Medicare or Medicaid fraud is the collection of heath care reimbursement through these two entities under false pretenses. Because these programs are based on an “honor system” of billing, it is a target for fraud. This type of fraud is typically seen in the following ways:
- Phantom Billing: A medical provider bills Medicare for medical procedures or tests that are unnecessary or never performed, for unnecessary equipment, or bills newly-acquired equipment as “new” that is in fact used.
- Patient Billing: A patient provides his or her Medicare number in exchange for kickbacks from a medical provider. The provider then bills Medicare for fraudulent tests or procedures and the patient confirms that they did indeed receive the medical treatment.
- Upcoding and Unbundling: Inflating bills by using a billing code that indicates that the patient needs expensive procedures.
Contact a Heath Care Fraud Defense Attorney Today
If you are a patient, medical professional or business operator accused of Medicare or Medicaid fraud, you need quality representation. Use the contact form at the bottom of our page, or call (954) 771-7455 or (954) 523-2100 today!