Healthcare fraud in Denver involves filing false health insurance claims or using another's healthcare information. Staging an incident and claiming injury is another way to end up with criminal charges. Even medical providers can get caught in these fraudulent acts by falsely billing an insurance company or government service. Fraud offenses are especially serious in Colorado and skilled representation is a must. Consult an experienced criminal lawyer as soon as possible if you're facing allegations of healthcare fraud.
How You Commit Healthcare Fraud in Colorado
Healthcare fraud can involve many different acts of providing false information to insurance companies or large healthcare programs. You commit this crime in Denver if, intending to defraud, you:
- provide an application for a health insurance policy containing false information or that intentionally withholds information resulting in coverage,
- file a claim for injury that includes false information or withholds information,
- take part in a planned accident claiming injury,
- or make a statement supporting a medical insurance claim for payment knowing it contains false or intentionally withheld information
Agents and healthcare providers aren't immune to fraud charges either. Submitting two claims for one procedure, billing for items that weren't provided or were costlier than what was actually provided, or performing unnecessary procedures can lead to allegations of fraud.
Consequences of Health Care Fraud in Colorado
When someone in Colorado submits an application for health insurance containing false information or that purposefully withholds items, a class 1 misdemeanor applies. Defendants in these scenarios face up to 364 days in county jail, as well as a maximum fine of $1,000.
However, submitting a false claim or filing a claim for fraudulent services is a class 5 felony. Conviction can lead to up to 4 years in prison, as well as five-figure fines. On occasion, this offense also includes charges of identity theft, insurance fraud, or forgery.
Denver Healthcare Fraud Attorney
With penalties of time behind bars and significant fines, healthcare fraud charges require immediate action. Don't talk with law enforcement or provide statements to investigators. Instead, exercise your right to remain silent and contact our law office.
Perhaps you didn't know you provided false information on the application, there was no intent to defraud, or the extra / incorrect claims were mistakingly submitted. We offer a free consultation, affordable fees, and flexible payment plans for those facing fraud allegations throughout Colorado.
Don't talk to police about healthcare fraud - talk to us. 303-830-0880
Photo by National Cancer Institute
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