Healthcare Fraud Lawyer
A healthcare fraud lawyer represents people who report providers, companies, or executives for defrauding government health programs such as Medicare and Medicaid. At Barrett Johnston Martin & Garrison, PLLC, we help insiders bring those claims forward under the False Claims Act, protecting their identity, safeguarding their careers from retaliation, and securing their right to a share of whatever the government recovers.
If you have seen something that doesn’t sit right (a billing scheme, a kickback arrangement, pressure to falsify records), you don’t have to decide alone whether it rises to the level of fraud. That’s what we’re here for.
What Counts as Healthcare Fraud?
Healthcare fraud is any deliberate deception that causes a government program or insurer to pay for something it shouldn’t. It drains tens of billions of dollars from Medicare and Medicaid every year, and the people who expose it are almost always insiders who noticed a pattern no one else was positioned to see.
The most common schemes we help whistleblowers report include:
- Billing for services that were never provided — phantom patients, visits that never happened, or supplies never delivered.
- Kickbacks — paying or receiving anything of value in exchange for patient referrals or for prescribing a particular drug or device, in violation of the Anti-Kickback Statute.
- Self-referrals — physicians steering patients to facilities they have a financial stake in, in violation of the Stark Law.
- Medically unnecessary care — procedures, tests, or admissions ordered to generate revenue rather than to help the patient.
- Pharmaceutical and device fraud — off-label marketing, suppressed safety data, or inflated drug pricing.
- Falsified records — altered charts, backdated documentation, or forged certifications of medical necessity.
If your situation isn’t on this list, that doesn’t mean it isn’t fraud. New schemes appear constantly, and a short conversation is usually enough for us to tell you whether you have something worth pursuing.
Who Reports Healthcare Fraud?
The strongest cases almost always come from people on the inside. Over the years, whistleblowers have included nurses and physicians, medical billers and coders, compliance officers, pharmaceutical sales representatives, lab technicians, and senior executives. Some are still employed by the company they’re reporting; others left months or years ago. What they share is firsthand knowledge and the documentation to back it up.
You do not need to be certain that a law was broken. You need a good-faith belief that something is wrong and enough detail for a lawyer to investigate.
What a Healthcare Fraud Lawyer Actually Does for You
Reporting fraud the right way is a legal process, not a phone call to a hotline. A healthcare fraud lawyer:
- Evaluates your information under the False Claims Act and related statutes to tell you whether you have a viable case.
- Files the case under seal, which keeps it confidential while the government investigates (your employer doesn’t find out from the filing).
- Manages the relationship with the Department of Justice, presenting your evidence in the way prosecutors need to see it.
- Protects you from retaliation and pursues remedies if your employer fires, demotes, or harasses you for coming forward.
Fights to maximize your share of any recovery, which under the law can range from 15% to 30% of what the government collects.
What You Stand to Gain — And the Protections You Have
Whistleblowers who report healthcare fraud under the False Claims Act may be entitled to a meaningful percentage of the money the government recovers, and recoveries in these cases often reach the millions. Just as important, federal law makes it illegal for an employer to retaliate against you for reporting fraud in good faith, and if they do, you may be entitled to reinstatement, double back pay, and damages.
We work on a contingency basis. There is no fee to talk with us, and you owe nothing unless we recover on your behalf.
Why Work With Report Healthcare Fraud
Healthcare fraud cases are won on detail and discretion. Our team at Barrett Johnston Martin & Garrison, PLLC, focuses specifically on representing whistleblowers in fraud against government health programs, and we treat every conversation as confidential from the first contact. We’ll tell you honestly whether your information is strong enough to act on. If it is, we’ll handle the legal machinery so you can focus on your life and career.
Ready to talk? Schedule a free, confidential case review today. Nothing you tell us leaves the room, and there’s no obligation to move forward.
Healthcare Fraud Lawyer FAQs
You can report fraud to a government hotline on your own, but if you want to file a False Claims Act case and be eligible for a whistleblower reward, you must do it through an attorney. A lawyer also protects you from missing deadlines or procedural traps that can disqualify an otherwise strong case.
Not from the filing itself. False Claims Act cases are filed under seal, meaning they stay confidential while the government investigates — often for a year or more. We take extensive steps to protect your identity throughout the process.
Nothing upfront. We handle these cases on a contingency basis, so you pay no fees unless we recover money on your behalf. The initial consultation is always free.
Any fraud that causes a government program to pay money it shouldn’t — false billing, kickbacks, unnecessary procedures, drug and device fraud, falsified records, and more. If you’re unsure whether what you saw qualifies, ask us.
These cases reward patience. From filing to resolution often takes one to three years, largely because the government conducts a thorough investigation while the case is under seal. We keep you informed at every stage.