FRAUD & ABUSE
The United States government has passed a series of laws which are generically referred to as Fraud & Abuse statutes. These laws are applicable to hospitals and doctors.
For health care providers confronted with charges of up-coding or over-billing, they are subject to a civil and/or criminal investigation based on an alleged violation of the federal fraud and abuse statutes.
Fraud & Abuse sanctions can be severe. Significant monetary sanctions can be imposed. Future suspension and disqualification for participation in government sponsored programs such as Medicare or Medicaid is also a possible adverse outcome.
Because of the seriousness of the possible adverse consequences, it is imperative that any hospital or physician confronted with a fraud and abuse investigation immediately retain competent legal counsel.
FWL accepts fraud and abuse representations throughout the state of West Virginia and in those regions of Kentucky and Ohio as requested.