Healthcare fraud charges refer to cases when a healthcare provider intentionally tries to defraud or misrepresent medical claims to the government to avoid taxes or earn illegal money. And the reason why healthcare law is complicated is that not one law regulates the fraud charges. But, the defendant should consider numerous laws to avoid fraud charges.
Healthcare fraud charges and abuse charges come at a huge cost, both individually and to the economy at large. The FBI reported that healthcare fraud in America alone costs tens of billions of dollars every year. Fraud cases can involve all the medical healthcare providers, including a doctor and an entire clinic.
As a defendant, you could be charged for anti-kickbacks, referrals, and false claims with serious consequences, including heavy penalties, prison, and even it can cost you your medical licence.
If a healthcare provider gets convicted for fraud, anti-kickback, conspiracy, or false claims, they will have to face severe penalties. Though it will highly depend on the particular violation, you can face the following penalties:
While there are heavy penalties for healthcare fraud charges, you can also avoid these charges if you have the following defences:
Cases of healthcare fraud have been rising in the healthcare industry. Healthcare providers must take action to control the rising fraud cases, as 60% of faulty claims are accidentally mishandled by the providers.
They should invest in proper training and education to minimise the chances of fraud, either on purpose or by accident. Moreover, they should be well aware of the severe consequences that healthcare fraud can have on the entire healthcare system.