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 national health care fraud defense lawyer who 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.
Health care fraud defense is an extremely complicated area of law. In contrast to other health law matters, they 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.
If you have been arrested for health care fraud, contacted by federal or state/local law enforcement, or contacted by a medical insurer raising questions of potential fraud, contact a defense 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.