DC Federal Healthcare Unbundling Lawyer

The National Health Care Anti-Fraud Association estimates that healthcare fraud costs tens of billions of dollars every year. This massive drain on healthcare programs has led to harsh penalties for such fraud under federal law.

If you are facing a federal healthcare unbundling charge, remember that an accusation is not a conviction. An experienced DC federal healthcare unbundling lawyer can work to defend you against any charges. Call and schedule a consultation with a DC federal healthcare fraud lawyer today to learn more and discuss your charge.

What Is Unbundling?

Unbundling is the practice of submitting bills in a fragmented fashion in order to maximize the reimbursement for various tests or procedures that are required to be billed together at a reduced cost. Bundling, or putting together, things like medical tests and procedures helps healthcare providers keep down the costs of those procedures. The less healthcare providers charge, the less insurance companies need to pay.

“Unbundling” those procedures, or fraudulently charging separately for procedures that actually occurred together or should have occurred together, is insurance fraud. One example of such fraud is when a battery of many different tests is given in a single day, but those tests are reported as happening separately. This type of fraud raises the cost of each individual test, and falsely inflates the amount of compensation provided to the healthcare professional by the insurance company.

Penalties

Under 18 U.S. Code Section 1035, the simple act of falsifying or concealing facts, or making or using a false statement or document opens you up to prosecution. If convicted, you may face a penalty of up to 5 years imprisonment, a fine, or both.

18 U.S. Code Section 1347 addresses the penalties for successfully or unsuccessfully using deception to attempt to obtain money or property from any healthcare program. A sentence for a conviction under this section is up to ten years in prison, a fine, or both. However, if the fraud resulted in serious injury or death, the penalties increase sharply.

Benefits of a DC Healthcare Unbundling Lawyer

Having to face federal charges can be very stressful and overwhelming, but having a knowledgeable attorney on your side can help mitigate that stress. A DC-based lawyer practicing federal healthcare unbundling law will be able to help you by:

  • Analyzing and calling into question evidence presented by the prosecution;
  • Finding and organizing evidence and testimony to support your defense; and
  • Preparing a strong defense.

Call For a Free Consultation Today

There is no reason to wait to start building your defense. Contact one of our dedicated DC federal healthcare unbundling attorneys today. Consultations are free, and they can help you get an idea of how to move forward with your case.