You’re a hard-working doctor, and you take your patients’ care very seriously. Even though you try to do everything by the book, you have found yourself in a difficult position. You’re being accused of ordering unnecessary tests, up-charging your insurance providers or otherwise committing fraud.
This is a serious allegation, and you need to face the issue head-on. If you’re under investigation or have been charged with health care fraud, then you should carefully consider working with a defense attorney. Your attorney’s job will be to help you understand the charges and to fight them. It’s completely possible that this is a misunderstanding or that innocent mistakes led to these allegations.
What kinds of actions can lead to accusations of health care fraud?
You could be accused of health care fraud if you:
- Upcode services provided to a patient
- Bill more than once for the same service
- Bill for services not rendered or services that were not authorized by the insurance company or your patient
- Billing too much for a service based on what is permitted
- Received payments for referrals
- Made false statements to obtain payments from the Medicare or Medicaid systems
In many cases, those who are facing accusations of health care fraud don’t have a criminal background. They may not have any history of criminal acts or getting in trouble with the law. Realistically, medical billing, and the medical industry, is complex, so mistakes are going to be made.
Your attorney will be there to fight for you. They can help you with accusations of Medicare and Medicaid billing fraud when needed. If you’re facing unfair charges of fraud, make sure you get the help you need to protect your interests — and your medical license.