Is Your Wyoming Employer or other Health Care Provider Guilty of Medicaid Fraud?
Hospitals, pharmacies, clinics and health care professionals who defraud Wyoming Medicaid steal taxpayer dollars from Wyoming residents and take quality health care services away from needy families and individuals. Wyoming’s Medicaid Fraud Control Unit is dedicated to protecting Wyoming’s health care resources and prosecutes those who attempt to abuse or waste these valuable funds for a profit.
In 2015, Wyoming’s Medicaid Fraud Control Unit obtained 3 convictions and 8 civil settlements or judgements – recovering nearly $45,000 in stolen state health care funds. Yet, approximately $52.8 million in Wyoming Medicaid funds are lost to fraud, waste and abuse each year. The effectiveness and impact of government resources for fighting fraud increase substantially when doctors, nurses, pharmacists and others with inside information on Medicaid fraud come forward to report their knowledge.
The federal False Claims Act offers whistleblowers powerful protections and impressive cash awards for reporting fraudulent activity. If you have information regarding Medicaid Fraud, you may be entitled to a significant cash award. Call today for a free, immediate and confidential case evaluation.
Review the Various Types of Medicaid Fraud
Reporting Wyoming Medicaid Fraud
Not Your State? Select Your State Here
What Laws Apply to Reporting Wyoming Medicaid Fraud?
The federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, enables private citizens to file a “qui tam” claim against companies or individuals committing fraud against a government-funded program on behalf of the government. To encourage whistleblowers to come forward and file a claim, the government pays whistleblowers large cash awards and offers protection from employer retaliation.
Whistleblowers who are the first to report non-public information on Wyoming Medicaid fraud are eligible to collect between 15% and 30% of the total government recovery obtained through verdict or settlement.
Common forms of Wyoming Medicaid fraud include but are not limited to:
- Submitting claims for services never provided
- Submitting claims for medically unnecessary services
- Unbundling, upcoding, overbilling or double billing
- Billing for substandard services or defective products
- False certification/licensure
- Providing treatment or writing prescriptions without proper certification/licensure
- Offering kickbacks in exchange for referrals
- Off-label marketing of pharmaceuticals
Individuals and/or companies who violate the federal FCA are penalized between $10,781.40 and $21,562.80 per false claim, plus three times the amount of damages sustained by the government and the costs of any civil action brought to recover any such penalty or damages.
Physicians, nurses, pharmacists, dentists, EMT’s bookkeepers and other health care professionals have unique access to the policies and procedures of hospitals, clinics, home health care agencies, nursing homes and other care organizations. These individuals are the nation’s most important tool for detecting and reporting Wyoming Medicaid fraud.
If you suspect your Wyoming employer or other medical provider is committing Wyoming Medicaid fraud, report it now. You may be entitled to a significant cash award. Call today for a free, immediate and confidential case evaluation. Your privacy is guaranteed, and contacting the Medicaid Fraud Hotline does not obligate you to pursue a case.
Does the Law Provide Protection For Those Reporting Wyoming Medicaid Fraud?
Unfortunately, employers are not always appreciative when their employee points out concerns that Wyoming Medicaid Fraud may be occurring in the workplace. This is why the federal False Claims Act contains anti-retaliation provisions for whistleblowers. Anti-retaliation provisions state that no employer, contractor or agent may discharge, demote, suspend, threaten, harass or otherwise discriminate against an employee because that employee attempts to stop a violation of the FCA.
Whistleblowers who suffer employer retaliation have the right to bring an action against their employer seeking any and all relief for his injury. Relief may include:
- Job reinstatement with comparable seniority
- Two times the amount of any lost back pay
- Interest on any lost back pay
- Reasonable attorneys’ fees
- Other incurred litigation costs
- Compensation for any other damages resulting from the discrimination
Don’t let concerns regarding possible employer retaliation keep you from helping put a stop to Wyoming Medicaid fraud. Contact the Medicaid Fraud Hotline today and learn your rights to filing a claim.
What Cash Awards Are Available for Reporting Wyoming Medicaid Fraud?
The government understands that blowing the whistle on fraud is not always easy. This is why the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 – 3733, provides cash incentives for those who chose to help combat fraud, waste and abuse of government funds. When a whistleblower’s information leads to a successful settlement or verdict, that whistleblower is entitled to between 15% and 30% of the entire government recovery, plus costs, expenses and attorney fees.
The court considers several factors in determining the exact cash award amount, including:
- Whether the government opts to intervene in their case
- The extent to which the whistleblower aids in the investigation
- The extent to which the whistleblower participated in the prohibited activity
- Timing of the whistleblower’s action
Every U.S. citizen has a duty to help protect our nation’s taxpayer dollars and ensure that they are spent properly. To report suspected fraud of the Wyoming Medicaid Program, call the Medicaid Fraud Hotline now.
What is the Statute of Limitations For Reporting Wyoming Medicaid Fraud?
Timing is vital when choosing to report Wyoming Medicaid fraud. Under the federal False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, a whistleblower loses their eligibility to bring a qui tam complaint if they wait longer than 6 years after the violation date, or longer than 3 years after the date the violation is discovered or should have been discovered. Whistleblowers may not file a claim after 10 years of the violation date.
The statute of limitations is even shorter for employer retaliation claims. Under the anti-retaliation provisions of the federal FCA, a civil suit must be brought within 3 years of the date the retaliation began.
Statutes of limitations are not always clear and can creep up faster than you expect. If you have information on Wyoming Medicaid fraud or have experienced employer retaliation after reporting your concerns, contact the Medicaid Fraud Hotline today and learn your options in a free, confidential case evaluation.
2 Easy Steps to Help you Decide
Whether You Should Report Medicaid Fraud
Don’t risk losing your whistleblower cash reward eligibility. Under the federal FCA, only the first whistleblower to report a case of fraud is eligible for the cash award. Statutes of limitations could limit the time you have to file a claim. If you have information regarding Wyoming Medicaid Fraud, contact the Medicaid Fraud Hotline or fill out the online report form.
Over $1 Million in Cash Awards for Tips Leading to Government Recovery