Various Types of Healthcare Fraud

At an estimate, the instances of fraud in healthcare sector in the United States slap a loss of more than $100 Billion each financial term. The severity and predominance of corruption in this sector cause a great disappointment to the government and to the citizens as well, because they do not receive the perks provided by the government through different healthcare programs.

Healthcare Frauds

In the U.S., healthcare is one of the most profit making sectors. This regime offers thousands of ways, through which one can multiply one's income by many times. The government and its associate insurance companies release funds for beneficiaries, hospitals, contractors, and individuals. By playing some illicit tricks, one can take home a great sum of money illegally without coming under the scanner of investigation agencies.

Types of Healthcare Frauds

The government runs Medicare, Medicaid and Tricare programs to ease the citizens of the States. In the Medicare scheme, essential healthcare services and insurance cover is provided to the residents above 65 years. The Medicaid program offers healthcare facilities to the people with low income and partial physical disabilities. And, the Tricare scheme dedicatedly offers healthcare facilities to military personnel and uniformed soldiers and their beneficiaries.

Overbilling – It is the most common felony performed by agencies, hospitals and contractors. Issuing more than one bill and obtaining money on the basis of issued bills. Issuing bill for a service or product that wasn't actually supplied.

Delivering poor quality supplies – Charging the exact market rates and supplying poor quality product is another example of healthcare fraud.

Providing wrong treatment – Doctors and physicians are often accused for mistreating their patients, taking their patients through unnecessary procedures and tests, and recommending wrong medication to them.

Whistleblower Law

The whistleblower law of the federal government enables workers, contractors and individuals to raise their voice, and bring fraudulent and criminal activities into the notice of concerning government agencies. Healthcare fraud attorneys, having specialism in whistleblower law, False Claims Act, and Qui Tam provision of the law, assist the talebearers in vocalizing their point.

For whistleblower, taking consultation before filing the complaint is paramount. The law itself is quite broad, and it needs to be comprehensively understood. The case, for which you are going to lodge your complaint, should also be evaluated, whether or not it makes a genuine case under the whistleblower act. There are many significant aspects that you need to learn prior to stepping further. It is evenly important to apprehend the proceedings of the court and filing the application. Your lawyer will help you understand the case, your stand, and the possibilities of your suit.

If you are the sufferer of a healthcare crime, or you have noticed some unlawful activities happening in the healthcare sector, you must speak to a whistleblower lawyer, and register a complaint at the concerning state authority.

 

Source : articlesbase.com