Healthcare fraud poses significant risks to your practice and reputation. Aside from eventually impacting your profession, it can also affect different areas of your life. Protecting yourself involves proactive steps and a keen awareness of potential pitfalls....
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Healthcare Fraud
How clerical errors can lead to healthcare fraud allegations
Healthcare fraud is a federal offense that can lead to significant consequences. Some practitioners face massive fines, license revocations and prison time. Plus, even if the fraud is unintentional, a mere allegation can lead to a permanent stain on one’s reputation. ...
How no-show fees could lead to health care fraud allegations
Health care professionals and members of their support staff can face allegations of health care fraud for seemingly minor mistakes. Particularly when organizations accept government insurance coverage such as Medicare or Medicaid, billing practices can potentially...
Why federal health care fraud charges can be very costly
Some kinds of criminal charges are classified as federal offenses. Health care fraud related to insurance billing is typically a federal crime. Such offenses make use of federal financial infrastructure and may involve government insurance programs like Medicare or...
How patient brokering differs from legitimate patient referrals
Doctors often direct patients to other healthcare professionals for further care, which is a common and accepted practice. However, the line between legitimate referrals and illegal patient brokering can blur when money is involved. These two practices may appear...
Is a phantom prescription a form of health care fraud?
Small mistakes by health care professionals and their support staff could potentially lead to major legal issues. Seemingly insignificant decisions that might seem like smart business moves can technically constitute health care fraud. Billing specialists and licensed...
Healthcare fraud: What to know about this serious offense
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...
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...