Health Care Fraud

South Carolina Health Care Fraud Defense Attorneys

Health care fraud results from an individual defrauding an insurer or government health care program. Health Care Fraud encompasses a variety of fraudulent acts.

These acts include:

  • Billing for services not provided; this usually involves the billing of services not provided by the physician or medical official to the patient.
  • Up coding of services; this usually involves the billing for services more expensive then the services actually provided.
  • Up coding of items; this is similar to up coding of services, but involves the up selling of medical equipment.
  • Duplicating claims; this typically involves the changing of a date on a claim and rebilling for the same services provided, just using a different date.
  • Unbundling; this typically involves billing of services separately, resulting in a higher pay out than if it was billed together.
  • Excessive services; this includes the billing of services and equipment greater than the level of actual services required.
  • Unnecessary services; this involves the billing of services that were not necessary for the condition being treated.
  • Kickbacks; this involves the receiving of gifts or services by the doctor or medical professional to entice the use of specific medical services or drugs.

Health Care FraudThe FBI estimates healthcare fraud costs the United States upwards of $80 billion a year. The FBI is the primary investigator of health care fraud claims.

Health care fraud charges can a have lasting impact on both your personal and professional life. Stiff penalties can result from being convicted of health care fraud. These penalties can include imprisonment and fines of millions of dollars.

If you believe you are under investigation for health care fraud, call the South Carolina criminal defense attorneys at the Strom Law Firm, LLC today.  Our aggressive and experienced attorneys will fight vigorously to clear your name and save your reputation. The sooner you contact the South Carolina criminal defense attorneys at the Strom Law Firm, the sooner we can get started on your case and better defend you against health care fraud charges. Call us today for a free consultation. 803.252.4800.


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