When you try to help the needy, sometimes it comes back to bite you. Medicare and Medicaid and heavily regulated government programs like them are rife with scammers and people trying to take advantage of the system, so police and watchdog groups are always on the hunt for fraudsters. This means they may sometimes be overzealous in their reading of the rules and regulations, but this is only to protect the integrity of the healthcare services that they oversee.

Some types of scams are easy to pick out from the bunch, like doctors ordering unnecessary surgeries and inputting false diagnoses to justify those aforementioned services.

Others can be much more complex and well-hidden, such as medical coding errors that defraud Medicare and Medicaid or other government healthcare programs.

Here is a shortlist of some common Medicare/Medicaid fraud crimes that your business may be unknowingly committing:

• Doctors claiming services that were never performed

• Offering patient rewards in exchange for their Medicaid ID number

• Billing Medicare for unnecessary equipment and surgeries

• Giving out false information regarding Medicare benefits or plans

• Offering patients kickbacks for referring new patients to a practice

• Collaborating with Medicare beneficiaries to bill for false services (collusion)

• Billing services or procedures that are not covered under Medicare

• Billing patients for equipment that they never used
• Sending out bills for home equipment after it has already been returned

Despite the heavyweight of laws and regulations in this industry, it’s unfair to assume guilt before it has been proven. When you are in need of high-quality defense services to ensure your healthcare business can stay afloat during these tough times, turn to our legal team for the answers that you need.

We can streamline the process to make it much simpler for you to handle any accusations of fraud when dealing with the complexities of Medicare and Medicaid guidelines.

If your business is currently dealing with accusations of healthcare fraud or you suspect that someone in your offices has committed fraud in this realm, talk to our legal team to learn what your options are. Don’t allow a simple misunderstanding to drag your entire business down–after all, there are people to help and services to provide for them.