New technology to treat varicose veins has spurred a tremendous growth in vein clinics over the past decade to cure the elderly and others afflicted by this medical condition of the circulatory system. While there are many legitimate providers of venous insufficiency treatment, there have also been several that have engaged in Medicare fraud. If you have evidence of another vein clinic engaged in fraud, you may be entitled to a reward for reporting it to the U.S. Government through the False Claims Act.
Medicare fraud costs U.S. taxpayers billions every year. Our whistleblower attorneys help individuals (doctors, nurses, office managers, patients, etc.) report health care fraud including fraud by vein clinics. We offer confidential, no cost initial consultations to evaluate your evidence of fraud for a potential False Claims Act lawsuit. To speak to one of our whistleblower attorneys, please call 1-800-590-4116.
About Varicose Vein Treatment and Medicare coverage
Varicose veins happen as a result of improper circulation of the legs and other appendages which cause skin damage. They occur on approximately fifty percent of the population. It is treated by one of a few different procedures, including excision/ligation (removal or tying off the affected veins), sclerotherapy (injections of an irritant solution), radio frequency ablation and endovenous laser ablation.
Varicose veins are typically found in the elderly. This makes it an issue that is often paid for by the U.S. Government through the Medicare program. Medicare has detailed coverage conditions for the treatment of varicose veins. Procedures may be considered unnecessary where the veins are asymptomatic, where the condition is merely cosmetic, and where conservative therapy (exercise, elevation of the legs, analgesic therapy or avoidance of prolonged immobility) have not been attempted.
What is Vein Clinic Fraud?
When providers intentionally or recklessly bill Medicare for inappropriate treatments of varicose veins in patients, they have violated the False Claims Act. The False Claims Act is the nation's leading law in the fight against fraud and has been used to recover billions of dollars claimed by health care providers fraudulently.
Here are a few different ways in which a vein clinic might be committing fraud against Medicare or Medicaid:
– Performing procedures by unqualified personnel while the physician is out of the office.
– Unnecessary vein injections (sclerotherapy) for the treatment of varicose veins and spider veins.
– Unnecessary ultrasound imaging procedures as part of vein treatment.
– Upcoding treatments to receive more money than Medicare the the Government would pay if the procedure was billed to them as performed.
– Marketing of devices that are not FDA approved or cleared to treat varicose veins.
Why Report Vein Clinic Fraud?
Health care fraud has been a substantial problem in the United States over the last decade. The problem has cost Medicare billions of dollars and run the gamut from large scale drug pricing frauds to smaller enterprises, such as vein clinics, bilking the U.S. Government for dollars. This is bad for everyone – it is costly and patient care suffers. A large percentage of the population is afflicted with varicose veins or spider veins. If providers recklessly or intentionally bill the federal government for procedures not performed or upcode treatments to receive more money than is owed by proper billing, it ends up costing all taxpayers in the end.