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When you’re facing a federal issue, you need an attorney whose going to be available 24/7 to help you get the results and outcome you need. The value of working with the Spodek Law Group is that we treat each and every client like a member of our family.

Columbus Healthcare Fraud Defense Lawyer

Columbus Healthcare Fraud Defense Lawyer

There’s one reason you’re on this website: you’re looking for an elite criminal defense law firm to handle your healthcare fraud case. So, what do you do, if you get hit – with one of these things? The answer is simple: you fight back, with the strongest legal team possible.

At Spodek Law Group, we leave no stone unturned. We do everything possible to win. Everything we focus on is getting you results. We understand the difficult challenges of going through a healthcare fraud case. If you’re accused, schedule a consultation with our criminal attorneys today.

A Powerful Legal Strategy

Most law firms implement a cookie cutter strategy to fight healthcare fraud cases, trying to save time. Not us. We look carefully at every single detail of your situation. We leave no angle unexplored, no defense untested. Our powerful three-pronged strategy:

  1. Investigate the Evidence – We’ll comb through every document, every email, every piece of evidence. Our team has decades of experience finding holes in the prosecution’s case.
  2. Understand the Allegations – Healthcare fraud laws are dizzyingly complex. We’ll break down exactly what you’re accused of, analyzing every nook and cranny to map out your defense.
  3. Leverage Our Expertise – Our attorneys have taken on the toughest healthcare fraud cases, facing off against elite federal prosecutors. We know their tactics, and we know how to win.

With this multi-layered approach, we’ll dismantle the case against you piece-by-piece. It’s not going to be easy – but, we never promised easy. We promised a vigorous defense and results.

The Right Representation Matters

Sometimes prosecutors will only be fair if you respond with force. 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. At Spodek Law Group, we pride ourselves on taking a hands-on approach. It means researching every intimate detail surrounding your case, and putting in the hard work. Our firm has excellent work ethics, and we constantly hold meetings to discuss all of our cases. In an emergency, we have a full team available to help you. Regardless of how tough your situation is, we are here to support you. Our criminal defense lawyers work hard to find a solution, no matter what you’re facing. Many clients are embarrassed by their situation and don’t speak openly. We encourage transparency, so we can give you the best legal advice.The Spodek Law Group handles cases nationwide. We have offices in NYC and Los Angeles.

Understanding Healthcare Fraud Charges

To build a strong defense, it’s critical to understand exactly what you’re being accused of. Healthcare fraud is an extremely broad term, covering many different types of conduct.Some common healthcare fraud charges include:

False Claims

This is when you’re accused of knowingly submitting false claims to programs like Medicare, Medicaid, or private insurers. For example:

Christine Twomey
Christine Twomey
Just had my Divorce case settled 2 months ago after having a horrible experience with another firm. I couldn’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
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
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 🙏🏼🙏🏼🙏🏼🙏🏼🙌🏼❤️
Keisha Parris
Keisha Parris
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 “I’m not worried about it”. 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.
Taïko Beauty
Taïko Beauty
I don’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 that’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 that’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 can’t describe how grateful I am to have the opportunity to work with this team. I’m very satisfied, very pleased with their performance, their hard work, and their diligence. Thank you team!
Anthony Williams
Anthony Williams
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
Very professional, very transparent, over all a great experience
Bee L
Bee L
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
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.
  • Billing for services that were never actually provided
  • Billing for more expensive services than what was provided
  • Billing for medically unnecessary services or supplies
  • Falsifying a patient’s diagnosis to justify otherwise uncovered treatments

The penalties get much steeper if the alleged fraud exceeds $1 million in improper billings.

Anti-Kickback Violations

The Anti-Kickback Statute prohibits offering, paying, soliciting or receiving any remuneration to induce referrals for services covered by federal healthcare programs. This includes:

  • Lavish gifts or vacations
  • Free rent or excessive compensation
  • Sham consulting agreements or medical directorships

Even if you didn’t intend to break the law, you could still face charges.

Stark Law Violations

The Stark Law forbids physicians from referring Medicare/Medicaid patients to entities they have a financial relationship with, unless a exception applies. Unlike anti-kickback cases, prosecutors don’t need to prove intent. Simply having the prohibited financial relationship is enough.

False Claims Act Violations

The False Claims Act allows whistleblowers and prosecutors to file civil charges for knowingly submitting false Medicare/Medicaid claims. Penalties can equal three times the amount of damages, plus additional fines. So a $1 million fraud could mean $3 million-plus in penalties.

Obstruction Charges

If you’re accused of destroying evidence, lying to investigators, or inducing others to obstruct the probe, you could face additional criminal charges for obstruction of justice. These are just some of the most common healthcare fraud allegations. The laws are highly technical, with many nuances and exceptions. That’s why it’s critical to have a defense team that really understands healthcare regulations and can analyze the specifics of your case. We have that specialized expertise.

Mounting an Aggressive Defense

Defending against healthcare fraud charges is extremely challenging. The government devotes massive resources to these investigations and prosecutions.But, that doesn’t mean you’re defenseless. There are many potential weaknesses we can exploit in the government’s case, including:

Lack of Evidence on Intent

For most healthcare fraud charges, prosecutors must prove you acted knowingly and with specific intent to defraud. This is one of the highest burdens of proof in the legal system. We’ll attack the evidence on intent from every angle. Did you reasonably interpret an ambiguous regulation? Was there a lack of formal training on billing requirements? Did you rely on the advice of lawyers, consultants or colleagues? Even if billing errors occurred, that doesn’t necessarily prove criminal intent. We’ll present evidence of your good faith efforts to comply.

Materiality Challenges

The alleged false statements or claims must also be “material” – meaning they actually influenced the government’s payment decision.We’ll argue that many violations alleged by prosecutors, like minor billing errors or administrative mistakes, were not material and should not support criminal charges.

Lack of Falsity

In some cases, we can show the claims at issue were not actually false at all. Perhaps the services really were provided, or the patient’s diagnosis was legitimate.We have deep experience in healthcare regulations and can identify situations where no actual falsity occurred.

Sampling/Extrapolation Flaws

The government often uses statistical sampling of a small number of claims or records, then extrapolates those findings across a much larger universe to allege massive damages. We’ll bring in our own experts to scrutinize and attack the sampling methodology and extrapolation calculations. If we can undermine those, it guts the damages figures.

Lack of Damages

For civil False Claims Act cases, if we can show the government actually got what it paid for despite any technical billing violations, we can defeat the element of damages.This multi-pronged defense strategy, tailored to your specific circumstances, gives you the best chance at beating the charges.

When to Bring in the Experts

The earlier you involve our firm, the better we can protect your rights and interests. As soon as you learn about a potential investigation, you should:

  • Avoid making any statements or producing any documents to investigators without your lawyer present
  • Instruct employees to avoid discussing the case or destroying any potential evidence
  • Immediately consult with our healthcare fraud defense team to begin shaping your defense strategy

Many clients wait too long before hiring a lawyer, making crucial mistakes that undermine their defense. Don’t make that mistake. Even if charges haven’t been filed yet, we can take proactive steps to get ahead of the investigation and potentially persuade prosecutors not to bring charges at all.

The Spodek Law Group Difference

When you’re facing healthcare fraud charges, you need to go with the firm that has a proven track record of success. That’s Spodek Law Group.We’re not like other law firms that take a cookie-cutter approach. We craft a customized defense tailored to the facts of your specific case. We explore every possible angle and leave no stone unturned. Our attorneys have decades of experience taking on the toughest healthcare fraud prosecutions. We know the relevant laws and regulations inside and out. And we’re not intimidated by the government’s tactics. But what really sets us apart is our commitment to client service. We take a hands-on approach, keeping you informed every step of the way. We encourage open dialogue so we can give you the best advice.Healthcare fraud cases are extremely stressful. You need a legal team that will be there to support you through the process. That’s exactly what you’ll get with Spodek Law Group.

Getting Started Is Simple

If you’re facing a healthcare fraud investigation or charges, the time to act is now. Every day that goes by increases the risks.Getting started with us is simple. Just schedule a confidential consultation today. During the consultation, we’ll review the details of your situation and explain your options for how to proceed. We’ll answer all your questions in straightforward language, so you understand exactly what you’re up against. From there, we can immediately start building a powerful defense strategy customized for your case. We’ll gather evidence, research the relevant laws and regulations, and start mapping out the path to getting the charges dismissed or reduced. Don’t try to navigate this legal minefield alone. The stakes are too high.

With Spodek Law Group in your corner, you’ll have elite defense attorneys who will fight tooth and nail for you. We’ve helped many clients in situations like yours, and we’ll bring that experience to bear on your case. So if you’re facing healthcare fraud charges, take a deep breath. You’ve got this. Just pick up the phone and call 212-210-1851 to get started. We’ll be by your side every step of the way.

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