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...
Infusion therapy and criminal charges for Medicare fraud
Medicare fraud costs the U.S. government $65 billion each year and fraudsters use a number of ways to commit this kind of crime. One source of Medicare fraud is infusion therapy as evidenced by an Orlando, FL, physician and an infusion clinic owner. About infusion...
What is the difference between Medicare fraud and abuse?
Health care providers must take certain steps to ensure Medicare claims are legitimate. Failure to do so leads to lost funds, which affects patients as well as hospitals, clinics, and other health care centers. You should also have a good understanding of the...
How much Medicare fraud occurs in Florida?
According to a press release issued by the US Attorney’s Office for the Southern District of Florida on Sept. 17, 2021, South Florida is “ground zero” for health care fraud. During one 6-week enforcement period earlier this year, the government brought charges against...
Medicare fraud: Types of improper payments
Medicare is the federal health insurance program for those over the age of 65 and for those who have certain disabilities. This program funds millions in healthcare services every year, and some allegedly try to defraud the system for personal gain. One type of...
3 common defenses to Medicare fraud
If you face charges for Medicare fraud, you also face serious consequences and penalties. These penalties can include prison time, heavy fines and the requirement to pay restitution. According to Medicare.gov, Medicare is the federal health insurance program that...
What is patient brokering and why is it illegal?
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...
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...
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