Under both the Medicare and Medicaid programs, the government will only pay for procedures and tests that were actually performed or devices actually used. In order to get paid for those services and goods, a healthcare provider must certify that the services were actually performed, or the goods were actually used. The submission of a claim for payment for health care services, procedures, treatments, diagnostic tests, medical devices or pharmaceuticals that were never provided is a false claim and may be a violation of the False Claims Act.
If you believe someone has knowingly committed Medicare or Medicaid fraud by submitting claims for payment for goods or services that were never rendered or performed and you would like more information about how this may be the grounds for bringing a Medicare or Medicaid whistleblower lawsuit, the qui tam lawyers at Keller Grover LLP can help you. The whistleblower lawyers at Keller Grover understand qui tam litigation, including the whistleblower protection provisions, and strive to achieve the best possible results for their clients.