Upcoding Statute of Limitations
What are the Federal Statutes of Limitations for Upcoding?
The statute of limitations for upcoding, which is a type of healthcare fraud in the United States, is generally six years from the date of the commission of the crime.
According to the False Claims Act, the statute of limitations for such an action is six years from the date on which the violation is committed or three years after the date when the material facts are known or reasonably should have been known by the official of the United States charged with responsibility to act in the circumstances, whichever is earlier.
It's important to note that this is a general guideline and the specific statute of limitations for a particular case of upcoding may vary depending on the circumstances of the case. It's always best to consult with a lawyer or the relevant government agency for specific information on the statute of limitations for a particular case of upcoding.
Also, it's worth mentioning that upcoding is a serious crime and it occurs when a healthcare provider submits claims for reimbursement using codes for more expensive procedures or services than were actually performed. Upcoding can result in significant fines and imprisonment, and it's considered a violation of the False Claims Act, which is enforced by the Department of Justice and the Department of Health and Human Services.