Protecting Against Healthcare Fraud

Protecting Patients and Providers from Telehealth and Healthcare Fraud

Healthcare fraud is a serious problem that costs taxpayers billions of dollars annually. At the Law Offices of Peter Katz, we are committed to defending patients and healthcare providers who are wrongfully accused of fraud and holding those who commit fraud accountable.

What is Healthcare Fraud?

Healthcare fraud is the deliberate misrepresentation or falsification of information to obtain money or property from government healthcare programs, such as Medicare, Medicaid, or private insurers. Fraudulent actions can take many forms, including but not limited to:

• Billing for Services Not Provided: This can include a provider submitting claims for treatments or services never rendered to the patient.
• Upcoding: Occurs when a provider charges for a more expensive service than was performed.
• Unnecessary Procedures: Performing services or procedures that are not medically necessary but submitting claims to be paid.
• Kickbacks: Offering or accepting payments in exchange for patient referrals or using particular equipment or services.
• Telehealth Fraud: Misusing telehealth services to submit fraudulent claims for medical services not provided or eligible for reimbursement under telehealth rules.

What is Telehealth Fraud?

Telehealth fraud involves submitting false claims for telehealth services. As telehealth services grow in popularity, so do opportunities for fraud. Typical forms of telehealth fraud include:

• Billing for non-existent telehealth visits: Charging for appointments that did not occur or where the services were not rendered.
• Misrepresenting the nature of services provided: For example, falsely claiming that a telehealth visit was for a diagnosis or treatment that did not occur.
• Improper billing of telehealth services: Telehealth services are subject to specific reimbursement rules, and submitting claims that do not meet these requirements can lead to fraud charges.

How Our Law Firm Can Help

At the Law Offices of Peter Katz, we provide comprehensive legal services to those accused of healthcare fraud or facing regulatory scrutiny. Here’s how we can assist:

1. Legal Defense for Healthcare Providers: If you are a healthcare provider facing allegations of fraud, we will provide you with a robust defense strategy. We understand the nuances of healthcare regulations and will work tirelessly to protect your professional reputation and career.
2. Guidance on Telehealth Compliance: We assist healthcare providers in complying with telehealth regulations, minimizing the risk of fraudulent billing practices. We also provide legal advice on best practices and how to document and bill telehealth services correctly.
3. Whistleblower Claims: If you have information about healthcare fraud, we can help you file a qui tam lawsuit under the False Claims Act. We protect your identity, provide confidentiality, and work to secure rewards for those who expose fraudulent activity.
4. Negotiation and Settlement: We can often reach favorable settlements without trial. We negotiate with the relevant government agencies or insurance companies to ensure our clients are treated fairly.

Why Choose the Law Offices of Peter Katz?

• Experienced Legal Team: We specialize in healthcare fraud and telehealth fraud defense, providing our clients with unparalleled expertise and understanding of complex regulations.
• Client-Centered Approach: We prioritize your needs and work closely with you to create a strategy to protect your business and professional future.
• Proven Success: Our firm has helped numerous healthcare professionals navigate legal challenges, and we have successfully secured favorable outcomes for our clients.

Contact Our Healthcare Fraud Attorney Today

If you are facing allegations of healthcare fraud or telehealth fraud, contact the Law Offices of Peter Katz today. We offer confidential consultations to discuss your situation and determine the best action.