Federal Law Enforcement and Medicare Fraud in Texas

Regardless of where you live, you have likely heard stories about how Federal law enforcement agencies are stepping up their activities related to Medicare Fraud. In Texas, officials have even established a special task force. HEAT as the Health Care Fraud Prevention and Enforcement Action Team is known is a unit dedicated to fighting medical fraud in Texas. Most efforts are focussed on Houston.

Regardless of your location in Texas, whether Houston or any of its major suburbs, if you are a medical professional, you are at risk. Why?

Even if you have done nothing wrong, HEAT is using a systematic approach for potentially identifying Medicare fraud. This involves…

● Looking for Medical Coding errors

● More closely examining even simple billing mistakes

● Data analysis

On this last item, not enough can be said. HEAT, in conjunction with other agencies like the FBI, DEA, and OIG is relying on big data in an effort to identify medical abuse. However, this system is still new and fraught with errors. In many cases, officials have brought charges while relying heavily on such data. In most of these cases, our Houston Medicare Fraud Attorney get such charges dismissed.

On the enforcement side, there are numerous laws under which a medical provider may face charges. Some of these include the False Claims Act, the Stark Law, and the Social Security Act. There are others, each with its own nuanced elements for gaining victories by the Prosecution. Thus, you need an attorney with the experience to identify why prosecutors may be looking into the case, but also the skill to prove the government wrong. They have virtually unlimited resources with which to target medical professionals. At one time, many of our attorneys were part of those forces. These now use that experience to help the innocent medical practitioners of Houston protect their livelihood. To learn more about how to protect your rights if charged with Medical fraud, click any of the links above.

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