Medicare is a national health insurance program that provides millions of people, such as those age 65 or older, with the coverage they need.
Unfortunately, many types of fraud often get in the way of the Medicare system running at peak performance.
As a medical provider, it goes without saying that you never want to get involved with a scheme that could lead to Medicare fraud charges.
Just the same, individuals should become familiar with the ins and outs of Medicare fraud and what they can do to avoid a situation in which they are charged with a crime.
Here are some of the most common types of Medicare fraud:
- Billing for unnecessary items or services.
- Billing for items or services that are not provided to the patient.
- Billing for multiple codes of a group procedure when they’re covered by a single code.
- Billing for services at a higher level than necessary.
- When an individual provides another person with his or her Medicare card so they can receive covered services.
- Working with a medical professional to provide false claims, often for a financial kick back.
- Writing unnecessary prescriptions with the idea of obtaining drugs for resell.
- Knowingly billing Medicare for an ineligible person.
- Providing false or inaccurate information to improve the likelihood of qualifying for Medicare.
- Altering your Medicare card in any way, shape or form.
These may be the most common types of Medicare fraud, but there are many others that could come into play.
It doesn’t matter if you’re a medical provider or individual, you can’t run afoul of the Medicare system. If you do, there’s always a chance you could find yourself in hot water with the law.
With law enforcement cracking down on Medicare fraud, it’s possible you could find yourself at the center of an investigation despite the fact that you didn’t do anything wrong.
If this happens, don’t hesitate to ask for more information, learn more about your legal rights and collect details related to the alleged crime. The greater your understanding up front, the easier it will be for you to put this in the past without any additional impact on your life.