You may think that you will never face allegations of healthcare fraud. However, even small medical offices can have problems with fraud. If you think that you or one of your staff members is unintentionally committing fraud, there are certain steps you should take....
healthcare fraud
How can healthcare fraud be easily missed?
As a medical professional, you likely worry about patients falling for lies and overpaying for services. If you are facing accusations of healthcare fraud, knowing the common signs of a scam can help you defend yourself. Signs According to the National Health Care...
Health care billing fraud explained
Medical procedures often result in considerable expense due to the number of people involved in providing service and the complicated nature of the health care billing system. During the billing process, mistakes can easily happen in such a complex system. However,...
Steer clear of fraud: Medical coding mistakes to avoid
Most Texas healthcare providers dedicate themselves to improving the lives of the patients they serve and providing quality, honest care. There are a small number of doctors and providers, however, who use fraudulent billing practices to generate more income. Others...
Understanding Medicare fraud
Many people might assume that someone accused of Medicare fraud would have knowingly done something that failed to follow the proper guidelines. That, however, may not always be the case. Fraud relating to a Medicare insurance claim may arise from a variety of places...
How doctors can fight health care fraud
Health care fraud costs the nation billions of dollars every year. If you are a physician involved in health care fraud, even by mistake, your livelihood is at stake. The complexities private, local, state and federal regulations are difficult to understand. As a...
Health care fraud when services are not medically necessary
Under the False Claims Act, prosecutors may charge health care professionals with Medicare fraud for submitting a claim for services that a patient does not actually need. Even without the intention to defraud the government, if a medical professional knowingly or...
Examples of healthcare fraud and its impact
Even if you are in perfect health, you likely already know how abysmally expensive healthcare is in Texas and the rest of the U.S., even if you have health insurance. For that reason, maybe you have thought about taking advantage of an unfair and unbalanced system....
Anti-kickback statute explained
Medical professionals in Texas, like all physicians nationwide, must comply with the Anti-kickback statute. This law prohibits any practicing medical professional from receiving or giving payment for patient referrals in federally funded programs like Medicare and...
Texas penalties for healthcare fraud
Healthcare fraud falls under the umbrella of standard fraud crimes in Texas. A healthcare fraud conviction in the Lone Star State could mean severe criminal consequences. You could face hefty fines, jail time and penalties such as losing a license to practice...