When an individual intentionally deceives a healthcare provider, insurance company, or government program to obtain money or services illegally, there can be harsh consequences. This is healthcare fraud, and understanding this offense is crucial for anyone working in...
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Healthcare Fraud
Is it illegal to refer a patient to another health care provider?
As a physician, you give your patients the best care possible. When their medical condition falls out of your scope of expertise, you would want to refer them to another specialist or health care provider better suited to address their specific health concerns. You...
Using illegal billing practices for financial gain
There are certain types of financial crimes that can come with steep penalties, including time behind bars and other consequences. White-collar crimes, including health care fraud, involve committing certain types of deceptive acts that allow a person or party to...
Reinstating a suspended or revoked medical license
Having a medical license suspended or revoked can be career-ending. You won't be able to practice without a license, and some customers may refuse to see you again. However, there is still hope; the state of Michigan has procedures in place for reinstating suspended...
Healthcare fraud leads to prison sentence for Michigan surgeon
Doctors and care providers bear the responsibility of providing exceptional care and support for their patients. However, some care providers find themselves in legal trouble, not because of medical negligence or mistakes, but because of improper billing practices or...
What actions constitute health care fraud?
Financial crimes are considered by the federal government to be grave criminal offenses, despite the lack of an element of violence in these cases. Health care fraud is a common financially motivated crime, and a conviction for this type of offense can result in...
Podiatrist receives prison sentence for health care fraud scheme
The federal government takes financial crimes seriously, typically prosecuting these cases to the fullest extent of the law. One doctor from Michigan received a lengthy prison sentence for planning a health care fraud scheme in which he billed Medicare under a false...
Home health workers accused of defrauding Medicare of millions
The U.S. Department of Justice is charging almost two dozen health care workers for their role in a fraud scheme. The 23 individuals are accused of defrauding Medicare out of millions of dollars through a home health care agency. The operation is thought to have...
Doctor illegally distributes opioids, sentenced to 16 years
The federal government takes drug-related criminal accusations seriously, and authorities prosecute these cases to the fullest extent of the law. A Michigan doctor is facing serious legal repercussions for his role in the illegal distribution of opioid medication and...
Types of health care fraud that could result in serious charges
Medical care providers have a certain obligation to their patients, and they also bear the responsibility of billing insurance companies appropriately. Failure to follow proper billing procedures and willingly filing false claims are only two examples of health care...