A criminal conviction of any sort has the potential to significantly affect a person's reputation and the future of their career. For medical professionals accused of healthcare fraud, however, the impact on their professional practice can be particularly severe....
healthcare fraud
Medicare abuse can result in consequences
Physicians who bill Medicare have a duty to be honest and forthright in how they conduct themselves. There are a variety of laws regarding Medicare fraud and abuse, and the penalties for breaking them are stiff. Fraud and abuse differ in certain ways, but they both...
What are the most common forms of health care fraud?
Many people join the field of health care to assist others. Unfortunately, no one is perfect, and mistakes can happen. When a medical practitioner commits an error, the individual may face accusations of fraud. Understanding the most common forms of health care fraud...
What are the effects of healthcare fraud?
Healthcare fraud can occur at many levels. Patients, doctors, other medical professionals and facilities can commit this type of crime. There is a misunderstanding that healthcare fraud has no victims, but the FBI explains there are many ways this crime harms a...
How healthcare fraud occurs and triggers FBI involvement
Healthcare fraud costs the U.S. government billions of dollars every year and beneficiaries must be alert to the possibility of fraudulent activities. Criminals use a variety of ways to obtain patient information they can use in their fraudulent schemes and...
What is DME fraud?
Medicare fraud can occur when durable medical equipment is inappropriately dispensed or prescribed. Doctors order and use medical devices, including everything from wheelchairs to x-ray machines, to help patients. Using these items without following federal and state...
Federal Anti-Kickback Statute violations
Certain actions by medical providers involving federal health care programs may lead to charges. The Anti-Kickback Statute forbids accepting or offering cash or other gratuities in exchange for patient referrals. When health care involves services paid for by federal...
What is the Texas Medicaid Fraud Control Unit?
When a healthcare professional or facility falsifies information to have Medicaid pay for medical services, that is Medicaid fraud. In 1979, the Texas government created the Texas Medicaid Fraud Control Unit as an extension of the Office of the Attorney General to...
Can you get in trouble for giving unnecessary services?
Healthcare fraud serves as a blanket term for numerous actions and situations in which a healthcare professional or provider commits fraudulent acts. Some of these acts get more press coverage than others, such as the illegal selling of prescription drugs or...
Medical fraud in your health care clinic?
Many people working in the medical field have a specific mental image in mind when they hear the term "medical fraud". People working in small clinics especially tend to view this as an issue that plagues larger institutions. However, medical fraud charges can end up...