Lawyer For Medical Industry Whistleblowers

Health care providers, from individual doctors to entire hospital systems, have close relationships with the government through reimbursement programs such as Medicare and Medicaid. The government also writes complex laws and regulations — including the Patient Protection and Affordable Care Act (ACA or "Obamacare") — covering everything from drug labeling to quality of care. Every year, the government loses billions of dollars through fraud committed by health care providers in violation of these laws.

One of the most effective ways the government recovers some of this money is through whistleblower lawsuits, also called qui tam actions. If you work for a medical provider in New Jersey and you are aware that your employer is violating the law, a lawyer at The Law Firm of Jacobson & Rooks, LLC, in Philadelphia can help you report the illegal activity while protecting yourself from retaliation.

To encourage employees to report illegal conduct, the False Claims Act awards the medical industry whistleblower up to 30 percent of the compensation recovered in a successful lawsuit. The whistleblower is also protected by law from retaliation (firing, suspension, etc.) for reporting the conduct.

Who Can Blow The Whistle On Health Care Fraud?

Anyone who knows about illegal activity can report it. The most frequent health care fraud whistleblowers are employees. Compliance officers, accountants, bookkeepers, secretaries, office managers, nursing assistants and any other employee or nonemployee can report illegal acts. The Law Firm of Jacobson & Rooks, LLC, represents whistleblowers from throughout Pennsylvania and New Jersey.

Examples Of Potentially Illegal Conduct

Health care professionals are highly educated and capable of using sophisticated techniques to defraud consumers and the government. We encourage you to contact us for a confidential meeting if you believe anyone at your care facility is engaged in behavior such as:

  • Improper billing, billing for services not rendered and other fraudulent billing practices
  • Off-label marketing of drugs and devices by pharmaceutical companies
  • Upcoding schemes and unbundling
  • Kickbacks, self-referrals and other forms of illegal remuneration
  • Performing operations that are not medically necessary
  • Failing to provide quality care to patients/failing to meet the expected standard of care
  • Submitting false cost reports
  • Grant or research fraud
  • Lab fraud
  • Medical device fraud
  • Failure to maintain adequate compliance programs
  • False reporting and certification

"Reverse False Claims" And Medicare Overpayments

The Patient Protection and Affordable Care Act (ACA) contains a new rule on overpayment reporting and refunds with respect to Medicare and Medicaid. The rule requires medical providers and suppliers who were overpaid by either program to report the overpayment and return the excess funds within 60 days of the date on which the error was identified. Violation of the rule could subject the provider to "reverse false claims" liability under the FCA. This new rule contains complex mechanisms for reporting overpayments. If you are aware of an overpayment to your organization, talk with The Law Firm of Jacobson & Rooks, LLC, before deciding your next steps.

We represent whistleblowers who work in hospitals, pharmaceutical companies, clinics, freestanding facilities, emergency care facilities and many other types of facilities. We provide our clients with strong protections from adverse actions, and the benefit of confidentiality whenever possible.

Contact A Cherry Hill Medical Fraud Attorney

The Law Firm of Jacobson & Rooks, LLC, is located in Philadelphia and serves health law clients in Pennsylvania and New Jersey. To arrange a consultation with our experienced lawyer, call 856-208-5748 or send us an email.