Health Care Fraud

Fraud and false claims committed against the federal Medicare and Medicaid programs are among the most common types of False Claims Act violations. Billions of dollars have been recovered under the qui tam provisions of the False Claims Act as a result of this type of fraud, but billions more have likely gone undetected. There have been different types of cases in which companies and individuals have cheated Medicare and Medicaid. The following are general examples of the types of fraud that have been committed in the past:

• Fraudulent upcoding of services provided
• Unbundling/fragmentation of services to obtain higher rates
• False cost reports
• Off-label marketing of pharmaceuticals and medical devices
• Kickbacks
• False charges for services not actually rendered
• False charges for services that were not necessary
• False claims made by pharmaceutical companies
• Kickbacks to physicians to prescribe their drugs;
• Engaging in off-label marketing;
• Misreporting the "best price" or "federal price" these companies report to Medicare and Medicaid programs;
• Providing substandard or tainted drugs.
• Residents billing for services that only attending physicians are allowed to bill for

Mr. Shoemaker has over 15 years of experience as a trial attorney and is a partner in the law firm of Patten, Wornom, Hatten & Diamonstein, L.C. ("PWHD"), based in Virginia.

Mr. Shoemaker, his partners and associates are available for representation nationwide. If you are aware of fraud committed against the federal government or a state government we encourage you to contact us online or call us, toll free, at 1-888-611-4599 or 757-223-4560. One of our paralegals will review the facts of your case with you and then Mr. Shoemaker will call you and discuss your case with you free of charge.