Fact: The government can subject your medical practice to an investigation, even though the idea of your having committed healthcare fraud is laughable.
Fact: There are innocent doctors and other healthcare providers who are increasingly finding themselves targets of government scrutiny.
Fact: Even if investigators say you're not a target, you probably are and any statements you make could prove very harmful to you and your practice.
This is the world of the over-regulated physician.
Read on to learn more about the government's investigation tactics.
The state and federal government has stepped up investigations and enforcement in the years since the Patient Protection and Affordable Care Act of 2010. This has had an impact on healthcare providers, especially those providers who treat patients on Medicare/Medicaid. Providers in Texas have been hit particularly hard.
Government investigations tend to look one of two ways:
- The worse scenario: Show up at your door unannounced, throw a sign on your door saying "Closed for Fraud Investigation," load up vans with your files and computers, and effectively shut down your practice.
- The less-than-worse scenario: Government agents just want to have a "chat" (in an effort to build a case), while claiming that you're not a target.
These are your next steps.
At Hendershot, Cannon, Martin & Hisey, P.C., we've handled all facets of fraud and abuse investigations, including:
- Civil investigative demands
- Document production
- RAC, ZPIC and Novitas audits
We strive to provide some of the best information on the web about the law so that those facing legal trouble can make informed decisions.
- No amount of information can replace the advice of counsel, but if you're facing allegations of fraud or abuse, read our pages on Medicare/Medicaid fraud, the anti-kickback statute, and the federal False Claims Act.
Then call 713-893-1668 to consult with the attorneys of Hendershot, Cannon, Martin & Hisey, P.C.