Skip to content
Whistle Blower Latest Videos
  • Education

Nursing Home Whistleblower Lawsuits: FRAUDULENT BILLING

Nursing Home Whistleblower Lawsuits: FRAUDULENT BILLING

Post Views: 76
October 15, 2021 October 15, 2021 hero Leave a comment on Nursing Home Whistleblower Lawsuits: FRAUDULENT BILLING
whistleblowers

In this video we will look at false claims act lawsuits against nursing homes based on fraudulent billing practices. If you have evidence that a nursing home is engaging in fraudulent practices, you can bring a whistleblower lawsuit and get a percentage of any money awarded in the case.

Under a federal law called the False Claims Act (FCA), companies that receive money from the federal government can be subject to civil liability if they obtain that federal money through fraud or false pretenses. The FCA authorizes private citizens with knowledge of fraud to act as whistleblower plaintiffs and file suit on behalf of the federal government. If the case is successful the whistleblower plaintiff gets to keep up to 30% of whatever money is awarded.
Nursing homes a significant amount of their revenues from the federal government through Medicaid and medicare. This means that nursing homes can be liable under the FCA if a whistleblower plaintiff can show that the facility received federal funds improperly. There are basically 2 categories of nursing home liability under the FCA: (1) fraudulent billing; and (2) inadequate care.

In this video we will focus on whistleblower nursing home cases involving fraudulent billing practices. Fraudulent billing by nursing homes involves any deliberate scheme to obtain reimbursement that the facility is not legally entitled to through deception or false pretenses. Nursing home billing fraud can come in many varieties and circumstances but we will look at the most common types.

Upcoding is probably the most common fraud in nursing home billing. Upcoding occurs when the nursing home bills medicare for a more expensive treatment or service than the one that was actually provided. An example of upcoding would be billing for a 1 hour consultation when the doctors only performs a 10 minute follow up.

Phantom billing is another fraud scheme at nursing homes in which the facility bills Medicare and Medicaid for patient treatments or services that were never actually provided to the patient. Other fraud schemes include performing services or treatments on patients that are not medically necessary and receiving illegal kickbacks for patient or service referrals.

Nursing homes that engage in these types of fraudulent or deceptive billing practices cost the federal government an estimate $60 billion every year. If you have inside or direct evidence of a nursing home engaging in any of these fraudulent billing practice or otherwise getting improper Medicaid or Medicare reimbursement, you can become a whistleblower and bring a FCA lawsuit.

Post Views: 76

Add a Comment Cancel reply

Your email address will not be published. Required fields are marked *

Recent Posts

  • 2022 Russia-Ukraine war : Russian Tank Crushing Ukrainian Vehicle
  • #shorts #youtubeshorts Russia vs Ukraine whistleblower protection program
  • Godi Media vs Ravish Kumar | Russia Ukraine | McAdams | WhistleBlower Being Honest | NDTV |
  • Russia Ukraine || Operation Ganga – Ground Reality || WhistleBlower || Godi Media || Being Honest ||
  • Russia and Ukraine whistleblower

Recent Comments

  1. Amby Kp on What Dr. Greer Told Us About NEW Whistle Blower Is Shocking! 2022
  2. Wally Tidwell on What Dr. Greer Told Us About NEW Whistle Blower Is Shocking! 2022
  3. clandestine.thoughts on What Dr. Greer Told Us About NEW Whistle Blower Is Shocking! 2022
  4. Rox In Space on What Dr. Greer Told Us About NEW Whistle Blower Is Shocking! 2022
  5. Peter Maddison on What Dr. Greer Told Us About NEW Whistle Blower Is Shocking! 2022

Archives

  • May 2022
  • March 2022
  • November 2021
  • October 2021

Categories

  • hero

© 2022 - All rights reserved
Manage Cookie Consent
We use cookies to optimize our website and our service.
Functional Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
Manage options Manage services Manage vendors Read more about these purposes
Preferences
{title} {title} {title}
Get Notified Of New Videos
Stay Connected
BY ME A COFFEE