Under the Anti-Kickback Statue, it is illegal for any health care provider to knowingly and willfully offer or pay any remuneration.
Unintentional coding and billing errors are among the most commonly found issues that can trigger health care fraud investigations.
Prescription drug fraud is a broad term that encompasses a wide range of civil and criminal offenses under numerous federal laws.
The single most-powerful tool that the federal government has for prosecuting doctors suspected of fraud is the False Claims Act.
Health care businesses that make poor decisions to falsify patient records and test results in order to bill increased amounts of additional dollars.
Services are considered medically necessary when they are needed to diagnose or treat an illness, injury, condition, disease, or its symptoms.