Legal Question in Criminal Law in Kentucky

Medical Provider Billing Fraud
If someone has noticed that a Medical Provider has been posting erroneous charges to pt.s bills who would they contact first( a lawyer or FBI etc) and could they benefit from being an informant that could possibly return thousands of dollars back to ins. co.s , individuals etc.... Thanks

Asked on 9/28/99, 10:29 pm

E. Brian Davis Davis Law Office

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Re: Medical Provider Billing Fraud

If a medical provider is defrauding the federal government (through Medicare, for example), a "whistle blower" can bring an action

under the False Claims Act against the provider. This action has a variety of important procedural hurdles, but can result in the

whistleblower recovering a portion of the money the medical provider is ordered to pay the government.

For more information, you can try www.quitam.com or run "qui tam" or "False Claims Act" through your

favorite search engine.

Answered on 10/04/99, 5:59 pm

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