Atlanta Medicare Fraud Lawyer

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Each year, tens of billions of American tax dollars are wasted on fraudulent reimbursement claims that greedy medical providers submit to Medicare. A few of the common Medicare fraud schemes include:

  • Billing for unnecessary medical services
  • Charging too much for medical services or supplies
  • Improper coding, “Unbundling” occurs when a medical provider bills multiple CPT procedure codes for a group of procedures that must be covered by a single, combined CPT code.
  • Improper coding, “Upcoding” occurs when a medical provider represents that he or she billed for a “higher level”, more expensive service, than what was actually provided, or warranted under the circumstances.

If you are aware of actual or suspected Medicare fraud, you should immediately contact an Atlanta Medicare fraud lawyer. The skilled trial lawyers at Allen & Scofield Injury Lawyers, LLC have successfully represented Medicare fraud whistleblowers for many years. Federal law protects Medicare 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.

Medicare Fraud Whistleblower Retaliation

It is against the law for a healthcare provider to retaliate against its employee for blowing the whistle regarding actual or potential Medicare fraud. 31 U.S.C. § 3730 protects whistleblowers so long as they have a “good faith” belief that fraud has occurred – even if it turns out that there was no fraud.

A Medicare fraud whistleblower retaliation victim is eligible to recover the following types of damages:

  • Lost back pay: back pay covers any wages, salary, or benefits that the whistleblower victim lost as a result of the employer’s retaliatory actions. Whistleblower retaliation victims under 31 U.S.C. § 3730 are also eligible to recover interest on lost back pay.
  • 2 times the amount of back pay: 31 U.S.C. § 3730(h)(2) provides a 2x multiplier for back pay as an additional protection for whistleblower retaliation victims.
  • Special damages: special damages include all out-of-pocket expenses that the whistleblower retaliation victim incurred as a result of the retaliation, such as medical bills. In most U.S. jurisdictions, special damages also include compensation for emotional distress caused by the employer’s retaliatory actions.
  • Attorneys’ fees and costs can also usually be recovered.

Allen & Scofield Injury Lawyers, LLC Can Help

If you believe that a healthcare provider is committing Medicare fraud, or you’ve blown the whistle on Medicare 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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