Los Angeles Healthcare Fraud and Abuse

In Los Angeles, healthcare insurance fraud adds to the overall burden the California state budget.  Included in these abuses is home health care fraud in Los Angeles as well as Los Angeles home health care fraud. 

Los Angeles healthcare fraud investigation

When you need a Los Angeles health care fraud attorney, Green & Associates is ready to help you. We have a history of healthcare law defense litigation to prove it.  And having strong representation in a hearing defense regarding healthcare fraud and abuse in Los Angeles is critical since, if a complaint filed against a doctor or practice is deemed valid, it may result in probation, monetary fines, license suspension, or license revocation.

Click the links below to learn about the three of the primary topics related to Los Angeles health care fraud and abuse:

• Los Angeles health care insurance fraud
• Home health care fraud in Los Angeles

For legal help with any type of healthcare fraud, including Los Angeles healthcare fraud and abuse defense or litigation, contact Green & Associates—a law firm dedicated to the tenacious representation of licensed professionals and businesses in civil, criminal, and administrative matters, with special expertise in health care law.

Los Angeles healthcare insurance fraud

The Social Security Act of 1965 established Medicare—a system of health care cost reimbursement to help pay certain health care expenses for those who are 65 or older.  A similar program—Medicaid—is a jointly operated federal and state entitlement program providing health care based on financial need.  While both programs help millions of deserving individuals who are being serviced by qualified medical care providers operating within the law, there is much fraudulent activity perpetrated by both patients and providers.  In Los Angeles, health care insurance fraud creates a financial burden on the taxpayer.  Government entities diligently work to track down and prosecute insurance fraud offenders.

Los Angeles home health care fraud

Illegal practices which can be defined as Los Angeles home health care fraud usually center on Medicare fraud of home healthcare services, such as providing treatment and billing for home health services without (or non-compliant) certification, providing treatment and billing for home health services that are medically unreasonable or unnecessary, doing quid pro quo referrals in violation of the Stark Law and Anti-Kickback Law, or manipulating OASIS assessment forms to bill for more costly beneficiary diagnoses.  To legally qualify for Medicare coverage of home health services, two base requirements that must be met are:

• The homebound patient must be confined to his or her home or an institution that is not a hospital or nursing facility
• The patient must be in need of at least one of the following skilled services: physical therapy, speech language pathology,  skilled nursing, or continuing occupational therapy

Contact us about health care fraud in Los Angeles

Green & Associates is your best source for an experienced and successful Los Angeles health care fraud attorney with a history to prove it.  Contact us by calling 213-233-2260 today.