01

Upcoding

Upcoding involves billing for more expensive services or procedures than those actually performed. Our team challenges these claims by reviewing medical records, billing procedures, and compliance with industry standards.

02

Kickbacks

If you're accused of offering or accepting kickbacks for patient referrals, we examine the relationships in question and explore defenses, such as lack of intent or misunderstanding of the arrangements.

03

Unbundling

This involves billing for separate services that should have been bundled into one charge. We review the billing codes, medical necessity, and insurance contracts to challenge the fraud allegations.

04

Billing for Services Not Provided

Accusations of submitting claims for medical procedures or services that were never performed are common in fraud cases. We work to dismantle the evidence and identify any legitimate billing mistakes that may have been misconstrued as fraud.

05

Falsifying Patient Records

Altering medical records or claims to secure higher reimbursements can lead to severe charges. We investigate whether any discrepancies were intentional or the result of honest mistakes, fighting to reduce or dismiss charges.

06

Illegal Billing by Healthcare Providers

In some cases, healthcare providers may be accused of submitting fraudulent claims for unnecessary treatments or services. We scrutinize patient records and medical histories to defend against accusations of illegal billing practices.