The Anti-Kickback Statute is a federal rule that aims to stop improper payments or rewards in health care. The U.S. HHS Office of Inspector General says that doctors who get these illegal payments can face fines of up to $50,000 for each infraction. This rule is part...
Medicare and Medicaid Fraud
Examples of Medicare fraud
As a taxpayer, you play an essential role in funding Medicare, the health insurance program dedicated to providing medical care to senior citizens and individuals with certain disabilities. However, as with any large-scale program, fraudsters often attempt to exploit...
Understanding Medicaid fraud
Medicaid is an important healthcare program in the United States, providing medical services to low-income individuals and families. However, like many large-scale programs, it is vulnerable to fraudulent activities, which can lead to billions of dollars in losses...
Understanding the repercussions of Medicare fraud
Medicare fraud might seem harmless, but it can have costly consequences that reach far into the future. Repercussions may vary considering how long the fraudulent activity lasts and its scope over time. Understanding the consequences of Medicare fraud may discourage...
What should you know about patient brokering?
It is not uncommon for patients to look for referrals when they need care from a doctor. Though referring patients to other doctors is not illegal, accepting a fee for doing so may violate the law. This is patient brokering, a type of healthcare fraud that could end...
What are the most common types of Medicare fraud?
If you are a doctor, nurse, pharmacist, medical goods provider or other health care provider serving Medicare patients, you need to keep exceptionally accurate and detailed records. Failure to do so could lead to the government filing Medicare fraud charges against...
Reviewing Stark Law exceptions
Healthcare practitioners in Florida have a singular goal of securing the best possible outcomes for their patients. Oftentimes that requires collaborating with other clinicians who specialize in practice areas outside of their own. However, many often look at...
What happens when someone is under investigation for Medicare fraud
Medicare exists so American citizens 65 and older do not have to live without healthcare. Younger people with disabilities and those with End-Stage Renal Disease are also eligible. The government takes the distribution of these funds seriously. Representatives move...
Committing Medicare fraud or abuse has serious consequences
If you are a physician who accepts Medicare patients, there are various standards you need to follow. Medicare fraud and abuse is common, and there are steep penalties if you face conviction. There are differences between fraud and abuse, but both are serious...
Three federal laws that govern Medicare fraud investigation
Medicare fraud can occur in small practices, large medical offices, hospitals, pharmacies and a variety of other healthcare-related companies and facilities. This type of fraud costs the U.S. government billions of dollars each year. Here are three federal laws that...
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