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
Medical fraud activities have always been a threat to the US healthcare system. Medical representatives such as doctors, nurses, and laboratory workers have been threatened through force and intimidation. Fraudsters have been strategic in obtaining medical-related information. They can work by an individual or collective force. Today medical fraud activities affect the lives of many. … Read more
Introduction Medicare is the second-largest insurance program in the federal budget of the United States of America. According to the statistics, Medicare costs $582 billion — representing 14 percent of total federal spending with 59.9 million beneficiaries and total expenditures of $741 billion in 2018. Hence, as major bedrock of health care for millions of Americans, Medicare pays … Read more
As the population in the US increases, medical demands also have increased. This dramatic event has encompassed several economic undertakings, posing a stronger challenge to the government in regulating cases involving fraudulent activities in health care services. Now, the challenge is not an end for the government but also on your initiative. Medicare fraud is … Read more
Where there is money, there is often fraud, and this holds true with medicare and medicaid cases as well. Believe it or not, there are actually many cases every year, accounting for millions of dollars that need to be recovered. To give you an idea, here are the top 10 of the biggest cases and … Read more
