Penalties for Medicare fraud and abuse can come in many forms. In our previous blog post, we have already established that you can be indicted for Medicare fraud felony. Apart from that, you might also be required to pay hefty fines and even be barred from gaining access to any federal or state healthcare programs. … Read more

HIPAA violations can crop up from the simple little things you do at the office, clinic, or hospital. From your everyday documentation system to your staffs’ mode of communication, violations of HIPAA are always looming around the corner. That being said, everyone working in the medical field should treat the HIPAA or the Health Insurance … Read more

Fraud, waste, and abuse (FWA) have plagued almost every sector and program in the United States, with healthcare being the most targeted one. Even before the pandemic occurs, the 2018 National Money Laundering Risk Assessment found that the healthcare sector is one of the top sources of illicit funds. In 2020 alone, the healthcare industry … Read more

Violation to the False Claim Act can have serious and severe repercussions. Whether you are an individual health service provider or a healthcare organization, breaching the Federal Claims Act can result in hefty fines and harsh penalties.It can amount from thousands to millions of dollars and even put you behind bars. So with that in … Read more

In an effort to curb Medicare fraud, the government codified law and promised to pay people who provide tips or inside information leading to fraud. Through this move, even ordinary individuals like you can participate in reducing crime and shedding light on undetected fraud that has plagued the health care system over the years.  That … Read more

Over the past few years, healthcare regulations have introduced new rules and undergone frequent revisions. So whether you are a solo practitioner or a multinational healthcare organization, it is important to adapt and take note of these changes.  In the United States, healthcare is one of the most regulated industries. Some are torn on whether … Read more

Having worked with several professionals for many years, we have noticed some of the most common unethical medical billing practices that health care providers tend to make.  Whether it is intentional or not, these unethical medical billing practices have plagued the system and made both patients’ life and medical providers’ jobs a lot difficult.  Just … Read more

The Civil Rights Acts of 1991 was created in response to a series of unpopular decisions made by the Supreme court. Besides overturning these questionable decisions, the Civil Rights Act of 1991 also aims to amend several parts of Title VII of the 1964 Civil Rights Act.  Since the 1964 Civil Rights Act was never … Read more

Unemployment fraud penalties can come in many forms. Whether you intentionally or unknowingly commit fraud, you are up for both civil and criminal penalties. Civil penalties usually just involve fines and paying back the excess amount you collected; while criminal penalties can push you to spend time in jail or serve time in prison. Either … Read more

Unemployment Insurance Fraud is collecting benefits based on false information. If you knowingly collect unemployment insurance benefits even if you are ineligible, then you might be committing UI fraud. Some of the examples of UI claimants’ fraud are continuing to collect UI benefits even if you already return to work; collecting more benefits by not … Read more