Public Health Insurance Audits Reveal Fraud Claims

by | Jan 18, 2025 | Blog |

I represent many small family-owned health care providers. These include pharmacies, health care employment agencies that provide skilled and semi-skilled nurses, and individual physician offices. DEA and public insurance audits of patient files, payments, receipts, and billing codes is the way third party administrators of the state based medicare and medicaid systems justify their existence. A simple audit request can result in significant penalties. A recent federal civil claim against a pharmacy reveals this.

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