Accused of Medicaid fraud in the Bronx? Learn how a Bronx Medicaid fraud lawyer can help defend you against New York State Medicaid fraud investigations, charges, and penalties. Understand what constitutes Medicaid fraud, potential…
Accused of healthcare fraud in New Jersey? Our experienced NJ healthcare fraud lawyers defend doctors, providers, hospitals, and healthcare entities facing Medicare, Medicaid, and insurance fraud investigations, audits, and criminal charges. Protect your license,…
Explore how federal law prosecutes healthcare fraud under 18 U.S.C. § 1347, including sentencing guidelines, intent requirements, loss calculations, kickback and Stark Law overlaps, telemedicine risks, medical necessity disputes, and critical defense strategies for…
Medicare payment reviews are often triggered by government data analytics and other information that suggest there may be an issue with a provider’s billing. CMS billing data can highlight statistical outliers that warrant further…
Medicare is a federal program administered by the Centers for Medicare and Medicaid Services (CMS), while Medicaid is jointly funded and administered by the U.S. government and the state governments. Both of these healthcare…
The federal statute that imposes criminal liability for healthcare fraud, 18 U.S.C. § 1347, requires proof of “knowing and willful” conduct. For physicians, pharmacists, other healthcare providers, and business owners, this includes conduct intended…
You terminated a patient relationship. Maybe you gave notice, maybe you didn't. Maybe there was an emergency, maybe there wasn't. Either way, something happened - and now you're on this page trying...
The Statute Prohibits the Arrangement You Believe Is Legitimate Most physicians who enter financial relationships with pharmacies do not believe they are...
Facing a Healthcare Fraud CID? Learn what a Civil Investigative Demand means, why you received one, False Claims Act penalties, and DOJ tactics. Discover defense strategies, potential criminal risks, what documents DOJ demands, and…
Received a Medicare or Medicaid Civil Investigative Demand (CID)? Learn what it means, potential False Claims Act penalties, how whistleblowers and DOJ investigate, criminal risks, and why experienced federal healthcare fraud defense is critical.…