The healthcare industry is no stranger to fraudulent activities, and medical billing is a prime target. What may seem like a harmless mistake can quickly escalate into a criminal investigation. If you are confronting false medical billing allegations, it is crucial to take immediate action to protect your reputation and your freedom.
Falsifying medical billing is a form of healthcare fraud
In California, healthcare fraud falls under Penal Code 550 PC. This law covers various fraudulent activities, including:
- Submitting false insurance claims
- Billing for services not rendered
- Upcoding (charging for higher-cost services than actually delivered)
- Unbundling (charging individually for services that are usually packaged together as a single fee)
- Kickbacks for patient referrals
Prosecutors may also use federal laws in healthcare fraud cases.
Healthcare fraud allegations do not always stem from malicious intent. Mistakes in billing or coding can sometimes lead to accusations of fraud. Even unintentional errors can land you in legal trouble.
The legal repercussions of false medical billing can be severe
Depending on the amount involved, offenders may face:
- Criminal charges: You may face felony charges, which can lead to imprisonment and fines.
- Civil penalties: You may have to pay restitution to the affected healthcare programs and encounter civil fines.
- Loss of license: Your medical license may be revoked or suspended, jeopardizing your career.
- Reputation damage: Your professional reputation may suffer. This can gravely affect your relationships with patients and colleagues.
Do not risk your freedom and future by facing these charges alone. Reaching out with a skilled criminal defense attorney in California immediately is crucial.
