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Aurora Healthcare Fraud Defense Lawyer

Aurora Healthcare Fraud Defense: What You Need to Know

There’s one reason you’re on this website: you’re looking for an elite criminal defense law firm, to handle a serious healthcare fraud case. Well, you’ve come to the right place. The Spodek Law Group is renowned for our aggressive defense strategies – and uncompromising commitment to our clients. So, let’s cut right to the chase. If you’re facing healthcare fraud charges, the stakes couldn’t be higher. We’re talking potential prison time, massive fines, and the shattering of your professional reputation. But, take a deep breath – because we’ve got your back.Unlike other firms that take a cookie-cutter approach, we leave no stone unturned in building a strategic, personalized defense. Our criminal attorneys have one focus: getting you the best possible results.

Understanding Healthcare Fraud Charges

First thing’s first, we need to get a handle on exactly what you’re being accused of. Healthcare fraud covers a wide range of activities – from billing for services never provided, to paying kickbacks for patient referrals, to falsifying diagnoses. The allegations will determine our specific defense strategy.So, we start by reviewing the complaint with a fine-tooth comb. Identify every key claim, every piece of evidence the prosecutors are hanging their hat on. This gives us a roadmap of what we need to dismantle.

Building an Aggressive Defense

With the government’s case mapped out, we launch a full-scale evidence-gathering operation. We’ll tear through billing records, patient files, testimonies – anything and everything that could prove your innocence. You see, our goal is to separate fact from fiction. Expose every flaw, every hole in the prosecution’s argument. Because even if they have a shred of evidence against you, we can still punch holes in their case with the right affirmative defenses:

  • Lack of intent? We’ll prove you had no clue you were doing anything wrong.
  • Reasonable belief it was legal? We’ve got you covered – with documentation showing you relied on credible guidance.
  • Robust compliance program? We’ll demonstrate your unwavering commitment to operating above-board.

It’s simple. Every single client deserves honesty and white glove service – and that’s exactly what you’ll get with Spodek Law Group.

Negotiating the Best Possible Deal

Of course, the ideal scenario is avoiding trial altogether and negotiating a favorable plea deal. But you’d better believe we bring the same tenacious approach to the bargaining table. We’ll hammer prosecutors with the mountain of evidence poking holes in their case. Apply unrelenting pressure until they see the light – that pursuing charges against you is a long, uphill battle they can’t win. And when they finally come around? We’ll fight tooth and nail to minimize any penalties, fines or collateral damage you face. No half-measures, no cutting corners. Just unstoppable advocacy from one of America’s most feared teams of legal negotiators.

Taking It To Trial

Make no mistake, we’d much rather resolve your case through skilled negotiating. But if prosecutors refuse to be reasonable? We’re taking this fight to the courtroom. Preparing for trial is where our expertise really shines. We’ll be filing motions, locking down witnesses, crafting airtight arguments. Developing a multi-pronged trial strategy that unravels the government’s narrative from every possible angle. And when it’s time to go toe-to-toe? You can bet your last dollar we’ll be the most prepared, most aggressive team in the room. Dismantling the prosecution’s evidence, punching holes in their theories, until the only possible conclusion is your complete exoneration.

Why The Spodek Law Group?

At this point, you’re probably wondering – what makes us different from all the other criminal defense firms out there? It’s simple: unparalleled commitment.Most law firms implement a cookie cutter strategy in order to fight your case, and save their own time. They don’t look carefully at your situation โ€“ they simply want to move on to the next case. At Spodek Law Group, we leave no stone unturned. We do everything possible to win. Everything we do is focused on getting you results.We understand the difficult and challenges of going through a case. If you’re accused of a crime, schedule a consultation with our criminal attorneys today. Our team will take the time to understand every facet of your situation, so we can devise a defense strategy that gets you the best possible outcome. Sometimes prosecutors will only be fair if you respond with force to them. Without an attorney advising you, you might accidentally plead guilty when you could’ve won the case. The only way to truly know is to hire a private criminal defense attorney.

Christine Twomey
Christine Twomey
2024-03-21
Just had my Divorce case settled 2 months ago after having a horrible experience with another firm. I couldnโ€™t be happier with Claire Banks and Elizabeth Garvey with their outstanding professionalism in doing so with Spodek Law Group. Any time I needed questions answered they were always prompt in doing so with all my uncertainties after 30 yrs of marriage.I feel from the bottom of my heart you will NOT be disappointed with either one. Thanks a million.
Brendan huisman
Brendan huisman
2024-03-18
Alex Zhik contacted me almost immediately when I reached out to Spodek for a consultation and was able to effectively communicate the path forward/consequences of my legal issue. I immediately agreed to hire Alex for his services and did not regret my choice. He was able to cover my case in court (with 1 day notice) and not only was he able to push my case down, he carefully negotiated a dismissal of the charge altogether. I highly recommend Spodek, and more specifically, Alex Zhik for all of your legal issues. Thanks guys!
Guerline Menard
Guerline Menard
2024-03-18
Thanks again Spodek law firm, particularly Esq Claire Banks who stood right there with us up to the finish line. Attached photos taken right outside of the court building and the smile on our faces represented victory, a breath of fresh air and satisfaction. We are very happy that this is over and we can move on with our lives. Thanks Spodek law ๐Ÿ™๐Ÿผ๐Ÿ™๐Ÿผ๐Ÿ™๐Ÿผ๐Ÿ™๐Ÿผ๐Ÿ™Œ๐Ÿผโค๏ธ
Keisha Parris
Keisha Parris
2024-03-15
Believe every single review here about Alex Z!! From our initial consultation, it was evident that Alex possessed a profound understanding of criminal law and a fierce dedication to his clients rights. Throughout the entirety of my case, Alex exhibited unparalleled professionalism and unwavering commitment. What sets Alex apart is not only his legal expertise but also his genuine compassion for his clients. He took the time to thoroughly explain my case, alleviating any concerns I had along the way. His exact words were โ€œIโ€™m not worried about itโ€. His unwavering support and guidance were invaluable throughout the entire process. I am immensely grateful for Alex's exceptional legal representation and wholeheartedly recommend his services to anyone in need of a skilled criminal defense attorney. Alex Z is not just a lawyer; he is a beacon of hope for those navigating the complexities of the legal system. If you find yourself in need of a dedicated and competent legal advocate, look no further than Alex Z.
Taรฏko Beauty
Taรฏko Beauty
2024-03-15
I donโ€™t know where to start, I can write a novel about this firm, but one thing I will say is that having my best interest was their main priority since the beginning of my case which was back in Winter 2019. Miss Claire Banks, one of the best Attorneys in the firm represented me very well and was very professional, respectful, and truthful. Not once did she leave me in the dark, in fact she presented all options and routes that could possibly be considered for my case and she reinsured me that no matter what I decided to do, her and the team will have my back and thatโ€™s exactly what happened. Not only will I be liberated from this case, also, I will enjoy my freedom and continue to be a mother to my first born son and will have no restrictions with accomplishing my goals in life. Now thatโ€™s what I call victory!! I thank the Lord, My mother, Claire, and the Spodek team for standing by me and fighting with me. Words canโ€™t describe how grateful I am to have the opportunity to work with this team. Iโ€™m very satisfied, very pleased with their performance, their hard work, and their diligence. Thank you team!
Anthony Williams
Anthony Williams
2024-03-12
Hey, how you guys doing? Good afternoon my name is Anthony Williams I just want to give a great shout out to the team of. Spodek law group. It is such a honor to use them and to use their assistance through this whole case from start to finish. They did everything that they said they was gonna do and if it ever comes down to it, if I ever have to use them again, hands-down they will be the first law office at the top of my list, thank you guys so much. It was a pleasure having you guys by my side so if you guys ever need them, do not hesitate to pick up the phone and give them a call.
Loveth Okpedo
Loveth Okpedo
2024-03-12
Very professional, very transparent, over all a great experience
Bee L
Bee L
2024-02-28
Amazing experience with Spodek! Very professional lawyers who take your case seriously. They treated me with respect, were always available, and answered any and all questions. They were able to help me very successfully and removed a huge stress. Highly recommend.
divesh patel
divesh patel
2024-02-24
I can't recommend Alex Zhik and Spodek Law Firm highly enough for their exceptional legal representation and personal mentorship. From the moment I engaged their services in October 2022, Alex took the time to understand my case thoroughly and provided guidance every step of the way. Alex's dedication to my case went above and beyond my expectations. His expertise, attention to detail, and commitment to achieving the best possible outcome were evident throughout the entire process. He took the time to mentor me, ensuring I understood the legal complexities involved to make informed decisions. Alex is the kind of guy you would want to have a beer with and has made a meaningful impact on me. I also want to acknowledge Todd Spodek, the leader of the firm, who played a crucial role in my case. His leadership and support bolstered the efforts of Alex, and his involvement highlighted the firm's commitment to excellence. Thanks to Alex Zhik and Todd Spodek, I achieved the outcome I desired, and I am incredibly grateful for their professionalism, expertise, and genuine care. If you're in need of legal representation, look no further than this outstanding team.

At Spodek Law Group โ€“ we pride ourselves on taking a hands-on approach. It means researching the exact situation surrounding your case, and putting in the leg work to be familiar with every single intimate detail. Our firm has excellent work ethics, and we constantly hold firm meetings in order to discuss and address all of our cases. In the event of an emergency โ€“ we have a full team of lawyers available to help you.Regardless of how tough your situation is โ€“ we are here to help you. Our criminal defense lawyers work hard to have a solution for you, irrespective of the situation you find yourself in. Many clients are often embarrassed by their situation, and don’t speak openly about their alleged issue.

We encourage open dialogue, and recommend full transparency โ€“ so we can give you the best possible legal advice.The Spodek Law Group handles cases nationwide. We have offices in NYC and Los Angeles. Our reputation is well received by other attorneys and members of the media alike.

In 2022, Netflix released a series about one of our clients: Anna Delvey/Anna Sorokin.So if you’re facing healthcare fraud charges, you’d better have a team of heavy hitters in your corner. Hire second-rate representation, and you’re putting your entire future at risk. But bring in the Spodek Law Group? And you’re tapping into a veritable force of nature – with the skills, experience and sheer tenacity to dismantle even the most seemingly airtight case against you.

Common Healthcare Fraud Charges

To give you an idea of what we’re dealing with, here are some of the most common healthcare fraud charges we encounter:

Anti-Kickback Violations

The Anti-Kickback Statute is a criminal law that prohibits anyone from knowingly and willfully soliciting, receiving, offering or paying any remuneration in exchange for referrals for services paid for by federal healthcare programs. A simple example: if a pharmaceutical company is providing kickbacks to doctors for prescribing their drugs to Medicare patients, that would violate the Anti-Kickback Statute. Our defense strategies could include proving lack of intent, or that the “kickbacks” were actually legitimate payments for services rendered.

Stark Law Violations

The Stark Law prohibits physicians from referring patients to receive “designated health services” from entities in which they have a financial relationship, unless an exception applies. For instance, if a doctor owns shares in an imaging center and refers patients there for CT scans, that could potentially violate Stark – unless one of the law’s exceptions can be proven. We’d work to demonstrate your referral practices fully complied with one of the exceptions.

False Claims Act Violations

The False Claims Act makes it illegal to submit false or fraudulent claims for payment to federal healthcare programs like Medicare, Medicaid or Tricareย 3.ย Common violations include:

  • Billing for services never rendered
  • Upcoding to increase reimbursement amounts
  • Providing medically unnecessary services
  • Falsifying credentials or certifications

Our defense would aim to disprove any intentional fraud. Perhaps billing errors were merely accidental mistakes. Or the services truly were medically necessary based on your professional judgment at the time.

Certification Errors

Healthcare providers are required to comply with a wide array of rules, regulations and certification requirements to participate in federal healthcare programs. If you failed to meet those requirements, you could potentially face criminal charges for healthcare fraudย 4.We’d look at arguing you made a good-faith effort at compliance. Or that the certification violations were relatively minor and didn’t actually lead to improper billing.

Prescription Fraud

From overprescribing opioids to writing scripts without a legitimate medical purpose, prescription fraud is a major focus area for federal prosecutors these days. Our defense would emphasize the subjective nature of medical necessity determinations and question the materiality of any errors.

What To Do If You’re Under Investigation

So let’s discuss what to do if you get that sinking feeling an investigation is looming. Maybe an agent shows up unannounced to ask some questions. Or you receive a subpoena for records out of the blue.The most important thing? Don’t panic, and don’t say anything. Not a word. Because even seemingly innocuous statements can later be twisted and used against you.Instead, politely refuse to answer questions and get yourself a lawyer ASAP. An experienced healthcare fraud defense attorney like the ones at Spodek Law Group. We’ll jump in and deal with the investigators directly, protecting you from making damaging missteps. From there, we’ll gather information about the nature and status of the investigation. What prompted it, what allegations are being made, what evidence they’ve gathered so far. All while advising you of your rights and ensuring you don’t mistakenly waive any privileges. The key is getting out ahead of the investigation as early as possible. That allows us to start poking holes in the government’s case right from the start – before it even makes its way to the courtroom.

Building the Strongest Possible Defense

If charges do ultimately get filed, our work transitions to building the most comprehensive, aggressive defense possible. We’ll leave no stone unturned in our quest to undermine the prosecution’s arguments.That means:

  • Interviewing witnesses and prepping airtight testimony
  • Locating and consulting with leading expert witnesses
  • Conducting additional investigations to unearth new exculpatory evidence
  • Analyzing every document with a fine-tooth comb
  • Researching relevant case law and statutory interpretations
  • And much, much more

Our goal? To compile an overwhelming body of evidence that raises a reasonable doubt of guilt in the minds of the judge or jury. By calling the prosecution’s entire narrative into question at every turn. We’ll also begin developing affirmative defenses – justifications for why you should be found not liable, even if certain allegations are true.

For healthcare fraud, common defenses include:

  • Lack of intent to defraud
  • Good-faith belief conduct was lawful
  • Existence of an effective compliance program
  • Advice of counsel
  • Accurate reliance on authoritative guidance

The more potential defenses we can put on the table, the more it fractures and undermines the prosecution’s case. It creates reasonable doubt, plain and simple.

Negotiating the Best Resolution

Of course, the ideal outcome is avoiding the stress and expense of trial altogether. And with our skilled negotiators on your side, that’s a very real possibility. We’ll leverage every shred of evidence, every gaping hole in the government’s case, to drive an extremely hard bargain. Whether that’s outright dismissal of all charges, pre-trial diversion, or minimizing any potential sentencing exposure to the fullest extent possible. Our team has literally decades of experience brokering favorable resolutions in healthcare fraud cases. We know all the angles, all the levers to pull to tip the scales in our clients’ favor.And when a deal is struck? We’ll keep fighting to secure the most optimal terms and conditions. Minimizing fines, avoiding exclusions from federal programs, protecting your professional licenses and reputation.It’s not just about the present-day charges, but safeguarding your future and livelihood as well. With Spodek Law Group, you can rest assured no opportunity will be missed in pursuit of the absolute best-case scenario.

Taking Your Healthcare Fraud Case to Trial

For the most serious charges or the most stubborn of prosecutors, going to trial may be unavoidable. But have no fear – our team of battle-tested litigators were born for this. We’ll handle every aspect of trial preparation from Motions to Dismiss to the grueling jury selection process. Leaving absolutely no detail overlooked or contingency unaccounted for.When it’s time to finally set foot in the courtroom? We’ll be the most prepared, most unflappable, most aggressive team in the room. Dismantling the prosecution’s evidence line by line, witness by witness, until the only conclusion left is “not guilty.” Our attorneys are renowned for their courtroom tenacity and flair for the dramatic. For capturing the jury’s attention and leaving a lasting impression. We know how to take complex healthcare regulations and break them down into simple, understandable terms that sway opinions in our favor. And should the unthinkable happen and a guilty verdict be returned? We’ll launch an immediate appeal exploring every possible legal angle and error. Because for us, it’s never over until we’ve literally exhausted every last option in pursuit of justice. The bottom line: when it comes to healthcare fraud charges, you need a team of heavy hitters in your corner. Hire a discount defense firm, and you’re putting your entire future at risk. But bring in the Spodek Law Group? And you’re tapping into a veritable force of nature – with the skills, experience and sheer tenacity to dismantle even the most seemingly airtight case against you.

Get the Spodek Law Group on Your Side Today

So if you’re under investigation for healthcare fraud – or have already been charged – don’t roll the dice with second-rate representation. Your career, your finances, your freedom are all at stake. Bring in the big guns at Spodek Law Group. We’ll hit the ground running, working tirelessly to safeguard your rights and interests at every turn. With our elite team of healthcare fraud defense specialists, you can rest easy knowing you have the strongest possible advocates in your corner.

The road ahead won’t be easy. But with our expertise, our resources, and our unwavering commitment to your success, you’ll give yourself the best chance of emerging unscathed. Of putting this stressful chapter behind you and moving forward with your life and career.

So what are you waiting for? The clock is ticking. Contact the Spodek Law Group and let’s get to work dismantling this case against you. Call us today at 212-210-1851 to schedule a free consultation.ย 

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