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Who Are Medicaid Dental Fraud Whistleblowers?

I want to blow the whistle on dental Medicaid fraud. Can anyone bring a case?

Whistleblowers are often the ones who identify Medicaid dental fraud and bring it to the attention of authorities. But who are these whistleblowers who come forward to battle fraud? In the fight against Medicaid dental fraud, whistleblowers come from a number of places:

  • Dental assistants or hygienists who have been asked to handle procedures for which they know they are not certified;
  • Accounting personnel who become aware of fraudulent or suspicious Medicaid billing;
  • Dentists who see other dentists in their practice falsifying patient charts or who are asked to do so; and
  • Dentists who treat patients later and discover that unnecessary work was done or that patient records (such as x-rays or reports) do not match the physical evidence.

These are only some of the whistleblowers who might come forward with evidence of dental Medicaid fraud. In truth, anyone who discovers evidence of Medicaid fraud can provide important help to authorities who are fighting costly fraud.

All Sorts of Whistleblowers Can Help Fight Medicaid Dental Fraud

Federal authorities rely on information received from whistleblowers to fight costly Medicaid dental fraud. To encourage whistleblowers to come forward and to reward their contribution, the qui tam provisions of the False Claims Act authorize whistleblowers to file suit against those engaged in Medicaid fraud and to share in any money recovered in the lawsuit.

The attorneys at Waters & Kraus have the experience and the skills that are needed to represent whistleblowers successfully in complicated fraud cases. Contact us or call our whistleblower attorneys at 800.226.9880 to learn more about our practice and how we can assist.

What is Qui Tam?

Under the Federal False Claims Act (FCA), whistleblowers have the power to save taxpayers billions of dollars each year by taking a stand against fraud. The U.S. False Claims Act allows private citizens to file suits on the government’s behalf when the government has been defrauded through any federally funded contract or program. The qui tam provisions of the False Claims Act allow these citizens to recover damages. A number of states and the city of Chicago also have laws similar to the False Claims Act to protect against fraud. To learn more about the different types of fraud … READ MORE

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