Denver Medical False Claims Lawyer

Medical false claims cost the healthcare industry hundreds of millions of dollars each year. These claims are difficult to spot because they often involve complex medical billing procedures. Detecting medical fraud requires specialists who understand what they are looking at, such as those who work in the medical field.

If you work at a medical office or billing agency and decide to report your employer for corruption, fraud, or abuse, you are taking a big risk. Luckily, a Denver medical false claims lawyer from our firm can assist you by invoking the False Claims Act, which protects whistleblowers and helps them expose wrongdoing. Our healthcare fraud whistleblower attorneys are skilled at providing legal representation to conscientious people like you. 

What Are Medical False Claims?

Whenever a medical office provides services, it must send a bill to an insurance company or a government healthcare provider, such as Medicare, to obtain reimbursement for its services. Insurers and Medicare use complex medical codes to identify which services were provided so they can be billed properly.

Fraudulent medical billing involves charging for services that were not provided or charging extra by manipulating the codes (a process known as upcoding) so the insurer pays for things that never happened. The insurer assumes the doctor’s office used the correct coding procedure and pays these false claims as if they were accurate. Unless one of the doctor’s employees tells the insurer otherwise, it may unwittingly pay excessive claims for months or years. Our legal team can help you tell the government your Denver employer is cheating insurance companies by sending them falsified medical claims. 

What Are Healthcare Whistleblower Laws?

Whistleblowers are brave individuals who let law enforcement know about fraud and mismanagement. Whistleblowers naturally fear retaliation from their employers, who face large fines and penalties when the government learns of their malfeasance. Employers use the threat of termination or demotion to discourage workers from contacting outside agencies.

When whistleblowers come to The Wilhite Law Firm’s Denver office, our false medical claims attorneys explain the protections that state and federal governments offer them. The federal Whistleblower Protection Act protects employees from retaliation if the wrongdoing they are reporting involves a government agency, such as the one that administers the Medicare and Medicaid programs.

Colorado Revised Statutes § 24-50.5-103 protects public employees, and C.R.S. § 24-114-102 covers nongovernment employees. A public employee must file a written complaint within 30 days of the alleged fraud. A worker in the private sector must attempt to report the fraud through their employer’s internal procedures before filing a lawsuit.

Whistleblower statutes do not protect employees who file false reports or disclose confidential or sealed information. These laws protect whistleblowers from workplace retaliation, such as unlawful termination, harassment, demotion, or reassignment.

Contact Our Denver Legal Team Today To Help You Report Falsified Medical Claims

The most difficult and potentially frightening steps you can take as a whistleblower are contacting an attorney and then letting the government know about your employer’s false medical claims. At The Wilhite Law Firm, we are familiar with the legal steps for notifying federal and state authorities and beginning official investigations.

We will help you file your complaint and start working to bring the wrongdoers to justice. A Denver medical false claims lawyer from our firm will protect your rights and ensure that you understand what is happening throughout the legal process. Wilhite Wins—so call us now for a free consultation.