My name is***** and I will be helping you with your question today. This is for informational purposes only and does not establish an attorney client relationship.
Any unlawful act which results in the inappropriate billing of Medicare for services by a healthcare provider, including physicians, hospitals and affiliated providers. Some example: Billing for or performance of duplicated services, claims for services not rendered, billing for services not deemed medically necessary, miscoding of medical and/or surgical procedures, excess charges for services or supplies, breech of assignment agreements, billing Medicare patients at a higher or different fee schedule, waivers of co-payments and deductibles, and other improper billing practices. Just because the date was wrong does not necessarily mean that there is Medicare fraud, there would have to be some sort of benefit to the doctor or hospital like previously described.
As to the possible medical malpractice, you would have to show that the cardiologist's care fell below the standard of care which is how a physician in a similar specialty would have acted in a similar circumstance. You have already requested the medical records which is a good first step. You need to find an experienced medical malpractice attorney to look at these records and properly ascertain the merits of your case which it seems like you have already done. The most important thing is having an expert cardiologist review the case and see if the care was below the standard of care. These experts are very expensive and the attorney you contacted will have experts they can talk to in order to review your case. These cases can be difficult to prove but it comes down to the little things and the medicine and that is why the experts are so important.
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