Whether you’re accused of scamming Medicare, Medicaid, Med-Cal, or even a private insurance company, you could be subject to harsh penalties if you are convicted of insurance fraud related to medical billing.
Without the assistance of a criminal defense lawyer with experience in insurance fraud, you should not handle this scenario. For the best result in your case, we will vigorously advocate. After reading this article, you can call us at 714-760-4088 for a free consultation to discuss your case in more detail.
Health insurance fraud comes in many different forms
Insurance fraud comes in many forms. The example that comes to mind for the majority of people is someone pretending to be in pain or to have a certain medical condition in order to receive benefits. The most frequent choices, nevertheless, involve medical professionals defrauding insurance companies. Fraudulent billing is one instance of this, in which a provider bills an insurance company for products, services, or treatments that the patient never received.
Another instance of upcoding is when a persona modifies a correctly applied billing code and substitutes it with a costlier one. This may occasionally occur by accident, but if it does so frequently, it may indicate medical billing fraud. Unbundling is the final example we’ll discuss today. Services can sometimes be bundled for a lower price.
For instance, by arranging for a patient to undergo multiple tests over time rather than all at once. It would be deemed billing fraud to do this on intentionally in an effort to increase the amount of insurance payments that are available.
Call us right away if you’ve been accused of billing fraud or insurance fraud
We are aware of what the prosecution must do to support these claims and how best to refute them. Of course, it depends on the particulars of your situation, but some choices include claiming that while errors or inconsistencies were made, they were unintentional.
We can argue that it was an error if you didn’t intend to deceive the insurance company. It is not illegal if done without malice. In other cases, we may only demonstrate that the evidence against you is insufficient to establish the prosecution’s allegations beyond a reasonable doubt.
It could seem simpler to just enter a guilty plea without seeing a criminal defense lawyer if there is a lot of evidence against you. This is untrue. With the prosecution, we can aggressively bargain to have the charges dropped. We have a lot of experience coming up with unique options that could greatly lessen any long-term issues this issue might create. In other words, we can work to make sure you get the greatest result possible.
No matter how things seem right now, you do have choices. Calling Chambers Law Firm at 714-760-4088 is the first step to knowing them. A consultation will be the first step, during which we’ll outline how we can support your future.
