Medical Payment Fraud Defense

We start by performing a comprehensive assessment of the claimed fraudulence, applying our deep knowledge of healthcare regulation to assess the expediency of initiating a whistleblower (qui tam) situation under the False Claims Act This preliminary review is vital for making certain the situation is durable and meets the criteria necessary for whistleblower actions.

Invoicing for Solutions Not Rendered: Doctor assert payment for procedures or services that were never ever provided to the person. By sticking to these treatments, you can substantially add to the fight against Medicaid fraud, fostering an extra effective and moral medical care system.

Medicaid fraud or Medicaid abuse involves illegal activities targeted at exploiting the collectively federally and state-funded medical care program, Medicaid, for unauthorized financial benefit. People with expertise of fraud versus the federal government are enabled to file legal actions in support of the government.

Unnecessary Procedures: Billing Medicaid for clinically unneeded treatments merely to rise payment total amounts represents fraud. Whistleblowers are sustained by lawful frameworks and securities to report illegal activities, aiding ensure Medicaid resources rightly help those requiring clinical solutions.

Medicaid plays a critical duty in offering health care solutions to individuals and family members with limited revenue and sources. The complexity and scale of Medicaid, entailing substantial expenses, underscore the relevance of whistleblower involvement in identifying illegal activities.

Funded collectively by the federal government and states, Medicaid's comprehensive reach and significant budget plan necessitate attentive oversight to prevent and resolve fraud and abuse. David Di Pietro, with his considerable history as a healthcare fraud lawyer and medical malpractice lawyer, has actually adeptly led customers with a wide variety of detailed health care issues, including misdiagnosis and medicine mistakes.