Medicare Fraud And Your Employer

Fraud can occur at many different levels within a health care organization. It can occur at the executive level or mid-management level. Fraud need not exist throughout an entire organization. To bring a False Claims Act claim based on Medicare fraud, it is sufficient that it exist at only some level within the organization.

Fraud is committed with a purpose. There is one singular driving force behind fraud: money. Fraud is committed by greedy companies trying to make more money while spending less to do so. This is accomplished by paying their employees less, making them work harder and having the taxpayer pick up the bill either through increased taxes or higher health care premiums.

Fraud may be committed to substantiate or justify payments received from the government. Fraud may be committed to boost the company's stock price. Fraud may be committed by a manager to make his or her division's earnings look better. Fraud may be committed by a manager to increase his or her own bonus. Fraud may be committed to give the illusion of compliance to prevent any loss of government payments. Fraud is not engineered to result in the organization receiving less money!

Speak To Us About Medicare Fraud And Your Employer

Is there fraud at your workplace? Call The Law Firm of Jacobson & Rooks, LLC, in Philadelphia, Pennsylvania, first: 856-208-5748.

Compliance Program

Does your organization have a compliance program? The Office of Inspector General has developed a series of voluntary compliance program guidance documents directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers, to encourage the development and use of internal controls to monitor adherence to applicable statutes, regulations, and program requirements, all in an effort to minimize fraud.

Compliance programs cannot exist in name only. To be effective, they have to be enforced within your organization. What does your organization do?

Contact Us First

For more information and to speak with one of our attorneys, call us at 856-208-5748. You can also arrange a consultation with a workplace fraud lawyer by contacting us online.