Medicare and Medicaid fraud are very serious issues both on a statewide and federal level. Both forms of fraud are considered white collar crimes and charges may be lodged against consumers or providers of services. Medicare fraud was determined to cost taxpayers approximately $60 billion or about 10 percent of the annual budgeted amount while Medicaid fraud is estimated to cost about $14.4 billion or nearly five percent of the budgeted amount. Since the Affordable Care Act was enacted and government healthcare coverage costs increased, a large increase in healthcare fraud has occurred.
If you are facing charges for government medical insurance fraud, call a Medicaid or Medicare fraud lawyer at (720) 548-2990 right away.
As previously stated, both beneficiaries and providers can face charges of insurance fraud. Whether you are a medical care provider such as a physician, nurse, or medical billing employee; or you are a patient charged with fraud, you need to hire a Denver healthcare fraud lawyer immediately.
Some of the common reasons a provider can face charges are:
Beneficiaries of Medicare or Medicaid are not exempt from charges of fraud. Some of the ways beneficiaries can defraud the system include:
Insurance fraud laws in Colorado have been strengthened due to numerous legislative changes. While providers may face state or federal charges, in nearly all cases, Colorado counties handle the prosecution of insurance fraud by consumers.
On a county and state level, beneficiaries could face up to one year in jail, be required to pay steep fines and be prohibited from participating in these programs permanently. Depending on the amount of benefits obtained fraudulently, you could be facing Class 5 felony charges and face serious jail time and probation for as long as 12 years. In addition, you will have to deal with having a life-long felony record.
Provider fraud is handled far more harshly; providers will no longer be able to get any reimbursements from either program if they are found guilty. Generally, the charges are investigated and enforced by the US Department of Justice, the Department of Health and Human Services and the Office of the Inspector General. In addition to losing the right to bill any further services to these programs, the person who is convicted of fraud will also face a minimum of five years in federal prison, and fines ranging from $250,000 to more than $1 million.
If you are a provider charged with fraud, call our Medicaid and Medicare fraud lawyers right away so that we can start building your defense. It is crucial to your case that you do not incriminate yourself by speaking with investigators without an attorney.
Since Medicare and Medicaid fraud is normally only charged after an extensive investigation, you will probably learn about your charge long before an indictment can be filed against you. You need a Denver Medicaid & Medicare fraud lawyer on your side ASAP if you are under investigation. The sooner we get involved, the better the chances are that we can prevent an indictment or when we are unable to stop the indictment, can better prepare your defense.