Medicare Fraud Lawyer San Francisco, CA
As a team member from the Morales Law Firm understands, whether you are a healthcare provider or an individual seeking medical treatment, Medicare fraud can be devastating. For a provider, being slapped with “healthcare fraud” can ruin a practice and make it difficult to provide life-saving treatment to those who need it. For an individual, if you believe that an institution you are working with is being fraudulent regarding its Medicare coverage, you may be concerned that you will not get the medical intervention you need or that you will be paying for services you never used. In either case, whether you are coming up against charges someone placed against you regarding this fraud or if you would like to file a claim against an institution regarding fraud, it is beneficial to speak with your lawyer as soon as possible regarding what you need for your claim.
What are common examples of Medicare fraud?
You may be in a situation where you are unsure of whether the fraud is occurring. Here are a few examples that a Medicare fraud lawyer San Francisco, CA relies on knows may sound familiar to you.
- There are bills for unnecessary services. Especially if you are the patient, you may not understand all of the medical jargon on your bill and wonder what you actually needed regarding tests during your visit. You may be surprised to find out that not all of the services provided to you were necessary for your health condition.
- Being double billed. If a hospital sends out a bill twice for the same service demanding to be paid twice for the service, this could be an example of fraud.
- Providing false records. If a hospital falsifies the health condition of the patient so that they can argue for more extensive (and often more costly) types of tests, this is fraud.
- The medical provider “unbundles” their bills. Often, when a medical provider bills for services, they can expect a higher amount for reimbursement than they would for services that are bundled together. If they ask for the unbundled price by submitting improper records when they should be asking for the bundled price, this is fraud.
- Self-referring their practice. A physician cannot self-refer to their patients and this could be grounds for filing a fraud claim.
Who can I call for more information?
These are just a few examples of how fraud can occur with Medicare and if you suspect the provider you are with is committing any of these types of fraud or are concerned after you have been accused of Medicare fraud, it is time to speak with a lawyer you can trust. Contact the Morales Law Firm for more information on your Medicare fraud case.