Avoid and Report Health Care Fraud Investigation

Healthcare is a very big complex industry in the world. Nowadays, healthcare fraud is a very sensitive issue in all parts of the world.  It involves doctors, health care practitioners and fake medical supply companies that overcharge and send in false billing invoices to Medicare for services and the products that have never been provided to the patient. Those are from other professions who do the same.

Any type of misrepresentation in health care benefits is regarded as a criminal activity. Timely active icfeci health care fraud investigation defense is required to handle such a situation. Which situations may be regarded as criminal charges?  Here is a look at a few examples.

•    Showing false medical bills

•    False procedure to get coverage under the non-covered medical treatments

•    Showing false medical insurances

Dishonest health care providers mainly commit major health care fraud. Health care fraud is a crime which is not roaming around only to the healthcare provider level but there are other major contributors like patients, taxpayers, employers, insurance plan sponsors, and healthcare vendors also. The insurance prices rise due to healthcare fraud. For every claim insurance companies pay that are fraudulent we pay higher premiums. It may not be fair but this is exactly what happens. The premiums are raised so that companies can recuperate money that has been paid out to those who shouldn't have received it, to begin with. This has a big negative impact on low-income people.

Health care fraud has an even bigger effect on our life. Not only do your tax dollars pay for this but it means that care may be taken away from those who deserve it and are in desperate need. Imagine children not being able to receive the care they need because an adult is getting free care simply because they don't want to work.

This type of fraud also leads to stricter policies and regulations. Medicine that is needed may not be available to some people because of a select few cases of abuse it. Pain medicine is the most widely regulated due to people with addictions. This, in turn, means that some people may suffer in pain due to not being able to get the proper medications. Of course, it isn't just limited to individuals. Doctors and hospitals are involved as well. Some may submit bills for services they didn't provide. Some doctors and hospitals have even gone as far as to create ghost patients. Often times this could be as simple as performing procedures that are not necessary.

The successful health care fraud investigation will result in the collection identify and collect all relevant evidence that would indicate the laws, rules and/or regulations governing health care have been violated, and to identify storytellers who will be able to testify on matters relevant to the identified misconduct. The patient file is the crime scene when investigating health care fraud & abuse.

At ICFECI, we do healthcare fraud investigation of the cases relating to false billing, offering health care services without a license, false insurance claims, false diagnoses, and unauthorized surgery, kickbacks inpatient referrals, Medicare/Medicaid billing schemes. For more information, contact us @ 214-384-3246.