Denver Medical Billing Fraud Lawyer

Many people depend on government insurance agencies such as Medicaid, Medicare, and state expansions of these services to provide health insurance they cannot afford from private carriers. The government depends on healthcare providers to accurately and truthfully bill government health insurance programs for reimbursement.

Medical billing fraud occurs when providers intentionally submit false claims about their services to increase their government payments. This fraud drains government resources and costs everyone money. If you work in a medical office and are aware of unethical behavior, a Denver medical billing fraud lawyer from The Wilhite Law Firm can help you tell the government what you know. An attorney experienced in healthcare whistleblower cases can provide the support you need to make things right.

How Is Medical Billing Fraud Reported?

Maybe you work in a clinic front office. Maybe you are a medical coding specialist, and you have discovered something that does not seem right. You want to do something, but what? Your first step should be to contact our Denver team of healthcare billing fraud attorneys who understand the False Claims Act (FCA). The FCA protects whistleblowers who know of wrongdoing against the government.

Under the FCA, you can file a private lawsuit, known as a qui tam action. The government then investigates on your behalf, and if a fraud occurred, you are entitled to claim a percentage of the money the government recovers.

A qui tam lawsuit is filed in federal court, so you will require the services of a knowledgeable lawyer from The Wilhite Law Firm. We can ensure the suit is filed properly and your legal rights are protected.

What Are Some Examples of Medical Billing Fraud?

The medical billing system has become a maze of numbers, codes, and procedures, which allows devious fraudsters to charge extra in ways that are easy to hide. These include:

• Billing for unnecessary services, or unbundling and charging separately for services that normally come as a package
• Upcoding, or billing for a more expensive procedure than the one performed
• Phantom billing, charging patients for services they never received
• Waiving co-pays and deductibles and then billing the insurer on the pretense that the patient forgot or was unable to pay

Medicare and Medicaid cannot routinely spot these frauds, and they depend on whistleblowers to uncover them. With the help of an attorney, you can ensure that Denver healthcare providers do not waste government money by defrauding the services that those most in need rely on.

How To Get Legal Advice

If you have discovered medical billing fraud in your workplace, you may be uncertain of how to proceed. You may have heard stories about what has happened to whistleblowers in other fields and be concerned about losing your job or worse.

However, the FCA protects your right to bring a qui tam claim without professional retaliation. You cannot be fired, demoted, harassed, or suspended from any job because of your efforts to expose unlawful behavior.

At The Wilhite Law Firm, we have handled many qui tam cases, and we know how to file cases against unethical doctors and medical practices while protecting your legal rights. Our Denver lawyers are here to support you through the process of confronting medical bill overcharging schemes.

Speak WIth a Healthcare Billing Fraud Attorney in Denver Today

Whistleblowing against an employer or medical professional can be a daunting experience. We understand that you may be nervous about taking the first step, but with the help of a Denver medical billing fraud lawyer, the process is made easier.

When you meet with our team, we will discuss your options, including all potential outcomes, so you understand how the case could evolve. Call The Wilhite Law Firm today to schedule a free case evaluation.