Healthcare Fraud

Mistakes in billing are more common than many people realize among healthcare providers. Medical coding rules, insurance requirements, and government healthcare billing systems can be confusing. A simple mistake isn’t fraud. However, repeated billing problems or suspicious billing patterns can sometimes lead to serious federal scrutiny. A Federal healthcare fraud lawyer can help someone get…

Healthcare providers, business owners, and medical professionals can find themselves in serious legal trouble when federal investigators suspect healthcare fraud may have taken place. Many are surprised to learn that investigations often start well before charges are laid. Sometimes, investigators will monitor records for months or even years before a person knows they are being…

Healthcare fraud is taken very seriously, and in some situations, it can turn into a federal case. Many people think it only applies to large, intentional schemes, but even what seems like a simple billing mistake or business issue can sometimes lead to federal charges.  Knowing when this could happen helps you spot the risks…

In these investigations, there are often informants who decide to give the government information about fraudulent billing. Sometimes these people are whistleblowers. They may work inside the company, believe something illegal is happening, want it to stop, and do not want to be involved in the wrongdoing. They may secretly give this information to the…

The medical industry is closely watched and heavily regulated. Because healthcare fraud costs billions of dollars each year, federal and Texas authorities, along with insurance companies, spend a lot of time and resources investigating and prosecuting suspected fraud. People and companies accused of healthcare fraud can face civil penalties, criminal charges, or both. Understanding Medicare…

If you are a pharmacy owner, pharmaceutical manufacturer, physician, or someone who can access controlled prescription medications, you are, hopefully, familiar with the regulatory requirements for safeguarding the drugs under your control and keeping accurate records. The U.S. Department of Justice, under the cloak of the Drug Enforcement Administration, investigates possible cases where prescription drugs…

Federal healthcare fraud investigations are usually incited by informants who, for whatever reason, have found themselves in a position where they feel it necessary to provide the government with information about fraudulent billing practices. Oftentimes, these informants are whistleblowers who will confidentially feed the government information that has the power to open an investigation.  Federal…