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What is Unbundling Medicaid Fraud?

Our healthcare fraud defense attorneys can answer your legal questions

Medicaid and Medicare fraud cases can be extremely complicated. One of the most complex forms of this type of fraud includes unbundling. This term refers to a practice in which medical professionals bill separately for individual medical procedures that are sometimes grouped together into a single bill. Medicaid often pays less for certain medical procedures grouped together.

Unbundling Medicaid fraud cases can have serious consequences. If you are found guilty of unbundling Medicaid fraud, you could be fined thousands of dollars or possibly even sentenced to serve jail time. That’s why it’s critical that you take your healthcare fraud case seriously right from the start. That’s why our Medicaid fraud defense lawyers want to meet with you at Brewer, Pritchard & Buckley, PC.

What is unbundling Medicaid fraud?

Medicaid was created by the federal government in 1965. This government-sponsored health care program provides medical care to low-income Americans of all ages. Medicaid has very strict rules and regulations. That’s why Medicaid unbundling cases can be so common and so complicated.

Examples of unbundling Medicaid fraud cases include:

  • Billing separately for medical procedures normally billed as one procedure by Medicaid
  • Billing for more than one Medicaid medical procedure for multiple procedures
  • Billing for parts of a multi-step medical procedure normally billed as one by Medicaid

Because Medicaid is a federal health care program, the allegations against you may involve federal criminal or civil charges. Federal Medicaid fraud charges are very serious and could potentially result in fines worth $250,000 per offense and/or five years in jail per offense.

Discover what a dedicated Medicaid fraud defense lawyer can do for you

You don’t have to deal with your unbundling Medicaid fraud case on your own. Our Medicaid fraud defense attorneys can help you every step of the way. We know the law and know what evidence to look for to build the strongest possible legal case. Simply contact us and schedule your case evaluation. We’re based in Texas and proudly serve professionals throughout the country.

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