Healthcare Fraud in New York
Healthcare is an industry that's drawing scrutiny from several sources for several reasons. As the population collectively ages, the need for healthcare is as prevalent as it's ever been in history, and as a result, more and more people are looking for ways to obtain healthcare despite an environment of skyrocketing costs.
Unfortunately, the growth of the need for healthcare has also led to a rise in healthcare fraud both in New York and around the United States. In fact, the Web site for New York's department of health has an entire section dedicated to the two most common types of healthcare fraud, and if you are facing this situation as a potential criminal defendant, you need to contact our legal team as soon as possible to schedule an initial consultation. In the meantime, below is a brief overview of the two types of healthcare fraud.
Recipient/Patient Healthcare Fraud
Recipient fraud is generally tied to Medicaid benefits, which is basically healthcare funded by the taxpayers. However, there are other forms of recipient fraud, and each goes towards the same end - obtaining healthcare without paying for it or recording it properly. Examples of recipient or patient healthcare fraud include:
- Forging an insurance or benefits card
- Allowing another person to use an insurance or benefits card
- Forging or altering a prescription
- Re-selling prescription drugs or other materials received from medical care
There are other acts that can constitute healthcare fraud in New York, but those above are quite common in nature.
Provider Healthcare Fraud
Healthcare providers have also been ensnared in charges of healthcare fraud over the years, and these actions are generally involving the following:
- Billing for services not provided
- Unnecessary procedures
- Duplicate billing
- Adding time to a time-driven bill
- Unnecessary tests
Again, these are only a few examples, but the common variable that's present is that the provider or healthcare facility is hoping to generate additional revenue or even receive kickbacks from insurance companies or even individuals.
Overall, healthcare fraud can be charged as a felony depending on the amount of fraud involved, and those convicted can face not only substantial fines but lengthy periods of incarceration. If you face this situation, contact the Blanch Law Firm as soon as possible to schedule an initial consultation.
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