The U.S. government inspects Medicare expenses charged by physicians. The state government also carefully examines doctors’ charges and the patient’s health assessments as well. Since the government is paying the bills, it has the right to examine and dispute anything they want. The probe from federal and state law enforcement officers can bring to light errors that may lead to prosecution for Medicare fraud.
Being convicted of Medicare fraud can result in long-term imprisonment and hefty fines.
The Code of Federal Regulations describes Medicare fraud as “an intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to himself or some other person.”