What are the legal issues related to health care fraud and abuse?

Health care fraud and abuse is a major legal issue in Washington and across the nation. Health care fraud is the intentional submission of inaccurate or false information to Medicare, Medicaid, or any other health care program. Abuse is an action that is inconsistent with accepted medical practice and not related to actual patient care. Health care fraud and abuse can result in costly fines and criminal charges. In Washington, it is a violation of the Consumer Protection Act to defraud or misrepresent the cost or services of providing health care. Other violations of Washington state law related to health care fraud and abuse include falsifying medical records, billing for services that were not provided, and failing to disclose information about health care services or charges. The federal government also has laws and regulations that target health care fraud and abuse. Medicare and Medicaid Fraud and Abuse laws protect consumers and the government from fraud and abuse committed by health care providers and those working in the medical field. The federal False Claims Act penalizes individuals and organizations that file false claims with Medicare and Medicaid. In addition, Washington state has enacted several laws to protect consumers from health care fraud and abuse. The Health Care Fraud Prevention Act requires health care providers to report suspected health care fraud to the Department of Health. The Fraud and False Statements in Medicaid Act makes it illegal for individuals and organizations to knowingly make false statements in order to receive Medicaid benefits. By understanding and adhering to the health care fraud and abuse laws in Washington, consumers can help protect themselves and the government from fraud and abuse.

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What are the legal issues related to health care fraud and abuse?

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