Common Acts of Healthcare Fraud and Other Health Insurance Scams The Centers for Medicare & Medicaid Services reports that the national health expenditures in the United States were at $2.6 trillion in 2010. This amount grew to $3.5 trillion by 2017. While many of these services are properly provided, there are also numerous health care… Read More
A dentist who practiced in DeKalb and Gwinnett counties was sentenced to one year and six months in federal prison for Medicaid fraud in April 2017, according to the Atlanta Journal Constitution. She was accused of falsely filing approximately $1 million in Medicaid claims. The U.S. attorney over the case said the dentist submitted bills… Read More
A physician was recently named as one of eight people who have been charged with committing federal healthcare fraud. A court in the Northern District of Texas alleges that the physician and others profited from a scheme to defraud the government of more than $158 million. The doctor was listed on the Texas Medical Board’s… Read More
The United States Supreme Court heard oral arguments this week in the case of Luis v. United States, a controversial, widely-discussed case that could have a profound impact on how the Sixth Amendment is interpreted. As the Washington Post relates, Sila Luis (the president of a healthcare provider) was indicted in 2012 on federal charges… Read More
In criminal law, both at the state and federal levels, there are many possible crimes that can be considered fraud—wire fraud, mail fraud, tax fraud and healthcare fraud, for example. But what constitutes fraud in the eyes of the law? How do prosecutors decide when fraud has actually been committed, and how do they go… Read More