Category Archives: Healthcare Fraud
Insurance Fraud: False Claims And Exaggerated Medical Services
Insurance fraud is a serious crime that involves submitting false or misleading information to insurance companies for financial gain. It spans across various types of insurance, including health, auto, and property coverage, costing insurers—and ultimately policyholders—billions of dollars annually. One of the most common forms of insurance fraud involves billing for services not provided… Read More »
Texas Doctor Sentenced To Over 10 Years For Medicare Fraud Scheme
The recent sentencing of Dr. Daniel R. Canchola, a Texas physician, highlights the severe consequences of participating in fraudulent schemes targeting federal health programs. Sentenced to 10 years and one month in prison and ordered to pay over $34 million in restitution, Dr. Canchola’s case illustrates the seriousness of Medicare fraud and the government’s… Read More »
Physician Self-Referral Law: Navigating Section 1877 Of The Social Security Act
Physicians who refer patients for designated health services (DHS) under Medicare to entities they have a financial relationship with may be in violation of Section 1877 of the Social Security Act, also known as the physician self-referral law or the Stark Law. This law prohibits such referrals unless specific exceptions apply. Violations can result… Read More »
Defendants Indicted In Health Care Fraud Scheme Targeting Medicare And Medicaid
The recent indictment of seven individuals across multiple states for a $40 million scheme to defraud Medicare and Colorado Medicaid through fraudulent genetic testing claims demonstrates the serious legal consequences of health care fraud. The case highlights how fraudulent activities can target government programs like Medicare and Medicaid, with the perpetrators using kickbacks, bribes,… Read More »
