Common Instances Where a Medicare Fraud Attorney Can Help

Medicare frauds are the perplex types of cases, where an experienced Medicare fraud attorney can be of much help. These cases are constantly evolving with changes in Medicare governing laws and regulations. Hence, it becomes highly technical for a whistleblower to prove any Medicare fraud due to strict rules of secrecy. A Medicare fraud attorney can understand the complexity of these terms and comprehend the same in an easier way to the whistleblower.

Understanding the complexities of Medicare fraud cases is, at times, quite expensive. A trustworthy and genuine medicare fraud attorney can help you to build a successful healthcare fraud case while minimizing your expenses. You need to disclose the entire case in front of your attorney so that the case can get a strong foundation.

Most common medicare fraud examples

Medicare is a federal health care program, which intends to provide healthcare services, life-saving drugs, and much more. Any fraud in these fields can bring the survivor to a medicare fraud attorney for taking the case ahead. Here are a few common examples of medicare frauds the attorneys are handling these days:

1. Lack of medical requirements: If there is billing for product, service, or procedure, which are not medically necessary.
2. Phantom billing: This fraud belongs to the reimbursement claim made by a company for an employee who doesn’t exist.
3. Double billing: It is the fraud where a customer is charged twice for the same product or service.
4. Pharmaceutical fraud: These frauds include various activities that result in false claims.
5. Upcoding and unbundling frauds: These involve improper applications of codes for any medical procedure or diagnosis.

Approach your attorney today

If you have discovered or tackled any medicare fraud, you should immediately speak with a medicare fraud attorney to investigate and prosecute the lawsuit. The attorney helps you to unveil intricate layers of medicare case by performing the in-depth background evaluation. For more insight into Medicare fraud or to seek the assistance of an experienced professional, you can seek help from Haber’s Law. The renowned legal firm extends cordial legal support to its clients affected by Medicare fraud.

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How Does Federal False Claims Act Work?

The false claim act is a federal law that poses liabilities on persons and companies who defraud governmental programs. It is regarded as one of the most effective tools to combat fraud against the federal government. The false claim act is often referred to as Lincoln’s Law and it has been considered as highly effective in combating fraud and abuse in government contracts for defense, energy, construction, housing, natural disaster recovery, and other forms of government procurement. The law includes qui tam provision, which allows people to file action on behalf of the government.

How does false claim act work?

The False Claim Act allows people (relators) to file a lawsuit against those who directly or indirectly defrauded the federal government. The lawsuit can be filed against the individual, businesses, and entity. The cases are filed by the whistleblower, a person who exposes any illegal activity or pass on the information about the unethical activities undertaking within the organization to the government.

The whistleblower who brings the case against an individual under the false claim act files the complaint under seal. It means that neither the defendant nor the public is aware of the charges under which the complaint is filed. The complaint remains under seal for 60 days until the time the government investigates the charges and allegation files by the whistleblower. Filing the case under false claim act seems to be complex. If the whistleblower fails to submit accurate reports in the manner required by the False Claims Act can result in a dismissal of the whistleblower’s lawsuit. In this circumstance, the whistleblower seeks the help of the false claims act attorney, who can help ensure their claim is filed and litigated properly and in a manner that protects their rights.

The false claim act attorney ensures that the allegations filed by the whistleblower against an individual or entity are correct.

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Why Whistleblowers is Important for Physicians?

A job of a physician involves working for long and irregular hours. Physicians may have to frequently travel between their office and hospital to address the concerns of their patients in case of emergency. Their work is certainly hectic and demands continuous efforts on a day-to-day basis. Since physicians can cure even some of the severe illnesses, patients consider them to be a blessing in disguise. However, several cases are reported against physicians for deceiving patients, as it has become rampant in the nursing industry. Many hospitals and medical service providers across the globe have turned to illegal practices to boost their foundation.

Following are some examples of frauds done by the physicians in hospitals:

• Billing for patients that never existed
• Using cheap medical equipment, but billing for premium services
• Billing for services that haven’t been performed
• Billing more than once for similar service
• Waiving co-payments consistently

Steps to limit fraud or false claims by a physician

The government has taken serious steps to recognize and stop these frauds in the medical industry that lead to inefficiency and excessively increased costs of treatments. After considering all options, the government has decided to provide a financial incentive to people who witness illegal practices and are willing to file a report.

If you come across a situation, where you believe the government is being tricked illegally by physicians, you can also be one of the whistleblowers that recover between 15 to 30 percent amount from their scheme of fraud lawsuit. You can play an important role in stopping these illegal activities by filing legal actions against fraud or false claims by a physician. Your act of whistleblowing against harmful deeds of physicians will not only highlight your courage but will also help out society to abolish corrupt practices.

Protection of Whistleblowers

Whistleblowers, without a doubt, do good work for the society, but they may sometimes have to face insecurities for filing complaints against an organization. However, there are whistle-blower lawyers, who protect whistleblowers and also help them get a reward for your brave act. So, if you’re willing to get some benefits by exposing some organization, physicians and other entities from your whistleblowing act, you can contact some reputed attorneys to easily deal with the entire situation.

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4 Things You Might Not Be Aware of a Health Care Lawyer

Over the past few years, fraudulent issues in the healthcare industry have become a growing issue of concern. False allegations, medical disputes, abuse, healthcare fraud, etc., lead to a potential penalty. Any false claim in relation to a Medicaid can irreparably change the life of a professional, especially one who is dependent on a license to practice. With an increase in the potential cases of healthcare crime, healthcare lawyers understand the potential penalty and come with a conviction.

Healthcare lawyers possess acute knowledge. They are equipped to counsel clientele regarding any types of administrative and regulatory disputes involving, malpractice allegation, violation of anti-trust, charges of negligence, pharmaceutical product liability lawsuits, etc. The healthcare attorneys are experienced in handling day to day issues and assist clients in complex matters.

If you are charged with healthcare fraud, then you must know 4 points, which includes:

• Payment suspension: Under Affordable Care Act, if a health care provider is found guilty, he/she will be deemed to suspend. This is done through the recommendations made by the department of Health and Human service to the Centers for Medicare and Medicaid Services (“CMS”).CMS halts all payment of the physician. In such a situation, one can hire a lawyer for doctor, who strategically plans to protect the interest of the company and its staff. Experienced lawyers can cut down criminal charges.
• Grand Jury Subpoenas Issued to Suspect’s Banks: the goal of the government is to recoup money from healthcare firms who illegally obtained money through fraudulent business operations. While doing so, the government will issue federal Grand Jury subpoenas to banks and financial institutions. The healthcare lawyers help healthcare institutions but it is extremely rare that bank shares illegal information with customers.
• Medical malpractice: Medical malpractice claims are quite challenging. A medical mistake is devastating and negligence is the root cause of the mistake. By hiring medicare fraud lawyer, you can sense the validity of your claim and punish the guilty.
• Insurance claim: If you met with an accident and you have medical insurance, you can file and insurance claim with insurance service provider. An insurance claim will give you compensation for any sort of medical expenses and if you are not satisfied with the insurance claim process, you can seek the help of legal attorneys, who would appeal to the insurance company for a claim.

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Who is a Medical Licensing Board Attorney?

Most of the times, medical professionals come under conflict with the licensing board. They are either alleged for maltreatment of patients, mistreatment of vulnerable adults, negative peer review, unprofessional conduct, criminal issues, or billing issues. When a patient accuses Doctor of wrongdoing, the medical licensing board sends out a letter to the doctor outlining all the allegations. At this point of time, medical officials feel that they can deal with the issue on their own, but defending oneself against false accusations of misconduct make difficult for one to undertake alone. If you are a licensed doctor or nurse, you should reach out to the medical licensing board attorney for help.

The attorneys of Medical license board are skilled and have an in-depth knowledge of the legal proceedings. They properly investigate the situation, gather facts and put light on the instances, which are most favorable to the medical representatives. A medical licensing board attorney is one who assists medical professionals and save them from administrative actions and legal allegations. The defense lawyers protect the rights of physicians and advance a medical doctor’s interest in an investigation or prosecution. A medical licensing board has a team of Medical licensed defense attorneys that represent doctors with medical licensing matters, such as disciplinary actions, licensure application appeals, negligence claims, employment and criminal issues that impact licensure, etc. It is imperative for you to hire a Medicare fraud defense attorney the United States if you are charged with a crime.

When the licensing board finds a physician to be guilty, they may either revoke the license, suspend the license, impose a limitation on physician practices, or impose a civil penalty. By taking help of medical licensing board attorney, they can handle civil and criminal medicare fraud issues and all subsequent licensure issues of the medical officials. The firm handles a variety of cases belonging from all fields of Medical community.

When dealing with disciplinary action or a criminal charge, medical professional gets tugged in legal and administrative rules and procedures which, if not followed correctly, can end the career of the physician. Therefore, it is essential for a medical representative to speak with a lawyer about the legal issue and get it resolved sooner.

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Important Tips to Select the Right Healthcare Fraud Lawyer

The term fraud basically means the usage of misrepresentation or deceit in order to gain valuable items, money or goods from others. The healthcare fraud is not a different concept. Its victims may involve either healthcare practitioners or patients. However, the culprit needs to pay serious penalties to the victims if found guilty in the case. Thus, to deal away with the situation effectively and wisely, a healthcare fraud lawyer becomes the need of the hour.

Diversity of healthcare frauds

The United States alone accounts for an overall healthcare fraud of over $80 billion within a year as per the investigation of FBI. At times, you can easily differentiate between right and wrong while some cases may have blurred lines between illegal and legal. Here are some of the most prominent healthcare frauds that people usually experience in the US –

• False billing: At times, the healthcare providers provide the bills for such services that are costly rather than those provided. This is in no circumstance a legally acceptable procedure that calls for strict actions against the practitioners.
• Double billing: This is yet another most common phenomenon that patients face with the healthcare providers. They unnecessary charge you twice for any single service, treatment or product.
• Kickbacks:The situation of kickback arises when the practitioners intentionally demand for payments, services or products to solicit any healthcare program for the patients.
• Phantom billing: This type of fraud involves charging for such tests that practitioners not even perform. 

Finding the right defense lawyer

Whether you are a practitioner or a client, if, at any instance, you find yourself stuck in a situation of healthcare fraud; you immediately need to contact a reputed healthcare fraud lawyer for better assistance. Although, various criminal defense lawyers are available at your service, consulting a specialized attorney can give you a distinctive approach. Here are few tips that you can consider while hiring the right lawyer for your case –

• Make a list of top skilled healthcare fraud lawyers of your city.
• Examine their past experience and number of cases dealt by them.
• Check if they are compliant with the official governing bodies or not.

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Acquire an Attorney, Having Excellent Knowledge for Whistleblower Protection Acts

When you eyewitness fraud nearby you, it becomes essential to hire a Whistle blower lawyer to immediately file such a case. These qualified lawyers or attorneys keep your identity confidential as a surreptitious and take appropriate steps to catch the third person who is responsible for the fraud. To help you out in a safe and secure manner you can consult leading law firms. Deciding a law firm to stand for you in the whistleblower proceedings is the major decision that affects the result of the case. These firms’ have experts who work professionally while maintaining clients privacy and security.

These companies have their own official websites so that you can browse and know detailed information about assorted law firms. Their informative sites have complete detail that you want to gather. If you still have some query, contact them and they will consult you better solution in a very trouble-free manner. You must anticipate positive results from the attorney. Here are some important tips that you must follow while hiring a whistle-blower attorney.

• Hire a lawyer who has years of experience in Qui Tam law or commonly known as False Claims Act.
• A legal representative having good experience in the particular field is able to solve the case efficiently. The expert lawyer knows better what type of proceedings can help your case and they put all his concentration to resolve it.
• A transparent relationship between you and your lawyer is must. Maintain a good connection to discuss your issues to get courteous replies. Some experts can provide free conference to discuss your case additionally for faster results.
• They must have proper regulations to keep your details confidential. First gather complete knowledge for the firm, if you feel pleased and comfortable only then discuss your matter.

Consider these factors before employing a firm of individual for your case. A Whistleblower lawyer has appropriate knowledge and understanding to Qui Tam law and has experience of solving different matters. Some of the companies are providing their services at very sensible cost for better convenience of their clients.

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