Patients who do not have professional relationships with physicians may look for referrals. While there is usually nothing wrong with referring a patient to another health care professional, accepting a fee for doing so may violate Florida law. In Florida, patient...
Medicare and Medicaid Fraud
Preventing upcoding and overbilling in your health care practice
When you own a Florida health care practice, it is your responsibility to make sure your bills are accurate and that your staff members code all services accurately. Upcoding or overbilling may constitute Medicare fraud, which has the potential to land your practice...
What are the top 5 types of Medicare fraud?
With the U.S. population continuing to age and approximately 61 million people now enrolled in Medicare, the opportunities for Medicare fraud likewise continue to escalate. If you face Medicare fraud charges, defending against them can quickly become complicated and...
What are some common signs of enrollment fraud?
The United States government loses millions of dollars to various types of fraud every year. However, Medicaid fraud is extremely pervasive and hurts taxpayers and individual victims alike. One of the most common forms of Medicare fraud is enrollment fraud. According...
National crackdown on healthcare fraud includes Floridians
Government agencies routinely collaborate in complex healthcare fraud sweeps that target multiple defendants. A recent nationwide law enforcement action uncovered billions of dollars of healthcare fraud and the defendants included Floridians. About healthcare fraud...
Do shareholders have liability for corporate criminal conduct?
After an investigation is over, the real work in a white-collar crime prosecution begins. The Department of Justice commits significant resources to securing convictions for Medicare fraud and other forms of corporate criminal misconduct. These procedures are complex,...
Medicare fraud cases lead to varying outcomes
Medicare fraud allegations may lead to significant criminal and civil penalties for defendants. However, individuals or entities accused of medicare fraud may experience a range of outcomes depending on the circumstances. News reports about medicare fraud allegations...
Allegations of Medicare fraud may be legitimate errors
According to the Florida Department of Elder Affairs and the Florida SHINE program, an estimated 10% of all money spent on health care in 2018 was lost to some form of abuse, waste or fraud. Statistics like this make it important for people to be aware of the signs of...
What is Medicare FWA?
FWA is an acronym for “Fraud, Waste and Abuse,” a crime you — either as a patient or a provider — may knowingly or unwittingly commit. If the state or federal government charges you with either crime, you may wonder what, exactly the charges entail. The Centers for...
What are the effects of Medicare fraud?
Medicare fraud is a crime where some people assume there are no victims. Because the crime mainly causes financial damage, it is easy to take this stance, but the effects of Medicare fraud are far-reaching. The National Health Care Anti-Fraud Association explains that...
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