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

Individuals or entities who commit Medicare fraud can be convicted of a felony. But, it is not always the case; some are just exposed to penalties, fines, exclusion, and so on. Felony is a criminal offense punishable by more than one year in prison. Medicare is a federal program, and defrauding the government and its … Read more

An email, a text, or a call from a referral is exciting, especially when it offers you a package full of opportunities and surprises. But in the federal healthcare programs, it is another story to tell. Admit it or not, getting yourself a discount or a freebie warms your heart. This capitalist set-up shapes your … Read more

A qui tam lawsuit filed under the False Claims Act is perhaps one of the strongest whistleblower protection laws in the U.S. It is also one of the most serious cases a civilian can file and therefore must be done with caution and full understanding of the subsequent implications and/or consequences. Unfortunately, there are dozens … Read more

Medicare has been part of your journey, bringing a story of hope, strength, and courage to live a healthy and tranquil life. For every benefit that Medicare brings is building a hero in you. A hero who perseveres to become stronger, determines to be productive, and strives to be of services to others.  But for … Read more

Have you ever experienced being scammed by a healthcare service provider through subscribing to a fraud monthly insurance or billed by services not rendered? How did you respond when you knew that a physician had falsified your diagnosis to justify your laboratory tests that weren’t necessary? How did you react when a hospital billed for … Read more

Trust and security are watchdogs of a quality health care system. When establishing a healthcare organization, there is implied accountability, transparency, and responsibility to all business transactions, including hospital billings, medical necessities, health care policies, and all healthcare-related matters that involve a patient’s welfare. As the American health care system strives to become the world’s … Read more