Atlanta Healthcare Fraud Lawyer

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Health care fraud encompasses a range of illegal money making schemes that are primarily perpetrated by medical providers and pharmaceutical companies. Health care fraud costs American taxpayers tens of billions of dollars each year. Health care fraud is also harmful to the well-being of patients and consumers.

If you are aware of actual or suspected healthcare fraud, you should immediately contact an Atlanta Healthcare fraud lawyer. The skilled trial lawyers at Allen & Scofield Injury Lawyers, LLC have successfully represented healthcare fraud whistleblowers for many years. Federal law protects healthcare fraud whistleblowers from retaliation and enables the whistleblowers to receive up to 30% of the fines that the government collects – often millions of dollars.

Call us today at (404) 419-6674, or reach out through our online contact form to schedule a free, initial evaluation of your case.

What are the Common Types of Health Care Fraud?

Some of the common types of health care fraud include:

  • Fraudulent reimbursement claims submitted to Medicare, Medicaid and private insurers for services that were not provided. Those types of claims accounted for 46% of all provider fraud cases in 2016 according to Health Payer Intelligence.
  • Falsified claim schemes in which medical providers submitted claims on behalf of fake patients. In other cases, the medical providers even committed identity theft and submitted claims on behalf of individuals that they’d never treated. Those types of claims accounted for 25.5 of provider fraud cases in 2016 according to Health Payer Intelligence.
  • Kickback schemes in which medical providers bribed individuals and organizations to receive exclusive patient referrals. Kickback schemes accounted for 20% of all provider fraud cases in 2016 according to Health Payer Intelligence.
  • Fraudulent distribution of prescription drugs. That scheme accounted for 10.8% of all provider fraud cases in 2016 according to Health Payer Intelligence. It is a significant contributor to America’s current opioid crisis.

What is Pharmaceutical Health Care Fraud?

Some of the costliest healthcare fraud is committed by pharmaceutical companies. False Claims Act cases against pharmaceutical companies have commanded most of the largest pharmaceutical settlements in history. Pharmaceutical fraud tends to involve one or more of the following fraudulent acts:

  • Off-label promotion (e.g. falsely claiming that a prescription drug is safe and effective for purposes that were not otherwise approved by the government).
  • Kickbacks (e.g. pharmaceutical companies paid doctors to exclusively prescribe their medications).
  • Medicare and Medicaid fraud (e.g. underpaying rebates owed under the Medicare and Medicaid drug rebate programs).

Allen & Scofield Injury Lawyers, LLC Can Help

If you believe that a healthcare or pharmaceutical company is committing fraud, or you’ve blown the whistle on healthcare fraud and your employer is retaliating against you, we urge you to contact Allen & Scofield Injury Lawyers, LLC. Our attorneys have successfully fought for the rights of American workers for over three decades. We will listen to your story, help you find your voice, and recover the compensation that you deserve.

Call us today at (404) 419-6674, or reach out through our online contact form to schedule a free, initial evaluation of your case.

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"Charles is an excellent trial attorney who possesses a unique talent to hone in on the significant issues and turn the Defendant’s strengths against them. Charles is as honest as the day is long and works tirelessly to ensure that his clients receive all that is possible. While no lawyer is perfect, Charles strives to be as good a lawyer as there is on this planet, and he succeeds!"
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