Billing issues can lead to fraud charges

Many people in the greater Philadelphia area rely on federal healthcare programs, like Medicare and Medicaid, to cover all or part of their needs for medical care. Many if not most other Pennsylvanians get their insurance through private companies who also front the money for medical care in exchange for premiums.

What this means is that, in the vast majority of cases, doctors and other medical professionals are billing public or private health plans in order to get their bills paid.

It is of course perfectly fine for a doctor to expect payment for services performed; however, it is against federal law and the laws of Pennsylvania to engage in behavior that is designed to get more money than what is legitimately owed.

Padding bills, billing twice, billing for services not performed, and the like are all forms of conduct that could lead to federal health care fraud charges, as well as other criminal charges.

The penalties for violating the federal laws are strict in that, even for a first offense, a medical professional can face up to a decade in prison and a hefty fine. If there are aggravating circumstances, such as if a patient dies in connection with the fraud, a life sentence is possible.

While there will no doubt be some doctors who get in to tough financial or personal circumstances and make a mistake as a result, the laws are so broad that they can easily net innocent medical professionals who are going to need to protect their licenses, their liberty and their reputations.

In both cases, doctors and other medical professionals facing an allegation that they committed federal crimes should strongly consider speaking with an experienced attorney who frequently represents doctors.

No Comments

Leave a comment
Comment Information
Email Us For A Response

Ask About Your Options

Bold labels are required.

Contact Information

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.


Privacy Policy

Philadelphia Office
1835 Market Street, Suite 2626
Philadelphia, PA 19103

Toll Free: 877-442-7552
Phone: 215-665-0766
Fax: 215-665-1225
Philadelphia Law Office Map

King of Prussia Office
Valley Forge Towers
Suite 107
2000 Valley Forge Circle
King of Prussia, PA 19406

Toll Free: 877-442-7552
Map & Directions

Cherry Hill Office
1101 Route 70 West
Cherry Hill, NJ 08002

Toll Free: 866-427-4552
Phone: 856-354-0050
Fax: 856-454-0440
Map & Directions

Review Us