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Did you receive a Medicare overpayment notification?

As a medical professional, a time may come when you receive a Medicare overpayment, which is a payment you receive that exceeds the amounts allowed under current Medicare rules and regulations. Once you receive a Medicare overpayment, it becomes your responsibility to return the excess amount to the federal government, and the Centers for Medicare & Medicaid Services track those who receive overpayments to ensure they repay their debts.

Who files complaints about physicians in Texas?

As a physician licensed and practicing in Texas, you run the risk of having a complaint filed against you at any time. Allegations of misconduct can come from a number of different sources, and while some have merit, there may also be unwarranted ones reported to the Texas Medical Board.

Common medical billing errors that could lead to fraud

Health care fraud is a growing concern for many medical and health care providers in Texas. Some providers seek to profit off unlawful activities to increase their profits. However, many health care providers are honest and under heavy scrutiny and sanctions because of the wrongful actions of others. Some potential causes of health care fraud are the result of mistakes in the billing process. Many of those errors are avoidable with the right processes and checks and balances in place.

Being naive is no defense to Medicare fraud

Another doctor has been convicted for playing a part in a multi-million-dollar Medicare fraud scheme. The guilty verdict shows that even being "extremely naïve" is not a valid defense to Medicaid fraud charges.

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