Healthcare Deception: Exposing Fraud

The Dark Underbelly of the Healthcare Industry: Unmasking Fraud

When the health of our loved ones is at stake, we trust healthcare professionals to act as reliable trustees. However, some entities may exploit this trust, engaging in fraudulent activities detrimental to patients, value-based care, and the financial revenue channels. Shedding light on such fraudulent conduct is B. Patrick Agnew, a reputable personal injury attorney with the Law Office of B. Patrick Agnew, PLLC.

Understanding the Scope of Healthcare Fraud

Healthcare fraud is a wide-reaching problem that extends from trivial offenses to orchestrated schemes disrupting healthcare systems financially and functionally. Constant vigilance is required to identify and address such deceptive practices. The diverse nature of this issue warrants extensive understanding and professional insights.

Types of Healthcare Fraud

Comprehending the varied dimensions of healthcare fraud is the first step towards exposing and combatting it. Here are some common types of defrauding tactics witnessed in the healthcare landscape.

  • Falsifying services: This involves charging for healthcare services that were never performed. It often includes manipulating patient records, dates, or claims to validate such fraudulent charges.
  • Unbundling: A subtle form of deception, unbundling, involves billing each service’s component independently rather than as a combined, cost-efficient procedure.
  • Kickbacks: Illegal remuneration exchanged for patient referrals or product endorsements typically marks this form of fraud.
  • Up-coding: Fraudulently inflating bills by using codes that refer to more expensive procedures than those actually performed falls under up-coding.
  • Counterfeit prescription drugs: From inactive placebos to drugs containing toxic or unverified substances, counterfeit prescription fraud is directly detrimental to patient health and treatment efficacy.
  • Unraveling the Repercussions

    The repercussions of healthcare fraud are manifold, extending beyond financial stresses. It conflicts with the principles of value-based care, disturbs healthcare accessibility, escalates healthcare costs, and places patient safety and trust at risk.

    Legal Armament Against Healthcare Fraud

    Legal channels play a crucial role in identifying, investigating, and prosecuting healthcare fraud. The False Claims Act (FCA), the Stark Law, and the Anti-Kickback Statute are among vital legal tools used to combat such deceptive conduct. As a personal injury attorney, B. Patrick Agnew leverages these legal frameworks to advocate for victims of healthcare fraud and strives to establish a more transparent, trustworthy healthcare environment.

    The Role of a Personal Injury Attorney

    Personal injury attorneys like B. Patrick Agnew represent victims who have suffered physical or psychological harm due to the carelessness or deceitfulness of healthcare professionals and entities. They review medical and financial documents, uncover evidence, draft compelling legal arguments, and tenaciously fight in court to protect their clients’ rights and interests.

    Standing Up Against Fraud: A Collective Effort

    The fight against healthcare fraud requires collective efforts. Patients are urged to scrutinize their medical bills, report anomalies, and consult a personal injury attorney like B. Patrick Agnew at the first hint of fraud. Similarly, healthcare providers must incorporate robust internal auditing and reporting mechanisms to prevent or detect fraud within their organizations.

    B. Patrick Agnew and his team at the Law Office of B. Patrick Agnew, PLLC, have been consistently at the helm of identifying and addressing healthcare fraud cases. They understand the impact of fraud on individual lives and on the healthcare system and are committed to ensuring justice for defrauded patients.

    Final Word

    Healthcare fraud is a jarring anomaly in a field devoted to promoting wellness and saving lives. Standing guard, the Law Office of B. Patrick Agnew, PLLC, along with other legal and healthcare entities, plays a key role in unmasking these deceptive practices. By constantly learning and adapting to the evolving landscape of healthcare fraud, they aim to foster an environment of transparency and trust. As patients, providers, and legal entities tighten the noose on healthcare fraud, the road to a more equitable and reliable healthcare industry is foreseeable.

    Are you suspecting signs of healthcare fraud? Set up a free consultation with the Law Office of B. Patrick Agnew, PLLC, and secure your health and financial wellness against fraud.

    Table of Contents

    54 reviews on
    Patrick McBride
    Patrick McBride
    July 21, 2023
    I was recommended to Patrick by another lawyer, it was the best recommendation I have ever had. I was getting the run around by the workers comp insurance company for months. With in a week of retaining Patrick that changed immediately. He got answers and results that seemed impossible for me to. When you are dealing with Patrick it doesn’t take long to figure out he really does care about your wellbeing and getting you taken care of. You are not just a number to him. He always answers or calls you back, I called him several times late on a Friday left a message to call me Monday not Patrick he called me late Friday. You want find that anywhere. He is always there to answer any questions or concerns you have and happy to do so.He also has a great support staff Jennifer was always so pleasant and helpful. She stayed on top of weekly requirements and anything else I needed help with. Patrick went up against some tough opposition and worked relentlessly to get me a fair settlement. I came to Patrick at my wits end and in the end I feel like things could not have gone any better. Thank you Patrick and Jennifer for all you have done. If you need workers comp help you will not find any better.
    Joyce Brooks
    Joyce Brooks
    June 23, 2023
    I will personally recommend anybody to contact this law firm to work with you on any case that’s dealing with and your job. They are so understanding about what you going through and they check on you making sure you are doing well with your Sickness. When I say they take it personally o boy , they will even call on a Sunday. So I tell anyone call this law firm so they can handle all of your Workmancomp cases. I’m so truly satisfied and I really appreciate the law firm of Patrick Agnew. Thanks again guys y’all are the best!!
    Brian Webster
    Brian Webster
    June 19, 2023
    Great people doing great work here! Everyone in the office is friendly and professional. They're very good at their jobs and worked hard for me. I couldn't be happier with the service I received.
    Steven Taylor
    Steven Taylor
    April 20, 2023
    I couldn’t be any more pleased with my service from Patrick and his team. From start to finish they stuck through and made sure I was always taken care of. I would definitely recommend their legal services.
    Ethan Long
    Ethan Long
    November 21, 2022
    Mr Agnew and his team are very professional and very fast on addressing any issues that you may encounter. Would definitely recommend to anyone!
    Wendy Pauley
    Wendy Pauley
    November 18, 2022
    The warmth, care and concern of both Mr. Agnew and Jennifer put me at ease, and I knew my case was in good hands. Ongoing communication with Jennifer was excellent, timely, professional; and her work was thorough and detailed. I highly recommend this practice..... they go above and beyond for you!
    David Thornton
    David Thornton
    October 31, 2022
    I tried 3 times on my own to get the disability benefits that I deserved and was denied almost immediately each time. I was about to lose my home and fell into major depression and diagnosed having generalized anxiety disorder due to stress. I told myself to try 1 more time. I asked my attorney, who does not specialize in disability cases, who should I contact. He immediately told me to contact B. Patrick Agnew. The firm agreed to take my case. Their paralegal Jennifer Martin was a God send to me. It only took the firm 4 months to help get my benefits approved. If anyone needs a disability attorney, look no further. Make a call and you will not regret it!!!!!

    Helpful Resources

    Personal Injury

    Virginia Accident and Injury Laws

    Virginia Personal Injury Law