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Medicare and Medicaid Fraud Lawyers

What is Medicare/Medicaid Fraud?

Medicare and Medicaid are government programs that provide healthcare.  Medicare/Medicaid fraud includes: 

  • Billing for Services not Performed - For example, billing for an x-ray never taken
  • Substitution of Generic Drugs - A pharmacy substituting a generic drug for a brand name drug at a substantially lower cost, but then billing an insurance carrier or patient for the brand name drug
  • Unbundling - When a provider takes one medical procedure and breaks it down to bill each of its component parts ¿ an example would be a provider billing for a surgery, and then billing again for a check-up appointment for the patient the following week
  • Unnecessary Services - Provider falsifies patient¿s diagnosis to get payment for unnecessary lab tests
  • Double Billing - A provider bills both Medicaid and the insurance carrier or patient for the same services

What Should I Do if I Have Been the Victim of Medicare/Medicaid Fraud?
Recovering your losses from the fraud can be complicated and difficult.  A health law attorney can advise you of what steps to take to report the fraud and what remedies you are entitled to.  If need be, a health law lawyer can also represent you in court.

What Should I Do if I Have Been Accused of Participating in Medicare/Medicaid Fraud?
Charges of Medicare/Medicaid fraud are very serious and carry substantial penalties.  A health law attorney can inform you of your rights and possible defenses, as well as properly guiding you through the complex legal system.

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