Mass "For Profit" Medicine Creates Economic Incentives for Medicare Fraud and Medicaid Fraud

Medicare Fraud Lawsuit, Systematic Medicare Fraud Lawsuit, Medicare Recipient Whistleblower Lawsuit, Medicare Fraud Whistleblower Lawsuit, Systematic Medicaid Fraud Lawsuit, and Medicare Compliance Fraud Lawsuit Information
by Texas Medicare Fraud Lawyer Jason S. Coomer

Medicare fraud and Medicaid fraud are becoming one of the fastest growing and most lucrative crimes in the United States.  It is estimated that Medicare fraud and Medicaid fraud costs tax payers between $70 Billion and $230 Billion each year.  One of the reasons for the rapid growth of Medicare Fraud and Medicaid Fraud is that many large "for profit" medical services including hospitals and medical systems have moved to assembly line mass production of medical services that value maximizing profits over the individual needs of the patients. This maximization of profits can easily turn into systematic Medicare fraud or systematic Medicaid fraud. 

Many Large "For Profit" Health Care Providers Become Medical Assembly Lines for Patients, Provide Mass One Size Fits All Medical Services for Patients Regardless of Individual Medical Need, and Commit Systematic Medicare Fraud and/or Medicaid Fraud
by Texas Medicare Fraud Lawyer Jason S. Coomer

In the modern age of medicine, large "for profit" health care providers have turned traditional medical practices where doctors knew their patients and were able to spend significant time with their patients into large "for profit" billing machines where many patients are run through an assembly line and the patient is lucky to spend 10 or 15 minutes with a doctor.  These "for profit" patient mills often tend to provide one size fits all services despite the individual needs of the patient.  In many of these large "for profit" medical systems, patients are nothing more than a number or a Medicare number that can be billed.  

The large "for profit" hospitals and health care systems, often view patients through their billing departments as ways to make a profit by billing for expensive and unnecessary services as long as the services can be billed to the person's Medicare number.  Regardless of the patient's actual needs, the ability to bill Medicare for services becomes a driving force as to how the person is treated in the medical system.  By maximizing the amount that can be billed to Medicare or other third party payers, the large health care provider is able to maximize their revenue and profits regardless of what the patient actually needs.  The patient's needs often become secondary to the need to maximize profits. 

The need to overcome economic incentives that could turn medical providers away from the best interests of patients was understood and the basis in passing the Stark Laws and Anti-kickback Laws.  Hopefully, new whistleblower protections and expanded False Claims Act laws may also help curb negative economic incentives and profit driven health care providers that are placing profits over the needs of patients.  

In situations where the health care provider is driven by profit instead of a patient's needs, the traditional doctor patient relationship is violated.  The patient's trust in the health care provider can then often be misplaced.  Where the traditional expert advice of a medical doctor was once in the patient's best interest, the "for profit" health care provider can now be working against a patient's best interest and to only be maximizing profits.

Further, many "for profit" health care providers have separate billing departments, accountants, and administrators whose jobs are to maximize the hospital or health care system's profits.  These billing departments, accountants, and administrators, can sometimes determine that by making systematic changes including upcoding, phantom billing, or other Medicare fraud, that the hospital's or health care system's monthly, quarterly, or annual profits can be increased.  By slowly and continually making these systematic Medicare fraud changes, the hospital can continue to increase profits and the incremental changes can be extremely hard to detect. 

Hospital Medicare Fraud Whistleblower Lawyer, Nursing Home Medicare Fraud Whistleblower Lawyer, Physician Medicare Fraud Whistleblower Lawyer, Hospice Fraud Whistleblower Lawyer, and Home Health Care Medicare Fraud Whistleblower Lawyer
(Medicare Fraud Whistleblower Law Suits)

If you are a hospital administrator, nursing home administrator, physician, nurse, respiratory therapist, coder, accountant, dentist, health care coordinator, coding specialist, or other health care professional that is aware of Medicare fraud, it is important that you report the Medicare fraud.  As a Medicare fraud whistleblower you not only can recover a portion of the recovery if the fraud is properly reported, but it can help avoid potential criminal liability.  Medicare fraud lawyer, Jason S. Coomer helps whistleblowers that are aware of systematic Medicare fraud including health care providers that are committing upcoding, illegal kickbacks, charging for unnecessary services and procedures, charging for services not provided, double billing, or bill padding.

Through Health Care System Medicare Fraud Whistleblower Lawsuits, Hospital Medicare Fraud Whistleblower Lawsuits, and other Health Care Fraud Lawsuits, billions of dollars have been recovered from individuals and organizations that have committed health care fraud and stolen large amounts of money from the government. It is extremely important that Hospital Administrator Whistleblowers, Health Care System Whistleblowers, and other Medicare Fraud Whistleblowers continue to expose fraud schemes including off-label marketing schemes, illegal kickbacks, fraudulent billing practices, hospice fraud, nursing home fraud, dentist Medicaid fraud, and other Medicare Fraud that cost hundreds of billions of dollars.   

Feel free to clicking on the following link for more information on Hospital Systematic Medicare Fraud Lawsuits and Health Care System Medicare Fraud Lawsuits: Hospital Systematic Medicare Fraud Lawsuit and Health Care System Medicare Fraud Lawsuit Information.

Medicare Fraud Lawsuit, Systematic Medicare Fraud Lawsuit, Medicare Recipient Whistleblower Lawsuit, Medicare Fraud Whistleblower Lawsuit, Systematic Medicaid Fraud Lawsuit, and Medicare Compliance Fraud Lawsuit Information
by Texas Medicare Fraud Lawyer Jason S. Coomer

Medicare fraud and Medicaid fraud scams are costing the United States hundreds of billions of dollars and are threatening the Medicare benefits and Medicaid benefits of millions of Americans.  The cost of systematic Medicare fraud and systematic Medicaid fraud includes nursing home Medicare fraud, home health care service Medicare fraud, hospital Medicare fraud, therapist Medicare fraud, dentist Medicare fraud , and other health care provider Medicare fraud that systematically and knowingly commits upcoding Medicare fraud schemes, double billing Medicare fraud schemes, unnecessary service Medicare Fraud schemes, and other fraudulent Medicare billing schemes.  By billing for services not provided or needed, many fraudulent health care providers have found it extremely profitable to exploit the current Medicare and Medicaid system.  

As such, the United States Department of Justice and Texas Medicare Fraud Lawyer, Jason S. Coomer, are encouraging Medicare Fraud Whistleblowers with evidence of systematic Medicare fraud or systematic Medicaid fraud to step up and blow the whistle on Medicare fraud and Medicaid.  For more information on a being a Medicare Fraud Whistleblower or Medicaid Fraud Whistleblower that could be entitled to a large recovery for exposing systematic Medicare Fraud or Medicaid Fraud, feel free to click on the above links or the following link: Medicare Fraud Lawsuit, Systematic Medicare Fraud Lawsuit, Medicare Recipient Whistleblower Lawsuit, Medicare Fraud Whistleblower Lawsuit, Systematic Medicaid Fraud Lawsuit, and Medicare Compliance Fraud Lawsuit Informatio.

Medicare Recipient Whistleblower Lawsuits and Medicare Recipient Medicare Fraud Informant Lawsuits

Medicare Recipient Whistleblower Lawsuit, Medicare Recipient Medicare Fraud Whistleblower Lawsuit, Medicare Recipient Reporting Medicare Fraud Lawyer, Medicare Recipient Lawsuit, Medicare Fraud Informant Lawsuit, and Medicare Fraud Recipient Whistleblower Lawsuit Information
(Medicare Recipient Whistleblower Lawyer Jason S. Coomer)

Medicare recipients that properly report significant Medicare fraud can become eligible to collect large economic rewards for exposing large fraudulent systematic Medicare fraud schemes that cost taxpayers millions of dollars. By checking your Medicare Summary Notice (MSN), comparing it to medical records, and gathering evidence of the systematic Medicare fraud, a Medicare recipient may be able to prove systematic Medicare fraud that can result in a large Medicare fraud recovery for the government and a large whistleblower recovery for the Medicare recipient.

A sharp Medicare recipient that can recognize the systematic Medicare fraud and is able to gather sufficient evidence of the systematic Medicare fraud, can work with a Medicare Recipient Whistleblower Lawyer to prepare a claim under the Federal False Claims Act.  In working with a Medicare Recipient Whistleblower lawyer, the Medicare recipient can work to gather and organize evidence of the systematic Medicare fraud and as a whistleblower use the original and specialized information of significant fraud to be the first to file regarding the specific Medicare fraud.  If this is done correctly, the Medicare Recipient and their lawyer can save taxpayers millions of dollars and recover a large reward for reporting the fraud. 

For more information on how a Medicare recipient with original and specialized evidence of systematic Medicare fraud including double billing, phantom billing, illegal kickbacks, upcoding, and/or bill padding can become a Medicare Recipient Fraud Whistleblower, please feel free to click on the following link: Medicare Recipient Whistleblower Lawsuit Information.

Dentist Medicaid Fraud Lawsuit and Orthodontist Medicaid Fraud Lawsuit Information

Guardians, Grandparents, and Parents That Expose Dentist Medicaid Fraud Schemes including Unnecessary Procedures & False Billing Can Become Eligible for Large Economic Awards
by Texas Dentist Medicaid Fraud Lawyer Jason S. Coomer

Some dentists, dental clinics, and orthodontists have discovered that falsely billing Medicaid for services can generate huge profits.  In these fraudulent dental Medicaid billing schemes, the dentist office or dental clinic will  commonly run several promotions offering free gifts and services to bring in Medicaid patients and CHIP patients.  Once they have the children signed up for Medicaid and CHIP, the dental office will then often push expensive and unnecessary dental treatments for the children and bill Medicaid for the unnecessary treatment, thinking that the parents, grandparents, or guardians of the children will never realize that the services were not needed, were dangerous, or were never actually provided. 

For many of these dental practices, systematic Medicaid fraud creates large profits and because the expenses are paid by Medicaid, many guardians and parents do not realize when fraud or false billing has occurred.  It is important that guardians and parents review the dental services and Medicaid billing to confirm that their children actually did receive the dental services that were billed for and that the dental services were actually necessary procedures for their children.

It is important to realize that systematic Dentist Medicaid fraud can include double billing; upcoding; phantom billing; billing for tests not performed; performing inappropriate or unnecessary procedures; triple billing; charging for equipment, services or supplies never delivered or prescribed; billing for new equipment or supplies, but providing the patient with used equipment; offering free services or supplies in exchange for use of a Medicaid number; unbundling; code jamming; submitting false cost reports to seek higher Medicaid reimbursements than permitted by actual facts; allowing unqualified health care providers to bill for services that they should not provide; falsely seeking payment patients not qualified, and allowing under qualified providers to bill for services that they should not provide. If in reviewing bills for dental services or medical services, there is evidence of systematic Medicaid fraud, it is important to verify the fraud and then properly report the fraud. 

If systematic Dentist Medicaid Fraud is discovered by a parent, grandparent, or guardian from original and specialized evidence provided and the parent or group of parents reporting the fraud are the first to file on this Dentist Medicaid Fraud Scheme, the parents can be eligible to receive a portion of the money that the government recovers from the exposed fraud.  In some cases, this could amount to hundreds of thousands or millions of dollars. 

Dentist Medicaid Fraud Lawsuit, Dentist Medicaid Fraud Scheme Lawsuit, Orthodontist Medicaid Fraud Lawsuit, Unnecessary Dental Work Medicaid Fraud Lawsuit, and Dental Upcoding Medicaid Fraud Lawsuit Information
by Texas Orthodontist and Dentist Medicaid Fraud Whistleblower Lawyer Jason S. Coomer

Dentist Medicaid Fraud is on the rise and it is important that Dentist Medicaid Whistleblowers and Dentist Medicare Whistleblowers come forward and blow the whistle on Dentists that are committing Medicaid fraud and Medicare fraud.  These Dentist Medicaid Fraud Whistleblower Lawsuits and Dentist Medicare Fraud Whistleblower Lawsuits can result in large recoveries for not only the government, but also for the brave whistleblower that becomes a successful relator and is able to collect a portion of the recovered money.  

Several Dentists, Dental Management Companies, Dental Clinics, and Dentist Office Professionals, have already been the subject of Dentist Medicaid Fraud Whistleblower Lawsuits and Government crackdowns on Dental Medicaid Fraud and Dental Medicare Fraud.  These Dental Medicaid Fraud Whistleblower Lawsuits, Dentist Medicare Fraud Whistleblower Lawsuits, and government crackdowns have uncovered unnecessary dental treatments, dentist Medicaid fraud, Medicaid fraud kickbacks, dental Medicare fraud, and other dental Medicaid fraud that were endangering children and costing taxpayers millions of dollars.

Qui tam provisions of the False Claims Act are based on the theory that one of the least expensive and most effective means of preventing frauds on taxpayers and the government is to make the perpetrators of government fraud liable to actions by private persons acting under the strong stimulus of personal ill will or the hope of gain. 

The strong public policy behind creating an economic gain for whistleblowers is that  the government would be significantly less likely to learn of the allegations of fraud, but for persons in certain positions with specialized knowledge of fraud that has been committed. Congress has made it clear that creating this economic incentive is beneficial not only for the government, taxpayers, and the realtor, but is an efficient method of regulating government to prevent fraud and fraudulent schemes.

The central purpose of the qui tam provisions of the False Claims Act is to set up incentives to supplement government regulation and enforcement by encouraging whistleblowers with specialized knowledge of fraud going on in the government to blow the whistle on the crime. 

The whistleblower's share of recovery is a maximum of 30 percent and the government's prior knowledge of fraud now does not necessarily bar a whistleblower from collecting lost revenue.

Dentist Medicaid Fraud Lawsuits, Orthodontist Medicaid Fraud Lawsuits, Medicaid Fraud Dentist Office Whistleblower Lawsuits, Unnecessary Dental Work Medicaid Fraud, Medicare Upcoding Fraud Lawsuits, Dental Upcoding Medicaid Fraud, and Orthodontic Medicaid Fraud Lawsuits

Through Federal False Claims Act Whistleblower Lawsuits, Qui Tam Lawsuits, and other Government Fraud Lawsuits, Billions of dollars have been recovered from wrongdoers committing fraudulent schemes against the government for their own profit. It is extremely important that Whistleblowers continue to expose fraudulent billing practices and unnecessary treatments that cost billions of dollars.    For more information on Medicare Fraud Lawsuits, feel free to go to the following website:  Medicare Fraud Whistleblower Lawsuits.

 For more information on Dentist Medicaid Fraud Lawsuits, feel free to go to the following websites: Dentist CHIP Fraud Lawsuits and Dental Medicaid Billing Fraud Lawsuits and Dentist Medicaid Fraud and Orthodontist Medicaid Fraud Lawsuits.