Physicians or health care entities that are found to have committed Medicare fraud face serious consequences. They will be required to repay the Medicare overpayments which they received and they are likely to face significant financial fines as well. Further, they may face criminal prosecution by the federal government. The United States Attorney’s Office can prosecute health care providers for alleged Medicare fraud under a variety of statutes such as the False Claims Act, False Statements Act and Social Security Act. Penalties for violations of these acts include prison terms and monetary fines. The typical prison term is up to five years for each offense.
This article is intended to be helpful and informative. But even common legal matters can become complex and stressful. A qualified health insurance lawyer can address your particular legal needs, explain the law, and represent you in court. Take the first step now and contact a local health insurance attorney to discuss your specific legal situation.