DC Healthcare Fraud Whistleblowers

Considering filing a healthcare fraud whistleblower claim? Here is what you should know according to DC whistleblower lawyer Tony Munter. To discuss your case in more detail or for assistance in filing your claim call today and schedule a free consultation.

Who Can File A Healthcare Fraud Whistleblower Claim?

Anybody with the appropriate information can file a healthcare fraud whistleblower claim. Specifically, anyone who knows about healthcare fraud that isn’t known generally and publicly—that isn’t all over the news already—can file a healthcare fraud claim. Just to reiterate, anyone with real information about healthcare fraud can file.

Now, I say that and sometimes we get phone calls from people who personally have been or feel that they have been defrauded by an individual healthcare provider. Technically, that very well could be the case, and I would never say it’s not exactly a case. With that said, it’s very difficult to use the False Claims Act to pursue an individual case of one person’s treatment being wrong or one prescription being inappropriate or medically unnecessary.

Those types of cases are more typically a medical malpractice claim. The False Claims Act is really about finding a systematic attempt to defraud the government. Defrauding the government at this level typically involves multiple cases of medical fraud of billing and charges that leads to the government being ripped off.

Why Do People Report Healthcare Fraud?

Everybody has a reason. I think most whistleblowers, and this is true for healthcare whistleblowers, are not necessarily the typical person. I think typical people may feel that they have to go on and not report something because they don’t want to risk their career necessarily.

But I also think that if you get into the healthcare profession you care a great deal about the care that patients are receiving. Whistleblowers are usually people who know their job very well and are really offended when they see somebody getting away with perverting the system and perverting the way the job is supposed to be done.

They usually have some sort of an additional moral code where they just can’t let wrongful behavior go unchallenged and they sometimes get in trouble at work because they complain about it and all these factors lead together.

In the healthcare field in particular, because it’s people’s health and lives at stake, people will get upset and they will decide to take action as whistleblowers.

Does It Matter If My Treatment Was Terrible?

If a whistleblower is filing a case because his or her treatment was terrible, it may have a bearing on the case. However, an individual person’s treatment is not usually the subject of the False Claims Act type of suit, that’s usually a medical malpractice case where the issue is your doctor just screwed up.

If, you’re talking about a nursing home where let’s say it’s so dirty and unsafe to be there that they’re not really providing adequate medical care and you’re one of the, you know, 200 people living in the nursing home, then  it might make a false claims case.

Usually, when you’re looking for a whistleblower case that implies somebody has inside information involving the treatment of more than one person rather than an individual’s bad care.