Do you suspect Medicare & Medicaid Phantom Billing Fraud?
Phantom billing scams lead to increased healthcare costs and reduced quality of care. Help fight back by filing a whistleblower claim – and possibly receive a reward.
Have you noticed a healthcare provider billing for a service never provided or billing twice for the same service? This could be a simple mistake – or a common form of healthcare overbilling fraud called phantom billing.
Phantom billing is not victimless. When unscrupulous organizations and individuals deliberately overbill government healthcare programs that provide medical services, drugs, and treatment to the public, we all lose.
If you suspect Medicare and Medicaid phantom billing fraud, you are not powerless. You can fight medical billing fraud by filing a claim under the False Claims Act (FCA) to try to hold fraudsters accountable – and you could receive up to 30% of any recovery as a reward.
At Carolina Whistleblower Attorneys, we’re experienced in pursuing whistleblower claims in North and South Carolina for phantom billing and other forms of healthcare fraud. Contact us today at 1-888-292-8852 for a free, confidential discussion that can give you peace of mind and help you decide how you want to proceed.
What is Medicare and Medicaid phantom billing fraud?
Phantom billing is a form of medical billing fraud in which healthcare providers or pharmacies bill Medicare or Medicaid for services, tests, or procedures that were never provided to the patient. Some examples include:
- Fake services: Fabricating a patient visit or procedure and then billing for services that were never rendered, such as a surgery that never took place
- Duplicate billing: Charging multiple times for a provided service that was already paid for
- Upcoding or exaggerating services: Billing for minor procedures as if they were more complex and expensive, such as billing a brief consultation as a full examination
- Billing dead patients: Billing for services supposedly provided to patients who have passed away
- Charging for equipment never used: Charging for medical supplies or devices that were not involved in the patient’s treatment.
How do I report suspected Medicare and Medicaid phantom billing?
An experienced whistleblower attorney can help you report Medicaid and Medicare phantom billing fraud by filing a qui tam lawsuit on behalf of the government under the False Claims Act. This may involve:
- Evaluating your evidence
- Building your case
- Filing a qui tam lawsuit under the False Claims Act
- Coordinating with the government in the investigation of the phantom billing healthcare fraud allegations
- Hopefully reaching a successful resolution to the government’s case
- Negotiating with the government to try to get you the maximum award – up to 30% of the government’s potential recovery
- Advocating on your behalf throughout the whistleblowing process
What happens after I report Medicare or Medicaid phantom billing fraud?
Do not report your concerns to HR. If you call our firm to report Medicaid or Medicare phantom billing fraud, our team will follow a set process to explore your options. If you decide to proceed with filing a qui tam whistleblower lawsuit, we will work with you to gather evidence and build your case quietly and efficiently.
After filing any complaint and supporting evidence with the court and submitting it to the U.S. Attorney, we will wait for the government’s response:
- If the government decides to intervene, we will support their case with evidence and respond to any questions.
- If the government decides not to intervene, we will decide together whether it’s in your best interest to pursue the case on their behalf.
Throughout the entire process, we will fight to protect you from employer retaliation.
How Carolina Whistleblower Attorneys can help you fight Medicare and Medicaid phantom billing fraud
If you suspect Medicare or Medicaid fraud and are considering taking steps towards exposing it, it’s important to know your rights. And we can help. Our whistleblower team is led by former U.S. Attorney Bill Nettles. Under his leadership and during his tenure, South Carolina became one of the top four states in the nation for whistleblower recoveries.1,4
Our mission is to expose fraud against the government, and we stand with those who have the courage to report all types of medical billing fraud involving Medicare and Medicaid. Our client success stories prove our dedication to seeking justice.1,4
We operate on a contingency fee basis, which means we cover all the costs of building your case, and you don’t pay a penny unless we win an award for you—guaranteed.2 With our You-First Policy, your interests come first every step of the way.
Whistleblowers play a critical role in identifying Medicaid or Medicare phantom billing fraud schemes. If you suspect healthcare billing fraud, let’s have a confidential conversation. We can answer your questions and help you explore your options. The consultation is free, and there’s no obligation.
Contact us online or call 1-888-292-8852 today!
Awards we’ve won
For standards of inclusion for awards listed, visit bestlawyers.com, thenationaltriallawyers.org, superlawyers.com, farrin.com/business-nc-power-list, and millondollaradvocates.com. National Trial Lawyers Top 100 designation is for 2025. Regarding the Million Dollar Advocates Forum, we do not represent that similar results will be achieved in your case. Each case is different and must be evaluated separately. Firm award is for the Law Offices of James Scott Farrin. Attorney awards are for attorneys with the Law Offices of James Scott Farrin.
Contact the Carolina
Whistleblower Attorneys
If you’re wondering if it’s a good idea to speak with a whistleblower lawyer about what you know, let us set the record straight.
- Corporate ethics hotlines can be risky and may lead to termination. If you’ve already done this, call us immediately.
- Your coworkers could be aware of the fraud – or complicit in it – and you should not talk to them about it.
- The first claim to be filed under the False Claims Act can proceed – if you’re not first, you’re at a serious disadvantage and may get nothing (another reason not to speak to your coworkers about it).
- A confidential discussion costs you a few minutes, but could save you time, stress, and money.
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