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Healthcare Fraud

Virginia Attorney Represents Healthcare Fraud Whistleblowers

Highly professional representation for qui tam plaintiffs

Healthcare fraud against private insurers and government entitlement programs is estimated to cost the country $80 billion a year, according to the Federal Bureau of Investigation. If you are aware of a scheme using the healthcare system to defraud the U.S. government, you should seek advice from an experienced whistleblower attorney.  At Denton & Denton Attorneys at Law, we help people understand their legal options in exposing healthcare fraud. In some instances, it is possible to file a qui tam lawsuit where you assist the government in recovering lost funds and receive a share of the recovery. We also help you assert your rights under federal law to whistleblower protection so that your job remains secure or you receive appropriate compensation. Healthcare fraud hurts all Americans, especially senior citizens and the poor. By blowing the whistle on a dishonest healthcare provider, you can have a positive impact in this crucial area.

Exposing fraud in the Medicare and Medicaid systems

Medicare and Medicaid are federal government programs designed to help vulnerable citizens — seniors citizens and the poor — access medical services. When fraudsters steal from these programs, they hurt the government’s ability to address crucial societal needs. According to the Department of Health and Human Services, Medicare fraud falls into three major categories of improper overpayment:

  • Original Medicare (reimbursement for provider services)— 9.7 percent rate incurring $34.6 billion in losses in 2012
  • Medicare Advantage (Part C) — 7.5 percent rate incurring $9.3 billion in losses in 2012
  • Medicare prescription drug coverage (Part D) — 3.0 percent rate incurring $1.7 billion in losses in 2012

These fraud rates are lower than those of other government programs, such as disaster relief, Earned Income Tax Credits, the federal school lunch program, and unemployment insurance, but because Medicare is such a widely used program, the overall dollars lost for Medicare are greater. The rate of overpayment for government programs is currently on the rise, led by programs like Medicare. Medicaid is also vulnerable to scams as healthcare providers bill the government for services patients either did not receive or did not need.

Government attempts to recover healthcare fraud losses

The U.S. government has been actively trying to recover healthcare funds lost due to fraud and abuse under the False Claims Act. In a five-year period from 2008 to 2012, the federal government spent more than $5 million to prosecute civil claims, but recovered more than $9 billion. It collected more than $4.5 billion in criminal prosecutions.

These recoveries represent a significant return on investment for Uncle Sam, so the government has set up a mechanism for citizens to report fraud. For example, Medicare.gov invites whistleblowers to submit information on suspected fraud for a reward of up to $1,000. However, that is very little when you consider the False Claims Act allows qui tam plaintiffs to receive 15 to 25 percent of the amount the government recovers in a case. That’s why, if you have actionable information, you should contact an experienced Virginia whistleblower attorney right away.

Contact our whistleblower law firm in Virginia Beach for healthcare fraud claims

If you have information about healthcare fraud against the government or a private insurance company, our attorneys can evaluate your information and advise you on the best way to proceed. We accept federal qui tam cases, and we fight to win. To schedule an appointment with a trustworthy attorney at Denton & Denton Attorneys at Law, call 757-215-4818 or contact our Virginia Beach office online.

Virginia State Bar Disclaimer
Every Legal Matter Is Different. The Outcome Of Each Legal Case Depends Upon Many Factors, Including The Facts Of The Case, And No Attorney Can Guarantee A Positive Result In Any Particular Case. The Outcome Of Every Case Will Depend On A Variety Of Factors Unique To Each Case And Case Results Depicted Here Do Not Guarantee Or Predict A Similar Result In Any Future Case.
Prior Cases
  • "Jury awards $3 million in wrongful death murder trial. - Horse people article in media section"

  • "Jury awards $1,200,000 in legal malpractice case - link: https://www.dailypress.com/business/dp-xpm-20140602-2014-06-02-dp-newport-news-jury-hands-down-12-million-malpractice-verdict-against-hampton-lawyer-20140602-story.html"

  • "Denton recognized for two of Virginia's top million dollar-plus verdicts - Denton LW reprint article in media section"

  • "WAVY ordered to pay $1.2m for defaming couple - link: https://www.pilotonline.com/business/article_042bb0f1-7f61-5d99-bbbb-5e1eacfb9aea.html"

  • "Student scores $5m jury verdict for libel - Lawyers-Weekly-Article-on-5m-Verdict in media section"

  • "Federal jury awards event planners $600,000 each "

  • "Attorney, firm hit with $420,000 verdict - link: https://www.dailypress.com/news/dp-xpm-20090415-2009-04-15-0904140094-story.html">https://www.dailypress.com/news/dp-xpm-20090415-2009-04-15-0904140094-story.html"

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  • "It's nice to know that there are still people like you in this world that are not afraid to go against the grain of society and are willing to stick there neck out for somebody else because of their belief in that person. "

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    Due to the nature of our case, my family attorney was not qualified to represent us so he sent us to see Mr. Denton. Jake's calm, friendly and professional demeanor seemingly took the other side off guard and we won our case with minimal drama. I wou...

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    I was referred to Jake Denton by one of his law school classmates who practices law in Staunton, VA. I was being sued by a business in Virginia Beach. I’m not going into particulars but I could not be happier with the results that Jake produced. A ...

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