Healthcare fraud involves various illegal activities that impact the healthcare system. Dedicated agencies throughout all levels of government investigate these issues. One of the major players is the Health Care Fraud Unit within the U.S. Department of Justice's...
healthcare fraud
Understanding phantom billing in healthcare
Phantom billing is a term that refers to the fraudulent practice of charging for services or procedures that were never provided to patients. This deceptive tactic can have serious consequences for healthcare providers and patients alike. For those facing accusations...
4 practical steps for handling a fraud investigation
In the ever-evolving landscape of healthcare, medical practices may find themselves under investigation for healthcare fraud. Facing such scrutiny can be challenging. There are proactive measures that can help mitigate the impact on the practice and its stakeholders....
Can you unknowingly be complicit in healthcare fraud?
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...
5 examples of Medicare fraud
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...
What you must know about unnecessary procedures or services
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...
How a healthcare fraud conviction can affect your practice
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....
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...