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Health Care Fraud

Health care fraud is a form of fraud. It is a white collar-crime, a criminal offence and a felony. Health care fraud is the filing of health care claims in a fraudulent manner to obtain a profit. There are various health care fraud schemes. They may involve or originate in the health care practitioner or the member. The practitioner can be guilty of health care fraud if he or she bills for care never received by the stated individuals. A fraudulent health care practitioner may falsify the dates or change the description of the services he or she actually provided. A practitioner may bill the health care provider or the government for services she or he never rendered. A practitioner may even maximize his or her own gain by intentionally providing false information that prolongs the treatment or increases the billing process. Members may provide incorrect data or forge and sell prescription drugs.

Fast Facts

  • The Internal Revenue Service estimates that 3 to 10% of all healthcare cost may be fraudulent.
  • Of the 466 cases of health care fraud investigated in 2006-2007, only 203 resulted in sentencing.

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Articles

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  • Health Care Fraud

    Healthcare fraud and healthcare abuse cases are on the rise and the number of people charged with these crimes...
    • Site: criminaldefenselawyer.com
    • 1 of 1 user(s) found this useful
  • Health Care Fraud

    staff writer, Feb 09, 2006The Pennsylvania Medicaid Program, during the last fiscal year, spent over $6.3 bill...
    • Site: consumerprotectionlawfirms.com
  • Health Insurance: Employee Rights to Coverage and Benefits

    Currently, there is no federal law mandating employers to provide employees with health insurance coverage.  S...
    • Site: lawfirms.com
  • What is an Elder-Care Lawyer?

    Many people are unfamiliar with the term elder care lawyer. It's not surprising, as it's not a topic that come...
    • Site: elderlawfirms.com
  • Nursing Home Laws

    Nursing Home Laws Bedsores? Neglect and abuse in our nation’s nursing homes is still a serious problem!...
    • Site: elderlawfirms.com

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