As you know, if you are a medical professional, you most likely went through years of schooling, training, and perhaps you’ve even practiced medicine as a physician for decades now. Here at Walker Medical Law, we understand all medical professionals have to go through to obtain their medical license and build their practice, which is why we are dedicated to doing everything in our power to helping all those who’ve been accused of wrongdoing keep their medical licenses. There are various ways in which a medical professional can lose his or her medical license. One way, and perhaps the most common, is through allegations of medical malpractice, by harming a patient physically in some way. However, another way in which a physician can risk losing his or her license is by being accused of insurance fraud. While of course, this does not have as severe of a physical implication on a patient, it can have a significant financial impact on certain health medical organizations, and if they believe that you are overcharging for services, you can bet that they will come after you very aggressively. Please continue reading and speak with our knowledgeable New York City medical misconduct defense attorney to learn more about how we can help if you are a physician accused of insurance fraud.
What happens if I am a physician accused of insurance fraud?
If you are being accused of insurance fraud by an HMO, it may be a simple discrepancy or mistake that can be easily remedied. However, that being said, if the HMO believes that you have been purposefully overcharging for services, there is a very good chance that the incident(s) may be reported to the Department of Health. If you are charged with fraudulent billing, you will most likely have to repay the amount you allegedly overcharged, and you may also come under investigation by the OPMC. When this happens, you risk losing your medical license, at least for a period of time. Our firm can help you negotiate a settlement with the HMO to resolve the matter without such drastic measures being taken.
How can I avoid being accused of insurance fraud as a physician?
To avoid this situation altogether, you should ensure that your staff hires a billing firm that will help guide your practice through proper billing. This will help avoid discrepancies, as well as help you legally maximize your billing to receive the highest amount permitted under law.
Contact our experienced New York City firm
When a medical professional is accused of misconduct, they must retain strong legal representation. If you require a medical law attorney for your legal matters, call Paul E. Walker, an experienced New York City OPMC & OPD Lawyer. Please contact the Walker Medical Law firm to set up a free initial consultation.
