Miami Healthcare Fraud Attorney
Fraud can happen in a number of ways. Doctors, insurance companies, and others may engage in fraud through scheming with the healthcare system. Healthcare fraud encompasses a variety of illegal activities aimed at obtaining financial gain, such as money and benefits, through deceptive practices within the healthcare industry.
Healthcare fraud is frowned upon because it causes tens of billions of dollars in losses each year. It can raise health insurance premiums, expose patients to unnecessary medical procedures, and increase taxes.
Federal, state, and local agencies work hard to cut down on this fraud. Those convicted of it can face harsh penalties, which is why they need to protect themselves. The team at Asilia Law Firm will work with you to fight these charges. Get the help you need by scheduling a consultation with an experienced Miami healthcare fraud attorney today.
Types of Healthcare Fraud
People may engage in healthcare fraud through the following ways:
- Billing fraud. This involves healthcare providers submitting false claims to insurance companies or government healthcare programs such as Medicare or Medicaid. Billing fraud can include charging for services not rendered, upcoding (billing for a more expensive service than was provided), or unbundling (billing separately for services that should be billed together).
- False diagnosis or unnecessary procedures. Some healthcare providers may engage in fraud by providing false diagnoses or recommending unnecessary tests, treatments, or procedures in order to generate revenue from insurance reimbursements.
- Pharmacy fraud. This type of fraud involves pharmacies overcharging for prescription medications, billing for medications not dispensed, or submitting claims for generic drugs while dispensing brand-name drugs.
- Identity theft. Identity theft in healthcare occurs when someone uses another person’s personal information, such as their insurance ID number, to obtain medical services, prescription drugs, or file fraudulent insurance claims.
- Medical equipment fraud. This involves schemes where providers bill for durable medical equipment that is not medically necessary or is never delivered to patients. Fraudulent suppliers may also use stolen patient information to bill for equipment or supplies that were never ordered or received.
- Phantom billing. Phantom billing occurs when healthcare providers bill insurance companies or government programs for services that were never provided. This can involve fabricated patient visits, procedures, or treatments.
- Medicare fraud. Medicare fraud specifically targets the Medicare program by submitting false claims for reimbursement or overcharging for services provided to Medicare beneficiaries.
- Telemedicine fraud. With the rise of telemedicine, there’s potential for fraud involving remote consultations and treatments. This could include billing for telemedicine services that were not provided or misrepresenting the qualifications of healthcare providers delivering telemedicine services.
Contact Asilia Law Firm Today
Law enforcement officials work hard to combat healthcare fraud, as it wastes resources and undermines the integrity of the healthcare system. It can have serious consequences for patients, providers, and insurers.
It can also have serious consequences for those who are accused of it. If you are facing fraud charges, seek legal help from a Miami healthcare fraud attorney from Asilia Law Firm. We understand that your freedom is at stake and will do what we can to defend you and preserve your legal rights. Schedule a free consultation today by filling out the online form or calling (786) 420-3014.