Trillions of dollars are released for various health and medicare schemes every year. These schemes primarily include health insurance and various plans under which government aids the needy through discounted/free healthcare facilities. The most common instance of healthcare fraud is falsified insurance claim. Another type of healthcare fraud is practiced by service providers, as hospitals, doctors, physicians, chemists, and pharma and insurance companies. They provide unjust treatment/services to patients and medicare beneficiaries.
How to Spot These Frauds?
- Before enrolling for a health insurance scheme, read through all the T&C, and speak to the agent/representative of the company to understand the scheme.
- Be aware of policies and regulations set by state authorities and federal government.
- Check if the policy that you are registering for is government approved. (However, this could be a tricky task. So, you can consider checking the reviews of the insurance program on the internet.)
- Stay attentive when seeing your doctor/hospital.
- Make sure you are getting the right treatments/tests.
- Take invoice for all your treatments/tests/medications.
Keeping these points in your consideration will help you spot the irregularities in the healthcare sector.
How to Stop Healthcare Fraud?
- Once you notice some irregularity, you can consult to a CMS lawyer.
- Discuss your concern with the attorney, and understand if your case is really a case of healthcare fraud.
- Register your complaint and file the case with the help of your False Claims Act attorney.
- False Claims Act is a litigation tool, presented by the federal government that enables you to sue the fraudster on behalf of the government.
If your charges are proved, you will receive the compensation (certain percentage of recovered money) from the government. Your False Claims Act lawyer will help throughout the proceedings until the responsible are held and fined. These lawyers help you stop of the instances of fraud in the healthcare sector.
