Medicare Fraud

Anyone can commit health care fraud. Fraud schemes range from solo ventures to widespread activities by an institution or group. Even organized crime groups infiltrate the Medicare Program and operate as Medicare providers and suppliers. Examples of Medicare fraud include: 

• Knowingly billing for services at a level of complexity higher than services actually provided or documented in the medical records 
• Knowingly billing for services not furnished, supplies not provided, or both, including falsifying records to show delivery of such items 
• Knowingly ordering medically unnecessary items or services for patients 
• Paying for referrals of Federal health care program beneficiaries 
• Billing Medicare for appointments patients fail to keep 

Defrauding the Federal Government and its programs is illegal. Committing Medicare fraud exposes individuals or entities to potential criminal, civil, and administrative liability, and may lead to imprisonment, fines, and penalties. 

Scroll and browse below for some of our most comprehensive informational pieces concerning Medicare fraud protection.