John W. Schilling is a former Medicare Fraud Investigator and Medicare cost report Auditor. He coordinated healthcare fraud investigations working closely with the Department of Health and Human Services Office of Inspector General (OIG), and the Federal Bureau of Investigation (FBI). With his Medicare reimbursement expertise he conducted numerous Medicare cost report training sessions for federal law enforcement and, multiple Assistant United States Attorneys. John has 18 years of healthcare financial experience, including Medicare reimbursement management at Columbia/HCA and Community Care of America. His expertise includes cost report accounting fraud and forensic accounting.
John has had two successful qui tam actions. He was a relator in the Columbia/HCA case, and instrumental in the successful FBI probe as a confidential undercover informant and served as a key witness in the Whiteside & Jarrell criminal trial. Columbia/HCA agreed to a $1.7 billion civil settlement to resolve the case. He was also the relator in the KPMG case which settled for $9 million. In both cases Mr. Schilling alleged Medicare, Medicaid, and Champus cost reporting fraud and improper cost shifting.
