Colorado Springs Defense Attorneys Health Care Fraud
Health Care fraud in Colorado is a very serious crime and ranges in complexity. Whether private or public health insurance plans are targeted, a variety of schemes include:
- Billing for services that were never done in the first place or not necessary - Double billing for services - Billing each laboratory test separately when in fact they were done together (also known as "unbundling") - Kickbacks: an activity where patient welfare is placed below making a profit and it corrupts the decision-making of medical providers because they are compensated by referring patients. This system leads to unnecessary medical care, hospitalization, surgery, and tests - Billing for something other than the service provided (also known as "up coding")
As much as 10% of all money spent on health care annually is paid out on fraudulent claims. Anyone can commit health care fraud- patients, providers, even health insurers. It's very important to understand what is a mistake and what constitutes as actual health care fraud. In order for fraud to be committed, there must be a premeditated scheme to lie in order for financial gain.
Health Care fraud can be prosecuted both on the state and federal level. There are three different types of state healthcare fraud laws, with variations existing in the three broad categories: false claims laws, self-referral laws, and anti-kickback laws. In addition, federal laws apply in most cases. Even though it is a very broad law, it applies when someone attempts to defraud any health care benefits program for financial gain of some sort.
If convicted of health care fraud, you can be looking at prison, fines, restitution and probation. Even though it seems like a minor crime and one that can get lost in the system, a conviction can alter the course of your life, especially if the defendant is a professional with a license to practice medicine. We have worked for years defending those caught in the web of health care insurance fraud. Let us use our experience and resources to win your case. Call us today at 719-227-0230.