Billing fraudEnforcementExclusionsHealthcareMedicaidEach state's Medicaid Fraud Control Unit (MFCU) prosecutes billing fraud cases against individual healthcare providers who fraudulently bill Medicaid for services provided. Once an individual is convicted of billing fraud, the Office of Inspector General ...
David Dubin was convicted of healthcare fraud under the healthcare fraud statute at 18 U.S.C. § 1347 for overbilling Medicaid for psychological testing performed by a company he helped manage. Dubin did so by "overstat[ing] the qualifications of the employee who actually performed...
Healthcare fraud, waste, and abuse continue to be a problem for public and private programs. Each year, the Department of Justice (DoJ) reports on the major cases and takedowns involving physicians, pharmacists, and other medical providers. RevCycleIntelligencebreaks down some of this...
Already, 2015 has seen a host of major fraud news involving dozens of individuals and amounting to millions in abuse, often related to Medicare fraud.
Healthcare fraud occurs when an individual, a group of people, or a company knowingly misrepresents or misstates something about the type, scope, or nature of the medical treatment or service provided, in a manner that could result in unauthorized payments being made. General Medical Billing Examp...
Healthcare fraud involves wide-ranging illegal behaviors. It includes such activities as physicians who bill insurance companies or the government for services never provided, or that were unnecessary and, in many cases, harmful for the well-being of patients. Corporations are also involved in health...
Attorneys and Department of Justice Trial Attorneys are prosecuting the cases. Tags Fraud & Abuse Categories Health Law Highlights Texas Medical Center Institutions Agree to Pay $15M Record Settlement Involving Concurrent Billing Claims for Critical Surgeries Post author By WadeEmmert Post date June ...
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Call (847) 480-2390 - Rosenblat Law is dedicated to providing our clients with legal services in Healthcare Fraud Defense and False Claims Act cases.
Providers Pay Millions to Resolve Medicare Fraud Cases Addressing documentation, coding, and billing processes to avoid misconduct While a compliance program is the foundation for healthcare fraud and abuse prevention, providers should also consider improving their medical billing and coding proc...