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Healthcare Fraud

Government Fraud

At At Campbell Law, our firm has experience representing healthcare industry whistleblowers that expose illegal activities involving government healthcare programs. Congress created various healthcare programs for the military, federal employees, and vulnerable members of our society. Examples include the TRICARE Program for the military, the Federal Employees Health Benefits Program for federal employees, the Medicaid program for the poor, and the Medicare Program for seniors and the disabled.

The most common fraudulent schemes committed by providers of healthcare products and services include: billing for unprovided services; billing for medically unnecessary services; upcoding (billing for a different, more expensive service); unbundling (separating package procedures into component procedures to increase billing); falsely diagnosing patients to perform unnecessary procedures; misrepresenting procedures for non-covered services (e.g., cosmetic surgery) as covered services; billing a patient more than the co-pay amount for services that were prepaid or fully paid by a government insurance plan; engaging in a pattern of waiving patient co-pays or deductibles; and accepting kickbacks for patient referrals. If you have inside information of illegal activities involving healthcare products and services that are partially covered by government insurance programs like Medicare, contact our firm for a confidential consultation to protect your rights and to determine whether you have a claim under the False Claims Act, as described below.

False Claims Act Overview


What is the False Claims Act?


What Actions Are Considered Violations under the False Claims Act?


Who Can File a Qui Tam Action?


Where Should a Qui Tam Action Be Filed?


What Are the Civil Penalties Under the False Claims Act?




What Are the Whistleblower Protection Provisions in the False Claims Act?


What about State False Claims Acts?

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