Elements of Health Care Fraud and Medical Identity Theft
Health care fraud, particularly medical identity theft, is on the rise. According to estimates from a federal report for 2007, more than 250,000 Americans were victims of medical identity theft.
Health care fraud in Tennessee is diverse and complex and targets both the public and private sectors. Healthcare fraud includes:
- Medical identity theft,
- Billing for services not rendered,
- Billing for services, which are not medically necessary,
- Receiving or offering kickbacks for patient referrals,
- Knowingly delegating responsibilities to untrained, unlicensed personnel,
- Double billing for medical services, and
- Fraudulent cost reporting by providers.
Both state and federal law enforcement agencies investigate health care fraud. Some of these agencies include local law enforcement agencies, the Tennessee Bureau of the Investigation, FBI, FDA, and the Justice Department.
Healthcare fraud is a felony and can lead to serious consequences, including lengthy prison sentences, fines, restitution, probation, and loss of professional licensure.
If you have been approached by a federal agent or law enforcement officer investigating healthcare fraud in Tennessee, contact one of our skilled Knoxville white collar crimes attorneys at Baker Associates to schedule a free consultation. Call 866-853-2888 today.
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