Dermatologist Exposes Billing Fraud

A dermatologist at Minnesota-based office, Skin Care Doctors, took a courageous stand. He exposed false Medicare billings of unnecessary surgical procedures of his fellow doctors. Brave whistleblowers like this dermatologist help to stop fraud, and the government rewards them for it.

About Billing Fraud

Medicare and Medicaid lose an estimated $60 billion or more annually to billing fraud. Since 1990, the Government Accountability Office labeled Medicare a high-risk program. Whistleblowers shine a light on ways providers defraud the government. Researchers don’t expect this rate of qui tam cases to slow down. This is especially true since whistleblowers may have even more incentive to bring charges.

Billing Fraud Is Common

Many companies try different ways to get extra money from government programs like Medicare and Medicaid. This is what happened at Skin Care Doctors. One dermatologist at the office noticed that a colleague knowingly treated benign lesions and billing Medicare as if they were pre-cancerous. Additionally, he would bill Medicare for unnecessary procedures. Then, the doctor overbilled Medicare for patient visits and encouraged other doctors in the practice to do the same.

The accused doctor made no admission of guilt but will pay the whistleblower’s attorneys fees along with $850,000 to the government. Under the False Claims Acts (FCA), the whistleblower will receive a reward of $153,000. Along with the money, the doctor received thanks from the government.

A spokesperson said that the doctor “could have kept quiet and moved on, but instead, he stood up for taxpayers and future SCD patients. He’s a model of medical ethics and a beacon for doctors and other medical professionals who witness wrongdoing by their colleagues.”

Premier Complex Litigation Attorneys

The Michael Brady Lynch Firm has successfully represented thousands of consumers and recovered millions of dollars for their clients. Our team of attorneys has been recognized as some of the most experienced and successful in the country. Our award-winning staff is also sought after for our knowledge on complex litigation, scientific evidence development, negotiation strategies and trial tactics.

Most of all, our law office is resourceful and dedicated to pursuing any compensation. Because of this, we have received a high degree of peer recognition and professional achievement, such as inclusion on numerous Plaintiff Steering Committees.  We will take whatever legal measures are necessary when fighting for your rights to damages.

Therefore, if you believe you have uncovered evidence of fraud involving a government-funded program, contact us today. Our attorneys have represented many clients in the past with complex cases. We will work tirelessly to obtain results on your behalf.

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