Los Angeles, CA asked in Personal Injury for California

Q: FCA hospice schema

Government adopts hospice schema fraud when it is executed by independent contractors and medical institutions?

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2 Lawyer Answers

A: The government does not adopt hospice schema fraud when it is executed by independent contractors and medical institutions.

James L. Arrasmith
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Answered

A: When the government takes action under the False Claims Act (FCA) against hospice care fraud, it focuses on fraudulent practices such as submitting false claims for services that were not provided or unnecessary. This can happen when medical institutions, contractors, or other parties involved in hospice care intentionally misrepresent information to receive payments they are not entitled to.

If independent contractors or medical institutions are involved in these fraudulent schemes, they can be held accountable under the FCA. The government may investigate and take legal action against those who knowingly participate in defrauding the Medicare or Medicaid systems through false hospice claims.

You should consider speaking with a legal professional to understand your specific situation and protect your rights. If you suspect fraud or need to defend against FCA claims, time is of the essence to act.

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