In the intricate web of healthcare, medical professionals play a central role in upholding the integrity of the system. However, there exists an unsettling possibility of being unwittingly complicit in healthcare fraud. When there is reason to believe that healthcare...
Medicare, an important health insurance program for millions of Americans, unfortunately, is not immune to fraudulent activities. As with many large-scale services, there are individuals who exploit the system for personal gain. This not only misappropriates funds but...
The United States Sentencing Commission reported 431 healthcare fraud offenders in the fiscal year 2022. This growing problem encompasses a range of different tactics used by professionals within the industry to get money through fraudulent means. One common scam is...
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....
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...
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...
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...
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...
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...
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...
