In Episode 6 of the Di Pietro Partners Podcast, Kevin sits down with founding partner David Di Pietro to break down whistleblower law and healthcare fraud under the False Claims Act.

David explains what qualifies as fraud against the government, how illegal billing schemes arise in Medicare, Medicaid, and Tricare, and why whistleblowers play a critical role in protecting public healthcare programs. The episode explores the rapid rise of telehealth fraud, Medicare Advantage (Part C) risk adjustment schemes, and how seemingly small billing issues can expose nationwide corporate misconduct.

Listeners will also learn who is eligible to report healthcare fraud, how to safely gather evidence, what legal protections whistleblowers have against retaliation, and how financial rewards are calculated in successful qui tam cases.

Topics covered include:

• What healthcare fraud is under the False Claims Act
• Medicare, Medicaid, Tricare, and telehealth fraud schemes
• Medicare Part C risk adjustment and diagnosis inflation
• Who can report healthcare fraud (and who cannot)
• How to report fraud without risking retaliation
• Whistleblower protections under federal and state law
• Financial incentives and recovery percentages for whistleblowers

This episode is essential listening for healthcare professionals, compliance officers, billing staff, and insiders who suspect fraud and want to understand their rights and options.