Medicare / Medicaid Fraud & Abuse

Medicare and Medicaid regulations continue to grow more cumbersome and complex. Health care billing for government programs is full of traps for unwary physicians, other healthcare providers and entities. Government health program regulations can make it extremely difficult to bill properly for services. Given the complexities of Medicare and Medicaid billing, errors that lead to allegations of fraud are becoming increasingly more common.

With our history managing health care compliance issues for health care practitioners, hospitals, doctors groups, and other health-related entities, KCF attorneys advise and counsel providers on compliance with laws such as the anti-kickback statute and the Stark Laws. When billing errors do occur, we are routinely called in by clients to resolve fraud allegations, including:

• Billing for unperformed medical services;
• Over-billing for medical services;
• Retaining overpayment for services;
• Mis-billing for medical services;
• Receiving billing kickbacks;
• Billing fraud.

In the event you are faced with an enforcement action or other civil fraud claim, our team of health care litigators is ready to guide and advise you through the investigative process, dispute resolution and litigation, if necessary.