Understanding Healthcare Fraud Prosecutions
Healthcare fraud simply refers to an act that intends to defraud a healthcare program of the Government. An act or an omission could be violative of the various laws regulating healthcare fraud in the US. However, the key piece to each one of these trials is the intention, and only an experienced lawyer for doctors can help exonerate you from any charge of healthcare fraud. Common examples of healthcare fraud Common examples of healthcare fraud include but are not limited to kickbacks, ghost patients, services not rendered, up-coding services, inflation of cost reports, bundling and unbundling, financial interest that is improper, false certification, etc. How to recognize you are accused Receipt of a healthcare audit request is a sign that you are being investigated for healthcare fraud. A Civil Investigative Demand or a CID is another sign. A more obvious sign is when you are subpoenaed by the Department of Health or when the Department of Justice (DOJ) issues a grand jury subpoena