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What might prompt allegations of health care fraud?

On Behalf of | Jul 6, 2023 | Criminal Defense

If you operate in the health care industry, you may take part in the treatment and care of a multitude of patients across various areas of Minnesota. While you might make every effort to provide your patients with an acceptable standard of care, sometimes it could prove nearly impossible to please everyone.  

However, the possibility of having an unhappy patient might not be your only concern, as there may also be some scenarios in which others might accuse you of unlawful behaviors. Health care fraud is a type of offense that can carry severe ramifications, and facing such allegations can be a stressful and taxing process. 

Types of health care fraud 

Knowing some of the most common types of health care fraud could be essential to taking steps to ward off similar concerns. Some examples of issues that might prompt allegations of fraud may include: 

  • Fraudulent billing: Altering billing information to include services that you did not render or to reflect the price of a service that costs more than what one received are two common examples of fraudulent billing practices. 
  • Tampering with records: Falsifying information on patient records to drive up the costs of care or to promote services that may be unnecessary could also lead to allegations of fraudulent activity. 
  • Misrepresentation of services: Altering information to seek compensation for services not covered under insurance policies may also be ill-advised, as this might constitute fraudulent misrepresentation. 
  • Kickback schemes:  Health care fraud may also take the form of kickback schemes, such as a scenario in which medical professionals receive compensation for referring patients to specific parties. 

Taking care to be thorough when sending medical bill information to insurance companies may also be vital, as overbilling to these parties may also lead to allegations of fraudulent activity. 

When allegations of health care fraud arise 

There may be various scenarios in which allegations of health care fraud may arise, and facing such a scenario can prove a daunting experience. Since a conviction for similar charges could have a significant impact on your life, it might be in your best interests to seek advice on addressing your legal rights and available options. In doing so, you could obtain much-needed guidance on what to expect from this process and in preparing a strategy with which to seek the best outcome possible regarding your future. 


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