The Ins and Outs of Healthcare Fraud

The Ins and Outs of Healthcare Fraud

Since the beginning of the Medicare program in America, we have witnessed the devastating impact of healthcare fraud. Unfortunately, these criminal actions can take numerous forms and have a detrimental impact on the ability of hospitals, doctors, and other medical professionals to take care of patients. This is especially true in cases where patients are economically disadvantaged. Thankfully, law enforcement takes healthcare fraud extremely seriously.

Although there have been serious efforts put forth in combatting healthcare fraud in America, there have been instances where healthcare providers are wrongfully accused of these actions. The current state of healthcare laws makes it incredibly difficult for providers to navigate the rules and regulations. Healthcare providers may violate rules that they never knew existed, which can jeopardize their ability to practice.

What is Healthcare Fraud?

The term healthcare fraud covers a variety of white-collar crimes surrounding the medical industry. These typically include crimes involving the actions of filing fraudulent medical claims to obtain illegal compensation.

Some common types of healthcare fraud include:

  • Health Insurance Fraud: These actions involve people or companies filing false claims for reimbursement to the insurance company. Quite often, insurance companies are billed for medical services, treatments, medications, and equipment that are either not provided or over-exaggerated. For example, someone may bill the insurance company for a foot surgery after a diabetic nail clipping. Medicare is a common target for these actions.
  • Drug Fraud: These crimes typically involve getting prescription drugs under false pretenses or unnecessarily. Once received, the medications are then sold for profit. Given the increase in problems associated with narcotic and opioid medications, we see more and more medical professionals charged with drug offenses.
  • Medical Fraud: These crimes include situations where people provide medical care under false pretenses. In some cases, doctors or other medical professionals may practice medicine without a medical license.

What Happens if You were Charged with Healthcare Fraud?

Being charged with healthcare fraud can bring forth unpredictable and uncertain circumstances. Those accused of these crimes can lose their licenses and face career-altering consequences. There are numerous instances where healthcare crime charges are brought up against innocent medical professionals.

Healthcare fraud is typically investigated by the FBI. This organization has jurisdiction over both federal and private insurance. Federal charges are extremely difficult to fight against and can be costly. This is particularly true in cases that go to trial. Working with a solid defense attorney is your best bet for having your charges dismissed or reduced. The sooner you retain the legal guidance of a skilled professional, the better your chances are.

Healthcare Fraud Group Can Help You

If you are dealing with criminal charges related to healthcare fraud, it is imperative that you reach out to a skilled and reputable healthcare fraud defense attorney as soon as possible. We at Healthcare Fraud Group have decades of experience fighting on behalf of doctors, nurses, and various other medical professionals to ensure they are not left to deal with the devastating consequences of a wrongful conviction. Contact our law firm today at 888-402-4054 to discuss legal options available for you.

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