Types of Healthcare Fraud

Healthcare fraud has increasingly become a problem within the US.  Along with the increasing costs of health care, the rates of fraudulent activity among this important service-based field have been rising.  Healthcare fraud consists of either a patient or (more commonly) a provider submitting false information to private insurance or a governmental healthcare group such as Medicare or Medi-Cal.  The need of insurance companies and governments alike to control skyrocketing healthcare costs means that they more diligently pursue any suspicious or irregular billing or information.

Occasionally patients file false claims with their insurance or other healthcare companies.  However, usually healthcare fraud involves providers trying to make money off of patients by changing the information about the services they received somehow.  Some examples of healthcare fraud include:

• Billing for a more expensive procedure than was performed
• Performing and billing for unnecessary procedures
• Billing an insurance company or governmental agency for a procedure that never occurred
• Receiving medical care under someone else’s identity
• Otherwise falsifying one’s own patient information to qualify for procedures that would not otherwise be covered

Healthcare fraud can be considered in almost any case in which a patient or provider gives false or misleading information.

Fraud charges can have serious and lasting effects on your life.  No matter what the situation is in your case, if you are facing charges of healthcare fraud, you need the experienced and knowledgeable San Jose criminal defense lawyers of the Law Office of Daniel Jensen, P.C., by your side.  Call us today at 408-296-4100 to begin planning your defense strategy.