Unlike most criminal defense attorneys, our attorneys are dedicated to criminal issues that are specific to health care providers, including health care fraud. Our team of health care fraud attorneys includes two former federal prosecutors, one of which was previously Deputy Attorney General for Idaho’s Medicaid Fraud Control Unit and has extensive experience handling both civil and criminal health care fraud cases. She has trained extensively with the National Association of Medicaid Fraud Control Units and has given presentations to national audiences on the use of statistical sampling in health care fraud cases, and Anti-Kickback law violations. Our team of health care fraud defense attorneys also includes two attorneys with masters of law degrees in health care law. These attorneys are highly educated on issues related to the False Claims Act, anti-kickback laws, Stark laws and other federal and state health care fraud laws.
Health care fraud is an extremely complicated area of law. In contrast from other health law matters, health care fraud cases progress very quickly and carry significant penalties and fines. Often the key to a strong defense is one that is prepared as early as possible. Even the mention of health care fraud can trigger licensing investigations and Medicare and Medicaid audits. We work with health professionals to not only defend against health care fraud charges, but prepare them for investigations and audits.
In recent years the federal government has teamed up with state and local government to aggressively identify and stop health care fraud. The investigators are often ruthless and use confidential informants, previous employees and others with potential inside information to assist in the investigation and prosecution. As a result, incidental errors or negligence are often identified as potential fraud. The Medicare/Medicaid billing manuals/procedures are not easy to understand and often coding errors and simple misunderstandings lead to adverse consequences. With significant increases in funding from the federal government for health care fraud audits, health professionals are often faced with intrusive investigations. These investigations and audits do not resolve themselves! The assistance of a health care fraud attorney that understands CMS regulations and state and federal fraud and abuse laws should be retained at the earliest possible time to limit exposure and help ensure a positive outcome.
If you have been 1) arrested for health care fraud, 2) contacted by federal or state/local law enforcement, 3) contacted by a medical insurer raising questions of potential fraud, contact a health care fraud attorney as soon as possible. The allegations are very serious and prosecutors will often try obtaining information from you before you have retained an attorney. Please don’t give authorities or the prosecutor information without first seeking counsel.
Our goal is not only to resolve health care fraud charges and minimize penalties, our goal is also to protect the provider’s professional license and practice. Unlike most criminal defense attorneys, our attorneys are also experienced with administrative sanctions and employment issues that result from health care fraud allegations. Health care fraud allegations can have a widespread effect on licensure, CMS eligibility, NPDB, staff privileges, credentialing issues, etc. From the onset, we consider these issues when handling the civil and/or criminal health care fraud cases. Additionally, upon resolution of a health care fraud case, our attorneys are able to handle the administrative and employment issues that may result from health care fraud allegations and/or convictions.
Our health care fraud defense attorneys are licensed in Michigan, Idaho, Ohio, and Florida and are ready, willing and able to assist you in all aspects of health care fraud: investigations, criminal defense, professional licensing defense, etc. Please contact us for a free consultation with our health care fraud defense attorneys.