Legal-Malpractice / 17.07.2024

Healthcare fraud is a serious issue that affects both patients and providers. The complexity of healthcare regulations makes it easy for even honest mistakes to lead to severe consequences. This is where a healthcare fraud attorney steps in. This article explains why you might need one and how they can help protect your interests.

Understanding Healthcare Fraud

Healthcare fraud involves the misrepresentation or intentional deception that results in unauthorized benefits. It’s a broad term covering various illicit activities within the healthcare industry. 

Common Types of Healthcare Fraud

Healthcare fraud can manifest in various ways, each with its unique methods and consequences. Understanding these types of fraud is crucial for patients and providers to recognize and prevent fraudulent activities. From billing schemes to illicit referrals, let's explore the most common types: - Billing for Services Not Rendered. This is when providers bill for medical services or never performed procedures. - Upcoding. Upcoding is the billing for a more expensive service than was provided. - Kickbacks. Kickbacks occur when providers receive incentives for referring patients to specific services or suppliers. When we face legal issues related to healthcare fraud, consulting a medicare fraud attorney is crucial.  (more…)