Type of Fraud

What Is Upcoding?

Healthcare Fraud lawsuits and settlements have been steadily on the rise and billions of dollars have been recovered. When Medicare or Medicaid fraud is committed, it affects us all. Attorney James Young explains upcoding, a common type of healthcare fraud.

 

Healthcare Fraud Explained

The threat of healthcare fraud is ever present, and on the rise. It’s costing the government, and by extension us tax payers, billions of dollars. Because it puts our well-being at risk as well as our financial future, healthcare fraud is especially nefarious and more must be done to expose those who abuse the power of their medical knowledge to the detriment of others.

Main Headline

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Auto Industry Fraud

The safety of hundreds of millions of Americans depends on the integrity of car manufacturers. Until recently, however, employees who saw and reported fraud in the auto industry did not have an adequate path to justice.

Tariff/Duty Fraud

Companies that import goods into the United States are required to accurately declare information on those goods to the government and pay the appropriate amount of import duties (tariffs) owed on them.

Misrepresenting imported goods allows companies to pay less tariffs than required, giving them an unfair price advantage over honest competitors.

Tariff/duty fraud also deprives the government of revenue, harms domestic producers and workers, undermines trade policy, and can cause negative consumer and environmental externalities.

IRS Tax Fraud

The Internal Revenue Service (IRS) Whistleblower Office administers the whistleblower award program under section 7623 of its legislative code. This section authorizes the agency to issue whistleblower awards in return for information that helps recover significant amounts of taxpayer dollars.

Whistleblowers who provide original information to the IRS that results in the collection of more than $2 million in taxes, penalties, interest, and other amounts are eligible to receive up to 30% of the recovered proceeds.