April 9th, 2019

Patients rely on care providers to give them advice based on their own best interests, but when kickbacks are involved, these patients are getting advice based on something else entirely that could put their health at risk. Whistleblowers are encouraged to fight back for the benefit of everyone. Here’s how whistleblowers can fight kickbacks in the health care industry.

Get to Know the Laws Relative to Kickbacks in Health Care

Educating yourself about the laws related to kickbacks in the health care industry is extremely important for patients. There are both federal and state laws that prohibit kickbacks and payments for health care referrals. The Federal Anti-Kickback Statute and Stark Law are a few of the federal law examples, but multiple states have enacted their own protections as well. In general, all these laws say the same thing: it is illegal to influence referral decisions by paying care providers with money or gifts.

File a Claim Under the False Claims Act

It is not uncommon for medical professionals to get kickbacks in the form of money, trips, or fancy resort stays for referring patients to outside care providers like labs, pharmacies, or specialists. Unfortunately, doctors are not the only ones guilty of accepting kickbacks. Nursing homes, hospitals, and even specialty care centers have been found guilty of this fraudulent behavior.

If you suspect this is taking place, you can file a report using the False Claims Act with the Department of Justice. Under this act, you, as a whistleblower, will be allowed to work with the department to file a report and provide information. The claim will be investigated, and if fraudulent activity is discovered, you may get to share in the monies recovered. If you need help filing a claim, reach out to us at The Whistleblower.com.