Areas of Expertise

Health Care Fraud

The United States Attorney General recently stated that the detection and prevention of health care fraud is one of the Government’s top priorities. There are various Federal and State law enforcement agencies involved with this pursuit and an array of remedies available to discipline providers accused of misconduct. These remedies range from large fines or prison sentences to civil lawsuits or exclusion from federal funded health care programs. Many healthcare fraud actions involve Medicare and Medicaid billing

More and more physicians are finding themselves having to justify their billing practices; and worse, defend against false accusations of health care fraud. The best defense, however, is a prudent office management approach designed to avoid allegations of misconduct before they arise. Increased governmental scrutiny in pharmaceutical industry marketing and pricing practices has recently resulted in special scrutiny of health care provider prescribing and billing practices. The Bennett Law Firm represents health care providers and organizations in criminal as well as civil matters involving healthcare fraud.

Laws and Regulations Regarding Billing by Doctors and Hospitals.

Tex. Civ. Prac. & Rem. Code § 146.001 (2000) (PDF 51kb)

Texas Occupational Code Annotated (PDF 1.3mb)

Fraud & Abuse (selected statutes) (PDF 159kb)

Americans with Disabilities Act (PDF 20kb)

HIPAA (selected privacy statutes) (PDF 15kb)