The Federal Bureau of Investigations (FBI) continues to crack down on allegations of billing fraud within medical practices. The agency provided an example of increased enforcement efforts with a recent raid of an office in New York.
What was this investigation about? The federal agency dug into the paperwork of a medical practice in Western New York. It was looking for billing discrepancies. In some cases, these discrepancies can result in allegations of fraud. This is the case for this specific investigation.
What happens if an investigation results in allegations of fraud? A practice accused of fraud could find itself subject to an intrusive investigation. The investigation can result in a review of patient records and seizure of various assets.
The case noted above involves CCS Oncology. The Buffalo News reports the group allegedly owes millions in back taxes to state and federal authorities due to billing issues. The piece notes the investigation conducted by the FBI has hindered the ability of the practice to provide quality care to their cancer patients. The agents allegedly asked the physicians and staff to leave the premises while they were collecting records for review.
The piece also notes that a full raid of this nature is not common. Instead, it is more common to see a subpoena requesting the information. Although a subpoena may be less intrusive compared to a full raid, it can still impact the daily workings of the practice and potentially effect the care provided to patients.
Physician practices that are the subject of an investigation due to a billing or other matter should take steps to protect their business interests and professional license. An attorney can provide assistance throughout this matter and better ensure the group’s interests are protected.