What Should Healthcare Fraud Whistleblowers Know?

Below healthcare whistleblower attorney Tony Munter discusses important information healthcare fraud whistleblowers should know. To learn more about healthcare whistleblowing or to discuss your particular case schedule a free consultation today.

What Are Some of the Most Frequently Asked Questions That Potential Healthcare Fraud Clients Ask?

Usually they want to know what they can do, how they can report a wrongful practice, who do they go to, and where do they talk about this. With healthcare workers, it’s a little different because they are worried more about their job and understandably so.

But, healthcare workers are usually focused initially at least on figuring out how to end the practices that are harming people. Usually the first question is how do we stop this from happening?  Unfortunately, it’s not an easy thing to do. Then, they want to know is what they have to do to bring a case up because healthcare fraud particularly is highly regulated.

It’s going to require an awful lot of analysis of the regulations and law to determine the degree to which something is fraud. It is not something usually that you can answer right away, but they really do want to know the strength of the case, whether or not it’s possible to bring a case, and how they can prevent the wrongful practices from continuing.

How Do You Go About Answering These Questions?

Well, you end up spending a lot of time learning about a particular area of healthcare. The regulations for pharmaceuticals are one thing but the regulations for hospital are another so you end up working with somebody who is an expert  in their profession.

They end up teaching you as a lawyer a little bit about the medical requirements and the medical issues involved when healthcare is compromise on a systematic basis. Then, as a lawyer, you have to go back and see if you can analyze how that is defrauding the government.

There are so many different kinds of healthcare services and products sold. They’re all subject to various different kinds of regulations and federal law that one can’t really rely all the time on previous cases. I mean, you certainly learn more as you go along, but your client usually will be an expert in their particular area of healthcare. It’s good to let them teach you about it initially to get as much information from your client as you can to try and analyze what’s really going on here. How is the government really getting ripped off in order to be able to bring a False Claims Act case?

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