Reporting Nursing Home Fraud
Nursing homes obtain a huge amount of their revenues from Medicare and Medicaid reimbursements. The government pursues cases when nursing homes submit bills for services that were not provided or were medically unnecessary. The government also pursues cases from fraudulent nursing home cost reports and kickback schemes designed to induce refunds from nursing home owners.
Pursuing Hospice Fraud
Hospices are where terminally ill persons sometimes go to spend their final days. In some cases, hospice services are provided in a terminally ill person's home. To increase revenue, however, patients may be classed as terminal when they are not. Other kinds of fraud occur as well. Patients are billed for a higher level of service than they actually receive. Hospices pay kickbacks to doctors and nursing homes for referring patients to them. Hospices have also been charged with unbundling practices, such as billing drugs under Part D, which are already paid for in the per diem rate.
Detecting Home Health Care Fraud
Fraud has been perpetrated by home health care providers in a number of ways. They falsify the degree of patient need, claiming they are homebound when they are not. They falsely state that a patient requires skilled nursing, speech therapy, physical therapy or occupational therapy.
If you work in one of these organizations or compete against them, and you have proof of fraud, you should call an experienced False Claims Act lawyer team like Pigott & Johnson, and describe your situation. We may be able to win compensation for you.
If you have information of Medicare or Medicaid fraud by a health care organization, speak to the nationwide nursing homes, hospices and home health care fraud attorneys at Pigott & Johnson at toll free 877-423-4901 — or send them a confidential e-mail, using this form.
Qui tam lawyers Brad Pigott and Cliff Johnson served for years in the United States Department of Justice. Brad Pigott served as a Presidentially-appointed United States Attorney, and Cliff Johnson served as an Assistant United States Attorney responsible for health care fraud enforcement.