The vast majority of physicians, providers, and suppliers who serve people with Medicare are committed to providing high quality care to their patients and to billing the program only for the payments they have earned. 

However, there are a few individuals who are intent on abusing or defrauding Medicare, cheating the program (and in some cases the people with Medicare who are liable for co-payments) out of millions of dollars annually. Medicare fraud takes a lot of money every year from the Medicare program. People with Medicare pay for it with higher premiums. This section of the website is dedicated to helping you to help Medicare to avoid making inappropriate payments to fraudulent entities. People who uncover medicaid fraud may be able to collect an award for their efforts under the Qui tam provisions of the False Claims Act (31 U.S.C. § 3729 et seq.).  This "whistleblower statute" which allows for a private individual, or whistleblower with knowledge of past or present fraud on the federal government to bring suit on behalf of the government.

Its name is an abbreviation of the phrase “qui tam pro domino rege quam pro seipse,” meaning “he who sues for the king as well as for himself." This provision allows a private person, known as a “relator,” to bring a lawsuit on behalf of the United States, where the private person has information that the named defendant has knowingly submitted or caused the submission of false or fraudulent claims to the United States. The relator need not have been personally harmed by the defendant’s conduct.

If you think you know of any Medicaid fraud, please fill out the form below. An attorney will review your claim and may contact you to discuss your rights.