Chimicles Schwartz Kriner & Donaldson-Smith LLP is Investigating the Medicare/Medicaid Billing Practices of Hospitals and Other Healthcare Providers

Chimicles Schwartz Kriner & Donaldson-Smith LLP (CSK&D) is investigating the billing practices of large healthcare providers, including hospitals, nursing home networks, and home care networks. Fraudulent Medicare and Medicaid billing on the part of healthcare providers is rapidly on the rise. Recent reports and government settlements indicate that healthcare providers—such as hospitals—are bilking the government through fraudulent billing practices, including through the use of miscoding or up-coding in medical billing, or by providing exorbitantly priced services that are not necessary treatments. Healthcare providers execute this type of fraud by overbilling or seeking excessive reimbursement from the government through Medicare, Medicaid, or other government-sponsored health programs for services that were not rendered or that were unnecessary.

The financial harm of these fraudulent practices cannot be understated. Each year, the United States government loses billions of dollars through fraudulent billing practices, and the brunt of the harm is ultimately borne by American taxpayers.

Our firm is interested in discussing the Medicare and Medicaid billing practices of hospitals, nursing home networks, and other healthcare providers that receive compensation through government-sponsored health programs.  We are particularly interested in speaking to Clinical Documentation employees, Medicare/Medicaid Billing employees, and Inpatient/Outpatient Coding employees about their experiences in healthcare billing and reimbursement roles.  If you would like to speak with us about your experiences, please fill out the form below and one of our attorneys will be in contact with you.