Health care fraud is a very serious crime. If you’ve been charged with it, or are being investigated, speak with a health care fraud attorney immediately. This article covers health care fraud, how it’s investigated, and how a great health care fraud attorney will fight it.
Healthcare in this country is primarily paid directly by private health insurance companies and public health medical assistance programs such as Medicaid and Medicare.
Health care providers include doctors, nurses, home health care specialists, pharmacists, and physical therapists.
They also include the vendors of durable health care goods like wheelchairs, walkers, and other medical supplies and equipment.
When one of these professionals knowingly over bills or bills for services that weren’t provided, they can be indicted and convicted of health care fraud.
When it occurs on a repeated basis over a period of time, it will be identified as a scheme and become a target of a federal law enforcement agency such as the FBI, Department of Justice, and the Department of Health and Human Services.
Prosecutions are in the Federal District Court in the Eastern District of Michigan.
The government also attempts to recoup lost funds through federal civil forfeiture laws and enforcement of the federal false claims act, which monetarily penalizes individuals fraudulently making a false claim for payment or approval from the federal government.
Each claim is punishable by a fine between five and ten thousand dollars plus three times the damages the government sustains.
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