Healthcare fraud is a serious problem in the United States, with estimates suggesting that billions of dollars are lost every year due to illegal activities.

While there are many different types of healthcare fraud, most can be broadly divided into two main categories: insurance-based fraud and patient fraud. Insurance-based healthcare fraud occurs when individuals or organizations intentionally exaggerate, misrepresent, or falsify information in order to obtain payment from an insurance company. These illegal activities can include, for example, claiming medical expenses or treatments that were never received, billing for services that were not rendered, or providing duplicate or inflated invoices.

On the other hand, patient fraud involves individuals or organizations that deliberately deceive doctors and other healthcare providers in order to obtain treatments or prescriptions. For example, a patient may falsely claim to be experiencing symptoms in order to obtain unnecessary medical care, or they may alter lab test results in order to receive medication that they do not need.

While healthcare fraud can occur at any level – from individual patients to large-scale organizations – the most common perpetrators are insurance companies, doctors and other healthcare providers, pharmaceutical companies, and billers. Healthcare fraud is a serious crime, and anyone who is accused of engaging in such activities should consult with a qualified attorney as soon as possible.