Healthcare providers, under both Medicare and Medicaid, are required to submit bills to the healthcare programs that certifies that the procedures, tests and devices were actually used or performed, and were performed and used in compliance with all applicable rules and regulations. The submission of a claim for health care services, treatments, diagnostic tests, medical devices or pharmaceuticals provided to a patient who either does not exist or who never received the service or item billed for in the claim is called Ghost Patient fraud and can violate the False Claims Act.
If you believe someone has knowingly committed Medicare or Medicaid fraud and you would like to learn more about or bring a Medicare or Medicaid whistleblower lawsuit, the qui tam lawyers at Keller Grover LLP can help you. These whistleblower lawyers understand qui tam litigation, including the whistleblower protection provisions, and strive to achieve the best possible results for their clients.