Whistleblower Medical Billing Fraud Attorneys

What is Medical Billing Fraud?

Medical billing fraud involves false or deceptive billing practices used to obtain improper payment from healthcare programs or insurers. These schemes may affect federal healthcare programs such as Medicare, jointly funded federal-state programs such as Medicaid, or private health insurers. When government healthcare funds are involved, knowingly false billing may implicate the False Claims Act or other federal and state laws.

Medical billing fraud manifests in several forms, each characterized by the underlying intent to illicitly gain financial advantages:

Billing for Services Not Rendered: This occurs when healthcare providers knowingly submit claims for medical services or procedures that were never actually provided to the patient. An example includes billing for diagnostic tests that were never conducted.

Upcoding: This involves providers knowingly using billing codes that reflect more expensive procedures or services than those actually performed or supported by the medical record in order to obtain higher reimbursement. For instance, billing for a complex emergency care service when the patient only received basic treatment.

Unnecessary Procedures: Knowingly billing for medically unnecessary procedures may constitute fraud when the applicable legal requirements are met. An unnecessary service does not automatically establish fraud; the circumstances, including the provider’s knowledge and intent, matter.

False Documentation: Fraud may involve knowingly creating, altering, or using false records or statements to support improper healthcare claims. Examples can include documenting procedures that were never performed or exaggerating a patient’s condition to justify services or tests that were not medically necessary.

Addressing medical billing fraud is important to protecting the integrity of healthcare programs. Federal and state laws may provide protections and, in qualifying False Claims Act cases, financial incentives for whistleblowers who report fraudulent billing involving government funds. Whistleblowers can play an important role in identifying conduct that may otherwise be difficult for government agencies to detect.

Who Can Be a Medical Billing Fraud Whistleblower?

Medical billing fraud is often discovered by people who work directly with claims, coding, reimbursement, documentation, or healthcare operations. Potential whistleblowers may include:

• Medical billers and coders
• Physicians, nurses, and other healthcare professionals
• Revenue cycle and reimbursement employees
• Compliance officers
• Practice managers and healthcare administrators
• Hospital or health-system employees
• Billing-company employees
• Contractors, consultants, and other individuals with firsthand knowledge of billing practices

A whistleblower does not necessarily need to be a physician or executive, and you do not necessarily need to still work for the organization where the suspected fraud occurred. Current and former employees, contractors, and other insiders who understand how claims are coded, documented, approved, or submitted may be especially well positioned to identify billing practices that outsiders would not see.

How to Report Medical Billing Fraud

Reporting medical billing fraud is essential to maintain the integrity of healthcare systems and ensure that resources are appropriately allocated to those who genuinely need them. If you suspect fraudulent billing activities, taking the following steps can be crucial:

Gather Documentation: Collect or identify information related to the suspected billing fraud, such as billing statements, emails, internal reports, or other relevant records. However, potential whistleblowers should be careful when accessing, copying, or removing employer records. Documents may contain confidential, privileged, or protected health information, and whether particular records may lawfully be obtained or retained can depend on the circumstances. Consider speaking with an attorney before taking documents that are not already lawfully in your possession. If confidentiality is a concern, potential whistleblowers may also want to use personal contact information rather than an employer-owned email account, phone, or device when seeking legal advice.

Document Your Observations: As soon as you suspect fraudulent activities, write a detailed memo outlining your observations. This step is critical as legal proceedings and investigations related to billing fraud can span several years. A well-documented memo will serve as a crucial record that preserves the details of your observations, ensuring the accuracy and reliability of the information over time.

List Additional Relevant Documents: Prepare a list of other documents that could be relevant to your case but are not immediately accessible to you. This list might include more extensive billing records or internal communications you’re aware of but do not have permission to access. Such a list can be invaluable to investigators and legal teams as they delve deeper into the case.

Consult a Healthcare Fraud Attorney: Engaging with an attorney experienced in healthcare fraud, particularly medical billing fraud, can be an important step. An attorney can evaluate whether the allegations may support a False Claims Act qui tam action or another type of report and explain the procedures, deadlines, confidentiality considerations, and whistleblower protections that may apply. If you have already reported the suspected fraud internally, through a compliance department, or to a government agency, tell your attorney what you reported, when you reported it, and to whom.

Report to Government Authorities: Suspected medical billing fraud involving Medicare, Medicaid, or other HHS programs may be reported to the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). Suspected Medicare fraud may also be reported directly through Medicare. Reporting suspected fraud to an agency is not the same as filing a False Claims Act qui tam lawsuit, which follows a separate federal court process.

Understand Whistleblower Protections: If you’re reporting suspected fraud within your organization, be aware that the False Claims Act protects certain employees, contractors, and agents from retaliation for lawful acts taken in furtherance of a False Claims Act case or other efforts to stop suspected violations. Depending on the circumstances, additional federal or state whistleblower protections may also apply.

By taking these steps, you actively contribute to combating medical billing fraud, helping to foster a more ethical and financially responsible healthcare environment. Accurate documentation and seeking appropriate legal and professional advice are key to effective reporting.

Types of Medical Billing Fraud

Medical billing fraud encompasses a variety of deceptive practices used to illegitimately extract money from healthcare insurance systems, including both government-funded programs like Medicare and Medicaid, as well as private insurance companies. Here are some common types of medical billing fraud:

Upcoding: This occurs when a healthcare provider knowingly submits billing codes for more expensive or higher-level services, diagnoses, or procedures than were actually provided or supported by the medical record in order to obtain higher reimbursement. For example, billing for a complex surgical procedure when only a simpler service was performed.

Unbundling: Normally, medical procedures that are typically performed together are billed as one comprehensive charge. Unbundling involves separating these procedures and billing each step as if it were a distinct procedure to increase the total bill.

Billing for Non-Performed Services: One of the most straightforward forms of fraud, this involves claiming payment for services, procedures, or supplies that were never actually delivered or administered.

Duplicate Claims: Knowingly submitting multiple claims for the same service in order to obtain duplicate payment may constitute fraud. Duplicate claims can also result from billing errors, so the circumstances, including whether the conduct was intentional or repeated, matter.

Kickbacks: The federal Anti-Kickback Statute prohibits knowingly and willfully offering, paying, soliciting, or receiving remuneration to induce or reward referrals or other business involving items or services payable by a federal healthcare program. Certain arrangements may qualify for statutory exceptions or regulatory safe harbors.

False Cost Reports: Knowingly filing inaccurate reports or omitting material information to increase reimbursements may constitute fraud. For instance, a healthcare provider might exaggerate overhead costs or report higher wages than were actually paid. HHS-OIG has pursued matters involving allegedly false statements and material omissions in Medicare cost reports.

Phantom Billing: Knowingly billing for medical tests, procedures, supplies, or treatments that were never actually provided to the patient. CMS treats billing for services not rendered as a recognized healthcare-fraud concern.

Misrepresenting Provider Identity: Knowingly submitting claims that falsely identify who performed or supervised a service may constitute improper billing or fraud when applicable billing requirements are not met. This can include billing services under another provider’s credentials when the actual rendering provider was not properly enrolled, credentialed, or otherwise eligible to bill as represented.

Service Misrepresentation: Knowingly misrepresenting the type, level, medical necessity, or coverage status of a service in order to obtain payment may constitute fraud. This can include representing a more expensive service than was actually provided or falsely portraying a non-covered service as one that qualifies for reimbursement.

Waiving Patient Co-pays or Deductibles: Routine waivers of Medicare or other federal healthcare program cost-sharing obligations may implicate the Anti-Kickback Statute or federal beneficiary-inducement rules in certain circumstances. However, not every waiver is improper. Exceptions and safe harbors may apply, including certain individualized waivers based on financial need.

When Does a Medical Billing Error Become Fraud?

Not every incorrect medical bill or coding mistake is fraud. Healthcare billing is complex, and errors can occur without fraudulent intent.

Medical billing may become fraud when someone knowingly submits false information, deliberately ignores whether information is accurate, or acts with reckless disregard for the truth in order to obtain improper payment. Examples can include knowingly billing for services that were never provided, repeatedly using unsupported higher-paying codes, or altering documentation to justify claims.

Whether a billing problem constitutes fraud depends on the specific facts, including what was submitted, what the person or organization knew, and whether the conduct was intended to obtain payment improperly.

Medical Billing Fraud Whistleblower Rewards

Whistleblowers play a critical role in exposing and addressing medical billing fraud within healthcare systems such as Medicare and Medicaid. By serving as vigilant observers and reporters of deceptive billing practices, whistleblowers help safeguard public funds and ensure the integrity of healthcare programs. The law allows eligible individuals to file qui tam lawsuits under the False Claims Act on behalf of the United States and, in successful cases, potentially receive a share of the government’s recovery.

When a whistleblower, also known as a qui tam relator, files a successful False Claims Act case, the amount of the relator’s award generally depends in part on whether the government intervenes. If the government intervenes and proceeds with the case, the relator generally receives between 15% and 25% of the recovery. If the government declines to intervene and the relator successfully pursues the action, the relator generally receives between 25% and 30%. These percentages are subject to statutory exceptions and may be reduced in certain circumstances.

The journey to uncovering medical billing fraud often begins in the workplace, where employees might notice questionable practices or inconsistencies in billing. Being asked to engage in potentially improper billing methods or observing unexplained discrepancies in billing records may be warning signs. Individuals who encounter these issues may want to speak with a healthcare fraud attorney about whether the conduct could support a False Claims Act case and what protections may apply.

Not every report of suspected medical billing fraud results in a False Claims Act case or whistleblower award. Eligibility depends on the facts, the applicable law, and the outcome of the case.

How We Can Help

The journey begins with an exhaustive evaluation of the alleged fraud. Our legal team meticulously assesses the details, leveraging our extensive expertise to determine the feasibility of pursuing a whistleblower (qui tam) case under the False Claims Act. This critical first step helps determine whether the allegations may satisfy the legal requirements for a whistleblower action.

Should the evidence point towards a viable case, our attorneys then embark on the intricate process of filing a qui tam lawsuit. This process is characterized by the careful preparation and presentation of detailed evidence, documenting the alleged fraudulent activities. The complaint is initially filed under seal, and the relator must provide the government with a written disclosure of substantially all material evidence and information in their possession.

Our involvement doesn’t end with the filing of the lawsuit; we remain actively engaged as the case develops. During the seal period, the government investigates the allegations and decides whether to intervene and take primary responsibility for the action. If the government declines to intervene, the whistleblower may still have the right to continue pursuing the case. Our attorneys can communicate with government attorneys and investigators when appropriate and represent the whistleblower throughout the process.

In partnering with Di Pietro Partners, whistleblowers gain not just legal representation, but advocates committed to the principles of justice and integrity in healthcare. Our attorneys are here to guide you through each phase of the legal process, offering expertise, support, and representation as the matter develops. If you suspect healthcare fraud and are contemplating taking action, let us stand with you. Together, we can make a significant impact in the fight against healthcare fraud, safeguarding resources intended for the welfare of patients and the healthcare system at large.

Why Medical Billing Fraud Whistleblowers Choose Di Pietro Partners

Firsthand Experience With the False Claims Act Process
David Di Pietro has personally served as a False Claims Act relator in a federal qui tam matter involving 21st Century Oncology and Broward Health. That experience gives him a perspective few attorneys can offer: he has experienced the whistleblower process not only as an attorney, but also from the relator’s side of a False Claims Act case.

Healthcare Billing Experience From Multiple Perspectives
Di Pietro Partners represents whistleblowers in False Claims Act matters and healthcare providers in separate regulatory and litigation matters. This experience gives the firm insight into healthcare operations, billing practices, documentation, reimbursement issues, compliance concerns, and the defenses that may become important when evaluating suspected medical billing fraud.

Physician-Level Insight Into Medical Necessity and Documentation
Many medical billing fraud allegations involve questions that go beyond coding alone. Medical records may help determine whether a diagnosis is supported, whether treatment was medically necessary, and whether the care documented matches what was billed. Dr. Tiffany Di Pietro serves as Medical Advisor to Di Pietro Partners. She is a licensed Florida physician and quadruple board-certified in Internal Medicine, Cardiology, Echocardiography, and Nuclear Cardiology.

Litigation, Healthcare Leadership, and Federal Government Experience
David has more than 20 years of litigation experience, has tried more than 70 jury trials, and has handled hundreds of bench trials and evidentiary hearings. He also previously served as Chairman of the North Broward Hospital District, commonly known as Broward Health, giving him firsthand exposure to the operations and governance of a major public healthcare system. The firm’s team also includes a former U.S. Department of Justice attorney, adding federal-government experience to matters that may involve DOJ, U.S. Attorney’s Offices, HHS-OIG, and other federal agencies.

Nationwide Representation for Qualifying Whistleblower Matters
Medical billing fraud involving federal healthcare programs is not limited to Florida. Di Pietro Partners evaluates qualifying healthcare whistleblower and False Claims Act matters nationwide. The firm handles eligible whistleblower cases on a contingency-fee basis, with attorney fees generally contingent upon obtaining a recovery and subject to the terms of the firm’s written fee agreement.

Medical Billing Laws

Medical billing laws in the United States are designed to regulate the process of billing for medical services, ensuring that charges are accurate, justifiable, and compliant with federal and state regulations. These laws cover a broad spectrum of guidelines and rules from coding standards to billing practices, aiming to prevent fraud, protect patient information, and ensure fair practices. Here’s a detailed breakdown of key aspects of medical billing laws:

Health Insurance Portability and Accountability Act (HIPAA)
HIPAA, enacted in 1996, is pivotal in regulating the privacy, security, and electronic exchange of certain health information. Its requirements apply to covered entities, including certain healthcare providers, health plans, and healthcare clearinghouses, as well as certain business associates. HIPAA’s Administrative Simplification provisions also establish standards for electronic healthcare transactions, including claims and other billing-related transactions.

Affordable Care Act (ACA)
Enacted in 2010, the ACA includes consumer-protection and transparency requirements affecting health insurance coverage. Among other provisions, health insurers and group health plans must provide a standardized Summary of Benefits and Coverage and access to a uniform glossary of common insurance terms. These requirements are intended to help consumers better understand and compare their health coverage.

False Claims Act (FCA)
The FCA is a primary federal law used to address fraud involving government funds. It imposes liability on individuals or entities that knowingly submit, or cause the submission of, false or fraudulent claims to the government, including claims involving programs such as Medicare and Medicaid. The law also allows eligible private individuals, known as relators, to file qui tam lawsuits on behalf of the United States and potentially receive a share of a successful recovery.

Fair Debt Collection Practices Act (FDCPA)
While primarily a consumer-protection law governing debt collection, the FDCPA can apply to the collection of medical debt. It generally regulates third-party debt collectors and prohibits abusive, unfair, or deceptive collection practices. In medical-debt matters, this can include attempting to collect amounts that are not actually owed, misrepresenting the amount or nature of a debt, or using other prohibited collection practices.

Medicare and Medicaid Regulations
Medicare and Medicaid impose specific billing, coding, coverage, and documentation requirements on participating providers. For Medicare, claims generally must be supported by medical records that substantiate the services billed, applicable coverage requirements, and the reported billing codes. Medicaid providers must comply with applicable federal requirements as well as the rules of the state Medicaid program in which they participate. Because billing requirements can vary by service, payer, and state, accurate coding and supporting documentation are critical to lawful reimbursement.

Electronic Health Record (EHR) Incentive Programs
The former Medicare and Medicaid EHR Incentive Programs, often associated with “meaningful use,” have evolved into CMS’s Promoting Interoperability framework. The Medicaid Promoting Interoperability Program ended in 2021, while eligible hospitals and critical access hospitals continue to participate in the Medicare Promoting Interoperability Program. Eligible clinicians generally address similar requirements through the Merit-based Incentive Payment System (MIPS) Promoting Interoperability performance category. These programs emphasize the use of certified electronic health record technology and the secure exchange of health information.

State-Specific Regulations
Beyond federal law, healthcare providers may also be subject to state-specific billing, reimbursement, licensing, recordkeeping, and privacy requirements. Medicaid is administered through individual state programs operating within federal requirements, so billing rules, provider requirements, reimbursement policies, and documentation standards may differ from one state to another. Providers must comply with the requirements applicable to the state programs in which they participate.

Federal Healthcare Fraud and Whistleblower Laws

Federal healthcare fraud laws serve as the cornerstone of efforts to maintain the integrity and efficacy of healthcare programs across the United States, including Medicare and Medicaid. These laws form a comprehensive legal framework aimed at deterring and punishing fraudulent activities that misuse or deceive federal healthcare funds. The statutes and regulations underpinning these laws are multifaceted, designed to address a broad spectrum of fraudulent behaviors within the healthcare system. Here’s a succinct overview of pivotal federal statutes that safeguard against healthcare fraud:

False Claims Act (FCA) – The FCA prohibits knowingly submitting, or causing the submission of, false or fraudulent claims for payment by the federal government. It applies to false claims involving government healthcare programs such as Medicare and Medicaid and allows eligible private individuals, known as relators, to file qui tam lawsuits on behalf of the United States and potentially receive a share of a successful recovery.

Anti-Kickback Statute (AKS) – The AKS makes it a criminal offense to knowingly and willfully offer, pay, solicit, or receive remuneration to induce or reward referrals or other business involving items or services payable by a federal healthcare program. Remuneration can include cash or other things of value. Certain arrangements may qualify for statutory exceptions or regulatory safe harbors.

Physician Self-Referral Law (Stark Law) – The Stark Law generally prohibits physicians from referring Medicare or Medicaid patients for certain designated health services to entities with which the physician or an immediate family member has a financial relationship, unless an applicable exception is satisfied. The law also restricts billing for services furnished as a result of a prohibited referral. Unlike the Anti-Kickback Statute, Stark is generally a strict-liability law, meaning a specific intent to violate the statute is not required. Depending on the facts, prohibited referrals and resulting claims may also contribute to False Claims Act liability.

Health Care Fraud Statute – This statute makes it a criminal offense to knowingly and willfully execute, or attempt to execute, a scheme to defraud a health care benefit program or to obtain its money or property through false or fraudulent pretenses, representations, or promises in connection with healthcare benefits, items, or services.

Violations of these laws can result in severe penalties, including civil monetary penalties, repayment or restitution, exclusion from federal healthcare programs, and, in criminal cases, imprisonment. The federal government, through various agencies such as the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) and the Department of Justice (DOJ), investigates and enforces healthcare fraud and abuse laws. These agencies may pursue civil, criminal, or administrative actions involving false claims and other misconduct affecting federal healthcare programs and work to recover improperly obtained government funds.

Other Types of Healthcare Fraud

Besides Medicare fraud, the healthcare industry faces various other types of fraud that can significantly impact both the financial integrity of healthcare systems and patient care. These include:

Medicaid Fraud – Similar to Medicare fraud, Medicaid fraud may involve knowingly submitting or causing false claims or other intentional misrepresentations to obtain improper Medicaid payments. Examples can include billing for services not rendered, upcoding, false documentation, and knowingly billing for medically unnecessary services. An improper or unnecessary service does not automatically establish fraud; the facts, including knowledge and intent, matter.

Private Insurance Fraud – This type of fraud involves knowingly submitting false or fraudulent claims to private health insurers. Tactics can include billing for services not provided, knowingly submitting duplicate claims, falsifying records, or billing for medically unnecessary services as part of an intentional scheme to obtain improper payment. Private-insurance fraud is legally distinct from False Claims Act cases involving government healthcare funds, although the same conduct may affect both public and private payers in some circumstances.

Prescription Drug Fraud – Prescription drug fraud can involve various schemes, including “doctor shopping” to obtain multiple prescriptions, forging or altering prescriptions, and illegal distribution and sale of prescription medications. Pharmaceutical companies may also face fraud liability when unlawful promotional or drug-pricing practices cause false claims or improper payments, depending on the facts and applicable law.

Kickbacks and Referral Schemes – Illegal kickbacks may involve knowingly and willfully offering, paying, soliciting, or receiving remuneration to induce or reward referrals or other business involving items or services payable by a federal healthcare program. Certain arrangements may qualify for statutory exceptions or regulatory safe harbors.

Provider Identity Theft – Fraudsters may use a healthcare provider’s identity or billing credentials to submit false claims for services never rendered or otherwise obtain improper payments from healthcare programs. This can also create serious problems for the provider whose identity or credentials were misused.

Upcoding and Unbundling – Upcoding involves billing for a more expensive service than was actually provided, while unbundling refers to billing each step of a procedure as if it were a separate procedure to increase the total bill. When knowingly used to obtain improper reimbursement, these practices may constitute healthcare fraud.

False or Exaggerated Claims for Disability Benefits – Knowingly submitting false or exaggerated information to obtain disability benefits may constitute fraud. This can include misrepresenting one’s health condition, employment status, or income.

Addressing these types of healthcare fraud requires vigilant monitoring, strict enforcement of laws, and public awareness. Healthcare fraud not only drains resources but also compromises patient care and increases costs for everyone in the healthcare system.

Medical Billing Fraud FAQ

• Q. What is medical billing fraud?
  Medical billing fraud involves submitting false or misleading information to a healthcare insurer or a government healthcare program like Medicare or Medicaid to receive payment or a higher payment amount. This can include billing for services not rendered, upcoding services, knowingly billing for medically unnecessary procedures, and more.
• Q. How does medical billing fraud affect patients and the healthcare system?
  Medical billing fraud drives up healthcare costs for everyone by wasting billions of dollars each year. It can lead to higher insurance premiums and out-of-pocket expenses for patients and depletes resources from government healthcare programs. In some cases, it may also lead to patients receiving unnecessary or incorrect medical treatments.
• Q. What are some common signs of medical billing fraud?
  Signs include being billed for services you didn’t receive, seeing discrepancies between the treatment provided and what’s detailed in your bill, receiving a bill for the same procedure multiple times, and notices from your insurance about benefits for procedures you didn’t undergo.
• Q. Who commits medical billing fraud?
  If you suspect fraud, the appropriate next step may depend on how you discovered the issue. Patients who notice a questionable charge can review their medical records and billing statements and may first contact the healthcare provider to determine whether the discrepancy is an error. Healthcare employees or other insiders who suspect a broader fraudulent billing scheme may want to speak with a healthcare fraud attorney before reporting the matter internally or taking additional records. Suspected fraud involving Medicare, Medicaid, or other HHS programs may also be reported to HHS-OIG or other appropriate government authorities.
• Q. How long do you have to file a medical billing fraud whistleblower case?
  The False Claims Act contains its own statute of limitations. In general, an action may not be brought more than six years after the alleged violation, or more than three years after the material facts were known or reasonably should have been known by the responsible U.S. government official, whichever period ends later. An action generally cannot be brought more than 10 years after the alleged violation.Because the applicable deadline depends on the facts and timing of the alleged conduct, potential whistleblowers should not assume they have the full 10 years to act.
• Q. Can my employer retaliate against me for reporting medical billing fraud?
  The False Claims Act prohibits certain forms of retaliation against employees, contractors, and agents for qualifying whistleblower activity. A False Claims Act qui tam complaint is initially filed under seal and is not served on the defendant until the court orders otherwise. However, filing under seal does not necessarily mean the whistleblower will remain anonymous throughout the case.
• Q. Can I receive a reward for reporting medical billing fraud?
  Under the False Claims Act, eligible whistleblowers who file a successful qui tam action may receive a share of the government’s recovery. If the government intervenes, the relator generally receives 15% to 25% of the proceeds. If the government does not intervene and the relator successfully pursues the case, the share generally ranges from 25% to 30%. These percentages are subject to statutory exceptions and may be reduced in certain circumstances.
• Q. How are medical billing fraud cases investigated and prosecuted?
  Medical billing fraud investigations can begin through whistleblower reports, audits, data analysis, government referrals, or other investigative leads. Investigators may review claims and billing data, medical records, financial records, and other evidence and may interview employees or other witnesses. Depending on the conduct involved, federal or state authorities may pursue criminal charges, civil False Claims Act actions, administrative remedies, or other enforcement measures.

Talk to a Medical Billing Fraud Attorney

Given the complexities and potential consequences of reporting Medicare billing fraud, consulting with a specialized medical billing fraud attorney is a crucial step. Whether you’re a healthcare professional who’s noticed questionable billing practices or a concerned citizen aware of fraudulent activities, your actions can play a pivotal role in safeguarding the integrity of the healthcare system and protecting vital resources.

At Di Pietro Partners, our team of experienced Healthcare Fraud Attorneys, a quadruple board-certified physician, and attorneys with former government experience is uniquely equipped to navigate the intricacies of medical billing fraud cases. With our extensive background in healthcare law and complex litigation, we provide legal and medical insight relevant to healthcare fraud and False Claims Act matters.

We understand the courage it takes to step forward and the importance of ensuring your rights and interests are protected throughout the process. That’s why we offer a confidential, no-obligation consultation to discuss your case and explore your legal options. Di Pietro Partners handles eligible False Claims Act whistleblower matters on a contingency-fee basis. For qualifying cases, attorney fees are generally contingent upon obtaining a recovery, subject to the terms of the firm’s written fee agreement.

If you suspect medical billing fraud and are considering taking action, don’t navigate this challenging landscape alone. Contact Di Pietro Partners today to schedule your free consultation. Our attorneys can evaluate what you know, whether the conduct may support a False Claims Act claim, and the options available for reporting suspected medical billing fraud.