Anyone who the government believes took part in the false or fraudulent billing can be prosecuted. I put the emphasis on who the government believes, because being prosecuted is simply the opinion of the prosecution. They may not be convicted if a proper defense is raised. To learn more about your rights, contact our office to speak to a healthcare fraud attorney at the Law Offices of Mark L.
Today there are a lot of people who receive healthcare in their home. Submitting a false bill for home healthcare is the same as any other healthcare fraud. In a past home healthcare fraud case attorney Mark Horwitz was able to establish that one bottle of oxygen was being delivered but the company was billing for ten. "I actually had two separate trials on it," says Mark Horwitz, "the first
CPT and diagnostic codes are the basis of how medical bills are submitted today. This applies to Medicare, Medicaid as well as private insurance companies. It is not unusual to have disputes over the proper code. Depending on many factors there can be five or six different codes for an office visit. It's important because of the role it plays in determining whether a service was properly
What we are seeing in fraud cases is a movement away from charging the company. Looking back at Enron we can understand why the government is moving away from this practice. The CPA company that was charged went out of business and put many people out of work. Later the conviction was reversed, but the company was still dead. While companies are investigated they're also specifically going
It is very important to hire a lawyer with the right experience for your health care fraud case. The majority of healthcare fraud cases are brought in Federal court which creates a two-pronged issue. First, if the case is in Federal court finding an attorney with experience over the course of their career is important. Trying a case in Federal court once or twice over the course of their career
Medicaid or Medicare fraud ultimately comes down to one thing: false billing. False billing can take on many forms; it can even be legitimate billing with which the government simply does not agree. The problem with billing, particularly in the medical profession, is that it is extremely complex. Medical billing uses a complicated coding system that is difficult to understand, and sometimes can