The False Claims Act (FCA) exists to prevent fraud and protect taxpayers. Numerous state and federal laws aim to combat abuse within the United States medical system. Unfortunately, some individuals still break these laws for financial gain. Thankfully, honest individuals step forward to expose such criminal activity within the healthcare field. These courageous individuals are…
Upcoding and unbundling are two of the most common and costly forms of healthcare fraud in the United States. These deceptive billing practices involve manipulating the codes submitted to Medicare, Medicaid, or private insurers to inflate reimbursement. While the schemes may appear subtle on paper, their consequences are far-reaching: billions of dollars lost each year,…
The False Claims Act (FCA) exists to prevent fraud and protect taxpayers. Numerous state and federal laws aim to combat abuse within the United States medical system. Unfortunately, some individuals still break these laws for financial gain. Thankfully, honest individuals step forward to expose such criminal activity within the healthcare field. These courageous individuals are…
Whistleblowers play a crucial role in maintaining integrity and accountability within the healthcare industry. They expose fraud, abuse, and violations of regulations that can compromise patient safety and drain public resources. However, blowing the whistle can be a daunting process, and whistleblowers often face retaliation, including job loss and harassment. Fortunately, several legal protections and…
The False Claims Act (FCA) exists to prevent fraud and protect taxpayers. Numerous state and federal laws aim to combat abuse within the United States medical system. Unfortunately, some individuals still break these laws for financial gain. Thankfully, honest individuals step forward to expose such criminal activity within the healthcare field. These courageous individuals are…