The high cost of health care has been a hot topic in the media, at the water cooler and in homes throughout the Milwaukee area for some time now. Some people who work in the health care industry may feel the need to defend the industry during these public debates. At the same time, however, health care fraud has cost taxpayers an exorbitant amount of money. The Department of Justice (DOJ) says that since January 2009 the agency has recovered nearly $20 billion, thanks in large part to whistleblowers who have come forward with evidence of fraud against federal health care programs.
It is important to note that Medicare fraud can occur all along the stream of services in the health care industry. In early 2011, an employee in the company's billing office began noticing oddities in billing practices the he believed including inflated costs to Medicare, as well as seeking reimbursements for unnecessary transports. She brought her concerns to the attention of upper management, but billing discrepancies continued, according to a recent False Claims Act lawsuit.