There are many federal, state, and insurance programs established to help investigate medical fraud and abuse.
Criminal and civil charges
As a result, individuals who commit healthcare fraud and abuse can face criminal and civil charges leading to fines and even imprisonment, depending on the severity of the fraud. For instance, many healthcare fraud cases can lead to imprisonment of up to 10 years. But the length of imprisonment can increase to 20 years when serious injury occurs. Additionally, fines can be steep, ranging from $10,000 to $50,000 per charge.
Additionally, medical practitioners found guilty of fraud or abuse can lose their licenses.