Fraudulent Medical Procedure Documents

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Health Care Fraud — FBI - Federal Bureau of Investigation

https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud

If you suspect fraud, contact your health insurance company (most have toll free numbers to report fraudulent activity). Medicare fraud can be reported to 1-800-HHS-TIPS (1-800-447-8477). You also can contact your local FBI or HHS-OIG offices or your states Medicaid fraud office. See more

The Challenge of Health Care Fraud – NHCAA

https://www.nhcaa.org/tools-insights/about-health-care-fraud/the-challenge-of-health-care-fraud/

Health care fraud has a human face too. Individual victims of health care fraud are sadly easy to find. These are people who are exploited and subjected to unnecessary or unsafe …

Documentation Matters Toolkit | CMS

https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Program/Education/Documentation

8 U.S. Code § 1324c - Penalties for document fraud

https://www.law.cornell.edu/uscode/text/8/1324c

Whoever, in any matter within the jurisdiction of the Service, knowingly and willfully fails to disclose, conceals, or covers up the fact that they have, on behalf of any person and …

Common Types of Health Care Fraud Fact Sheet

https://www.cms.gov/files/document/overviewfwacommonfraudtypesfactsheet072616pdf

Health Care Fraud Fraud, waste, and abuse pose major risks for the Medicaid program. “Fraud means ... to “provide such methods and procedures relating to the utilization of, …

How to Report Medical Billing Fraud: 8 …

https://www.wikihow.com/Report-Medical-Billing-Fraud

Report the fraudulent billing you've experienced, including the name of the medical facility, …

Western District of Michigan | Health Care Fraud

https://www.justice.gov/usao-wdmi/health-care-fraud

Health care fraud occurs when an individual, a group of people, or a company knowingly mis-represents or mis-states something about the type, the scope, or …

What Are the Consequences of Falsifying Medical …

https://legalbeagle.com/8396562-consequences-falsifying-medical-records.html

Even non-medical professionals can get in trouble for falsifying medical records. You can't go into the hospital and make changes to your sister's chart, for …

7 Steps for Conducting a Fraud Investigation | Crowe LLP

https://www.crowe.com/insights/healthcare-connection/7-steps-for-conducting-a-fraud-investigation

Step 4: Preserve and collect evidence. Once an organization is aware of a fraud allegation, it is important to take steps to preserve any electronic and hard copy …

The False Claims Act and Fraudulent Medical Billing

https://www.hg.org/legal-articles/the-false-claims-act-and-fraudulent-medical-billing-20238

If the healthcare provider ordered a service that had no medical value, this can be an egregious billing. Inadequate Services Another type of fraudulent billing involves …

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