Nurses Reporting Healthcare Fraud

Nursing is considered the most honest and ethical profession in America for 14 years running according to the annual Gallop poll.  It should come as no surprise that nurses are more likely to speak out against fraud than any other healthcare provider.  Being on the front line of patient care, means that the nurse is often direct witness to healthcare fraud, waste and abuse. These abuses can impact their patient’s emotion and physical well-being and have devastating financial consequences.

America spends a whopping $2.7 trillion dollars on healthcare, or 17% of our GDP. It is estimated that $270+ billion is fraudulent. Fraud hurts not only the patients but the U.S. Taxpayers as well.

When a nurse uncovers fraud, it can be overwhelming, frustrating and heartbreaking. Frequently the nurse will speak up and try to make changes within the system. All too often however, these efforts are blocked. In this circumstance, a nurse may seek outside help to ensure her patients are protected. Deciding to blow the whistle is a brave act, but not one to be taken lightly. Whistleblower Justice Network has worked with countless nurses to help them understand their options to protect their patients. When whistleblowing was the right path, our company has helped those nurses build successful cases while guiding them through the complexities of their whistleblower journey.

Examples of Healthcare Fraud:

  • Billing for services not provided
  • Up-coding; the practice of inaccurate billing to increase reimbursement.
  • Deceptive coding to get paid for services not covered by insurance
  • Kickbacks and Bribery
  • Lack of medical necessity for procedures or services
  • Overutilization of services
  • Incorrect reporting of diagnoses or procedures
  • Bundling or Unbundling procedures (grouping procedures to qualify for special reimbursement rates; or unbundling procedures to get paid for each separately to increase reimbursement rate)
  • Misrepresenting location, dates or providers of a service.
  • Waiving co-payments or deductibles.
  • False or unnecessary issuance of prescription drugs.

Whistleblower Justice Network Can Help You

Our case analysts help whistleblowers fully understand, organize and refine the information that they have in their possession. Complemented by our understanding of a wide array of financial fraud, Whistleblower Justice Network will help you make your best case, determine the most appropriate law firm to handle your case, and ensure that your case receives the attention it deserves every step of the way.

Contact us today and let us explain how we work with whistleblowers in pursuit of justice against those who defraud the U.S. government, and each of us as its citizens. Working with whistleblowers, and filing whistleblower actions is all we do as a company. We are whistleblowers ourselves, and we love what we do. Our clients and Whistleblower Justice Network, together we make a difference.

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