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...
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Healthcare Fraud
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...
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...