Healthcare Fraud in Arizona
Healthcare fraud is drawing increased scrutiny from the federal government. Recent statistics show that federal healthcare fraud cases have risen by 71 percent from five years ago. A conviction for healthcare fraud can bring severe penalties, including substantial fines and lengthy periods of incarceration. Professionals may also lose their right to practice in the medical industry. If you are under investigation or have been charged with healthcare fraud, attorney Ashley D. Adams can provide you with solid, effective representation. As a former prosecutor with the United States Attorney’s Office, Ashley D. Adams has been involved in numerous healthcare fraud cases and brings a wealth of experience and skill to your defense. Call us today for a free case evaluation.
What is Healthcare Fraud?
Healthcare fraud is a type of white-collar crime that involves the filing of fraudulent healthcare claims in order to make a profit. It consists of intentional deception or misrepresentation of healthcare transactions by a provider (such as a doctor or therapist), employer group, or insured member for the purpose of attaining financial gain or receiving unauthorized benefits. Although healthcare fraud is rampant, what was once regarded as simple billing errors is now routinely prosecuted as fraud. As efforts to detect and prosecute healthcare fraud have grown more aggressive, you need an experienced and skilled attorney like Ashley D. Adams PLC to protect your rights.
Contact our phoenix fraud attorney for a free and confidential consultation.
Types of Healthcare Fraud
Fraudulent healthcare schemes can come in many forms. They can be generally divided as follows:
Provider Healthcare Fraud- billing for services not provided (including submission of fake bills)
- duplicate billing
- misrepresentation of dates, description of services, or identities of members or providers
- billing non-covered services as covered services
- modifying medical records
- intentional incorrect reporting of diagnosis or procedures to maximize payment
- prescribing unnecessary tests, treatment or services
- misrepresenting oneself as a licensed healthcare provider
- kickbacks in return for referring patients
- services provided by untrained or unlicensed personnel
- failure to supervise unlicensed personnel
- distributing non-approved devices or drugs
- waiving member co-pays
- medical equipment fraud
- “rolling lab” schemes (unnecessary and sometimes fake tests given to people at health clubs, retirement homes or shopping malls and billed to insurance companies or Medicare)
Contact our phoenix fraud attorney for a free and confidential consultation.
Insured Member Healthcare Fraud
- providing false information when applying for programs or services
- using someone else’s coverage or Medicare insurance card to obtain services
- filing claims for services, treatment, or medication not received
- forging or altering documents
- using transportation benefits for non-medical related purposes
Employer Healthcare Fraud
- enrolling ineligible employees for healthcare coverage
- falsifying hire or termination dates to expand dates of coverage
- establishing fake health insurance companies or employee benefit plans
- misrepresentation of an employer group in order to secure healthcare coverage
Contact Phoenix Fraud Attorney Ashley D. Adams
If you are being investigated or have been charged with healthcare fraud, contact a Phoenix fraud attorney at the Law Offices of Ashley D. Adams PLC before you speak with government investigators or law enforcement officers. Ashley D. Adams has the experience and knowledge necessary to evaluate your case and determine your best legal options. We can effectively and aggressively defend individual and corporations charged with a variety of white-collar crimes, including healthcare fraud. With our deep understanding of prosecutorial strategies, we can thoroughly prepare your defense. We offer the best representation possible to protect you personal and professional freedom.
