Federal and state law enforcement is vigilant about trying to catch people who might be committing various forms of healthcare fraud. In New York and across the United States, this type of illegal activity is common. Since it can be difficult for government entities that are paying for healthcare to keep track of all the bills they receive, some might try to take advantage. However, just because an investigation commences and arrests are made, it does not automatically mean those accused are guilty. When allegations are made and people are facing charges, it is imperative to understand the value of a strong defense. This is especially true when massive sums in the millions of dollars are involved.
Healthcare professionals accused of running $20 million scheme
In an alleged healthcare fraud scheme worth $20 million, physical therapists and acupuncturists are being accused by the U.S. Justice Department of paying people to issue fraudulent bills to health insurers. Those bills included treatments that were never given. Medicare was billed for those purported treatments. This is said to have taken place between 2018 and 2021.
The medical professionals – all licensed – made fake records to receive payment for those services even though they either never happened or were not medically required. The medical professionals subsequently paid the patients in various ways. The person running the medical offices had an underling disperse the payments to those patients. These were violations of several laws including healthcare fraud, conspiracy to commit money laundering, wire fraud and more.
Experienced advice is key when facing healthcare fraud allegations
Before simply accepting healthcare fraud charges and thinking there is no viable avenue to lodge a defense, it is imperative to understand the various options. The charges might not be viable and the evidence lacking. There could be ways to give information and reduce the charges. Or a plea agreement could be available to keep from facing an extensive jail sentence and hefty fines. Regardless of the details of the case, it is wise to have guidance from those experienced in healthcare fraud defense to set about seeking a positive result.