What Is It?

Hospital fraud involves dishonest practices by healthcare facilities to increase profits illegally, often at the expense of government programs, insurance providers, or patients.

Organizations Involved

Hospitals, outpatient centers, and specialized clinics are common perpetrators. For example, a hospital might bill for unnecessary procedures or inflate the length of patient stays.

Reportable Activities

Key violations include:

• Billing for services not provided
• Falsifying patient records to justify costly treatments
• Upcoding procedures for higher reimbursement
• Accepting kickbacks for patient referrals

Reporting such fraudulent activities ensures ethical healthcare practices, accountability and protects public healthcare funds. Working with a wistleblower law firm protects your confidentiality, maximizes legal protections, and enhances the case's strength by navigating complex procedures. An experienced whistleblower lawyer can guide healthcare whistleblowers through the filing process and present the case effectively.

Read about Government programs and laws governing healthcare fraud here