Do You Have Evidence about a Michigan Medical Provider Overbilling Medicaid or Medicare?

Whistleblowers are Michigan heroes who help put a stop to fraud against our state’s healthcare programs. Federal and state whistleblower laws legally protect those who contact the Medicaid Fraud Hotline and offer substantial cash whistleblower rewards to businesses and individuals who act to expose Medicaid fraud, waste and abuse.

Whistleblowers may report fraud anonymously and the law provides powerful protections and legal recourse against employers who retaliate in response to an employee’s disclosure of illegal or suspected illegal acts.

Whether you are unsure if you have enough evidence for a whistleblower case or you are certain your information is valuable, don’t hesitate to contact the Medicaid Fraud Hotline. The U.S. government relies on individuals who support integrity in the healthcare industry and want to help keep our healthcare system safe. These individuals are often eligible for significant and deserved whistleblower cash rewards for their information.

Your privacy is guaranteed, and contacting the Medicaid Fraud Hotline does not obligate you to pursue a case.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

Review the Various Types of Medicaid Fraud

Reporting Michigan Medicaid Fraud

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What Are Michigan’s Medicaid Fraud Whistleblower Laws?

Michigan Medicaid False Claim Act

Harsher on fraud than many state False Claims Acts, the Michigan Medicaid False Claims Act (MMFCA) (Mich. Comp. Laws. §§400.601-400.615.) is specifically designed to combat Medicaid Fraud and includes criminal provisions that specify liability of up to 10 years imprisonment and a fine of up to $50,000 for:

  • Knowingly making a false statement or misrepresentation of a material fact in any application for Medicaid benefits or for use in determining rights to a Medicaid benefit;
  • Soliciting, offering or receiving kickbacks or bribes for referrals to another for Medicaid-funded services;
  • Entering an agreement with another entity to defraud Medicaid through a false claim; or
  • Presenting to the State of Michigan a false claim for payment.

Like the Federal False Claims Act, the MMFCA includes a whistleblower, "qui tam," provision that allows any private citizen to bring a civil action on behalf of the State of Michigan to recover losses suffered from an MMFCA violation. The Michigan Attorney General has an opportunity to intervene in the action brought on behalf of the State of Michigan. If the Attorney General declines to intervene, a whistleblower may pursue the claim with his private legal team.

As opposed to the federal False Claims Act’s initial seal time of 60 days, the MMFCA initial seal period is extended to 90 days. The MMFCA states that anyone benefitting from fraud must forfeit that amount, pay the full amount received, and additionally pay triple the amount of damages suffered by the State, plus civil fines.

Michigan Health Care Workers Whistleblower Protection

Mich. Comp. Laws §333.20180 protects workers employed by health care facilities who make a report or complaint about a violation of statute or rule, or who assists in the investigation of such a violation.

Michigan Whistleblower Protection Act

Michigan’s Whistleblower Protection Act (WPA) (Mich. Comp. Laws. §15.361 et seq.) protects workers from retaliation by employers for reporting or preparing to report a violation of local, state or federal law.

Common forms of Medicaid fraud involve billing fraud, false documentation, medical necessity fraud, kickbacks, stark law violations, false statements or certifications, medical provider fraud and hospital or clinic fraud. The Medicaid Fraud Hotline preserves the privacy and protects the rights of healthcare employees and other individuals who chose to report Medicaid Fraud. Call today and secure your role as whistleblower – the first to report is the most likely to get a reward.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

What Job Protections Does Michigan Law Provide For Medicaid Whistleblowers?

Both the MMFCA and Michigan’s WPA protect individuals who report an employer’s potential false claims against discharge, demotion or discrimination in employment because of the report. Employees who are retaliated against based on whistleblower activities may file an action for damages.

Under these laws, any employer who violates these whistleblower protection law may be liable to the employee for:

  • Job reinstatement
  • Double payment of back wages
  • Full reinstatement of benefits
  • Full reinstatement of seniority rights
  • Actual damages
  • Costs of litigation, attorney’s fees and witness fees
  • Any other relief to make the employee whole

Michigan Health Care Workers Whistleblower Protection

In Michigan, a healthcare worker may not be retaliated against for reporting unsafe healthcare practices or conditions. This law protects employees of health care facilities who make a report about a violation of a statute or rule, or who assists in the investigation of such a violation, from being discharged, threatened, or otherwise retaliated against by their employer.

Michigan Whistleblower Protection Act

The Michigan WPA states that employers cannot discharge, cause the constructive discharge of, or discriminate against an employee because the employee or a person acting on behalf of the employee reports or is about to report a violation of local, state or federal law to a public body or is requested by a public body to take part in an investigation, hearing, inquiry or court action. Protections do not apply if the employee knows the report to be false.

State whistleblower laws and False Claims Acts are the number one weapon against prominent pharmaceutical companies, medical device manufacturers, and corrupt medical providers who scheme to profit illegally from government healthcare programs. If you suspect your employer, other agency or medical provider is acting to defraud the Michigan Medicaid program, contact the Medicaid Fraud Hotline now for a no-cost, completely confidential, claim evaluation.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

What Cash Rewards Are Offered for Reporting Michigan Medicaid Fraud?

As Medicaid fraud is becoming more and more prevalent, federal and state governments are not equipped with enough resources to seek out each potential violation. Whistleblowers with knowledge of fraud are the number one tool the government has to fight fraud and recover taxpayer dollars and the MMFCA provides both financial incentive and whistleblower protection for those who are willing to come forward and report Medicaid Fraud.

The MMFCA provides whistleblowers with a cash reward of between 15 to 25% for a case in which the Attorney General intervenes, and from 25 to 30% for a case in which the Attorney General does not. The whistleblower may also receive expenses, costs and reasonable attorney fees under certain circumstances.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

Are There Statutes of Limitations on Reporting Michigan Medicaid Fraud?

The MMFCA has a 6-year statute of limitations that begins on the date of the violation or a 3 year statute of limitations that begins on the date when the facts material to the right of action are known or reasonably should have been known by the official of the state of Michigan charged with responsibility to act in the circumstances.

Under the Michigan WPA, an employee must file an action within 90 days after the occurrence of the alleged violation of the Act.

Under the MMFCA, it is important to act fast. Only the FIRST person to file a claim is eligible to receive the whistleblower cash award.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

3 Easy Steps to Help you Decide

Whether You Should Report Medicaid Fraud

Many whistleblower laws contain first-to-file provisions, meaning that the large financial rewards are only available to the first whistleblower that reports the fraud. In addition, statutes of limitations (the amount of time you have to take action as a whistleblower – beyond that time you cannot file a claim lawsuit) apply. It is therefore crucial to act fast. Once you make the call or submit your claim online, you set up your role as whistleblower. The Medicaid Fraud Hotline lawyers will then help you to determine your next steps.

Doctors, nurses, hospitals, home healthcare agencies, pharmacies, clinics and medical transportation companies may attempt to steal tax dollars from government health care programs by submitting false claims to Michigan Medicaid or Medicare. If you suspect a medical provider is committing fraud against Michigan Medicaid, don’t delay. Contact the Medicaid Fraud Hotline and learn about your cash whistleblower award.

Medicaid Fraud Hotline: 888.742.7248 or Report Online