NJ Healthcare Fraud Lawyers.

Last Updated on: 20th August 2026, 09:23 pm

Individuals and Entities Who Can Be Accused of Healthcare Fraud

It is not only doctors and their offices and staff who can be accused of healthcare fraud by insurance companies and the state and federal governments. In fact groups and individuals as diverse as major and minor pharmaceutical companies, hospitals, home healthcare providers, nursing homes, labs, suppliers of durable medical equipment, providers of medical transportation, and rehab facilities can all have accusations and charges of healthcare abuse and fraud leveled against them by investigators from the Federal or State governmental agencies. This is why it is so critically important for any one or entity accused of medical fraud or abuse to engage an experienced and qualified healthcare fraud attorney when they are contacted by payor queries and government inquiries.

General Areas Where Fraud Accusations May Occur

Accusations and investigations can occur in any number of areas regarding billing or potential fraud. Some of the more common instances include:

• Medicaid, Medicare and third-party paying companies and their charges that they were overbilled for claims.
• Health and Human Services Office of the Inspector General and Department of Justiceinvestigations of violations in Medicare billing regulations.
• State agencies and Office of the Inspector General of Health and Human Services civil monetary fines and penalties.