When California health care providers render a service, they usually bill the patient's insurance company. Typically, the insurance company pays their portion of the expenses and moves on. However, some providers deliberately bill the insurance company for false...
Health care professionals and other individuals can be charged with health care fraud in California. This white-collar crime is treated seriously: People who are convicted of health care fraud might face substantial fines and be sentenced to serve years in prison....
The pharmaceutical industry in California is a for-profit industry, so some companies and employees engage in fraud to boost their profits and promote sales of their medication. Even at the pharmacy level, pharmacists can switch or alter medications to defraud their...
Home values in California and around the nation have remained steady, and in some areas, they have actually risen. This has led potential homebuyers to want to get in the action. However, for many, that is simply not possible due to their financial standing. It is...
Doctor shopping involves visiting more than one doctor to obtain many prescriptions for a controlled substance. While California doctors have a duty to check a state database before prescribing potentially dangerous drugs, doctor shopping remains common in the state....
The federal government carefully regulates the use of pharmaceutical drugs to ensure that people safely use them and that pharmaceutical companies and other health care providers do not defraud government benefit programs like Medicaid. Unfortunately, many forms of...
Pharmacists, pharmacy technicians and others who work in pharmacies process a broad range of types of prescriptions on a daily basis. While most prescriptions that come through a pharmacy may well be legitimate, some may be fraudulent, exposing pharmacy staff member...
When people hear "Medicare fraud," doctors and pharmacists often come to mind. Unsurprisingly, big cases involving pharmaceutical fraud can increase public suspicion of medical administrative practices. In 2019, 29 states filed a lawsuit against CVS Health Corp, one...
Medicare and Medicaid are federally funded health insurance programs that provide medical coverage to elderly and low-income individuals, respectively. Because pharmaceutical fraud involving Medicare or Medicaid costs taxpayers money, you can potentially suffer very...
In California, there are different types of schemes used to enact pharmaceutical fraud. Each one works in a different way. Each one is for the same purpose, which is defrauding insurance companies. Today we will take a look at some types of fraud in the pharmaceutical...
