Medicare Fraud

Defending the livelihoods and reputations of medical professionals

The current economy has affected everyone, including medical professionals throughout. As many medical practices are struggling to remain solvent, some have unfortunately turned to activities of dubious legality to supplement their dwindling cash flows. Unfortunately, the aggressive investigations and prosecutions that followed have made it disturbingly easy for innocent medical professionals to become implicated in these frequently complex schemes. If you are being investigated or have been charged or investigated for any type of healthcare fraud, a federal healthcare fraud lawyer from Alliant Law Group, LLC can provide the sophisticated defense you need to save your practice and your reputation.

Types of healthcare fraud

While federal authorities aggressively prosecute instances of Medicare fraud, the federal government also has jurisdiction over various types of healthcare fraud involving private insurance companies. The broad language of this law pertains to nearly any scheme or artifice to defraud a health insurer or obtain property from an insurer under false or fraudulent circumstances:

  • Fraudulent billing
  • Kickbacks to patients who cooperate
  • Submitting false reports or records
  • Fraudulent cost reports
  • Willfully recommending and billing for unnecessary treatments

The prosecution must prove that a healthcare professional, employee or institution acted with willful intent to defraud. While poor recordkeeping and other types of administrative or professional negligence may raise numerous other legal issues, it generally is not sufficient to support a prosecution of healthcare fraud.

Healthcare fraud penalties

A federal charge of healthcare professional misrepresentation or fraud carries a potential penalty of up to 10 years in prison. If such fraudulent acts cause a serious bodily injury to a third person — most often a patient — the maximum penalty increases to 20 years in prison. If death results, a life sentence may be possible. Making false statements to cover up such a scheme can carry a penalty of up to five years in prison. With such serious penalties possible, it is clear that any professional or employee in the healthcare industry who is under suspicion or being investigated for healthcare fraud must proceed with the utmost caution. Fraud investigations are often lengthy, with prosecutors taking the time to build a strong case before filing charges. Therefore, if you wait until you have been charged or arrested to consult a federal healthcare fraud lawyer for counsel, you may have already compromised your case.

Defend your professional livelihood

There are abundant ways for healthcare providers to become implicated in federal healthcare fraud schemes, and the severity of the penalties demands the utmost seriousness. At Alliant Law Group, LLC, we pride ourselves on our ability to provide the sophisticated defense that professionals require for these types of charges. Please contact Managing Partner Daniel Conidi for a free consultation at  Dconidi@alliantlaw.us