Jump to Navigation

What are some signs that point towards Medicare fraud?

As a health care provider, it is your job to know the ins and outs of every law. Along with this, you need to act in a trustworthy and honest manner at all times. For example, you should never cross the line when it comes to matters of Medicare. If you do, you could soon find yourself charged with Medicare fraud.

There are times when a medical provider commits Medicare fraud without understanding what they did. Unfortunately, authorities do not consider ignorance a good excuse for making a mistake.

Here are some signs that could point towards Medicare fraud:

-- When a physician bills Medicare for telephone calls or appointments that were scheduled but not kept.

-- When a physician bills Medicare for a routine check-up.

-- When a physician provides the wrong diagnosis on a claim form so that Medicare will pay.

-- When an ambulance company bills Medicare for nothing more than a routine trip to a doctor's office.

Along with the above, home health providers also need to tread softly as there are many things that can be considered Medicare fraud.

All medical providers need to be familiar with Medicare laws. If you find yourself billing Medicare at any time, it is a must to understand what you are and are not permitted to do. Furthermore, any gray area should be clarified by the appropriate party.

With authorities cracking down on medical professionals who commit Medicare fraud, it is more important than ever to know exactly what you are doing. Believe it or not, there are times when authorities become overzealous and investigate a company that did not commit fraud.

Source: FindLaw, "Medicare Fraud Tips," accessed April 07, 2016

No Comments

Leave a comment
Comment Information

Contact Our Firm Today

Lakeside Place
323 Lakeside Ave. West
Suite 450
Cleveland, OH 44113

Phone: 216-592-8719
Toll free: 800-845-4710
Fax: 216-781-6242
Map and Directions

Fair Fees. Credit Cards Accepted.

Visa MasterCard American Express Discover Network
Review Us
The Goldberg Law Firm

Over 24 Years Experience Representing Persons in Ohio and Nationwide

The Goldberg Law Firm serves the Cleveland, Ohio, metro area and Northeast Ohio, including Cleveland, Parma, Akron, Lorain, Elyria, Euclid, Lakewood, Cleveland Heights, Cuyahoga Falls, Mentor, Strongsville, Berea, Broadview Heights, Brook Park, East Cleveland, Garfield Heights, Maple Heights, North Olmsted, North Royalton, Rocky River, Shaker Heights, Solon, Westlake, Painesville, Medina, Cuyahoga County, Summit County, Lorain County, Lake County and Medina County.

Privacy Policy | Business Development Solutions by FindLaw, part of Thomson Reuters.