often have questions about what conduct may rise to the level of fraud and what protections exist to protect those who “Blow the Whistle”.  We have answers to the questions.

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Types of Fraud

  • False Billing by Pharmacies
  • Kickbacks to medical providers
  • Prescribing drugs that are no medically necessary
  • Charging Medicare/Medicaid patients higher rates
  • Knowingly providing defective products & Services
  • Changing treatment code to secure a higher payment