17 Oct 23

Milwaukee Healthcare Fraud Lawyers

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Last Updated on: 26th October 2023, 10:28 pm

Milwaukee Healthcare Fraud Lawyers

Healthcare fraud involves intentionally deceiving healthcare programs like Medicare and Medicaid to obtain unauthorized payments. Healthcare fraud is a federal crime that can lead to severe penalties in Milwaukee, Wisconsin. Having an experienced attorney is critical if you are being investigated or charged with healthcare fraud in Milwaukee.

Common Types of Healthcare Fraud in Milwaukee

Some examples of healthcare fraud that occur in Milwaukee include[1]:

  • Billing for services not performed
  • Billing for unnecessary tests or procedures
  • Upcoding to bill for more expensive services
  • Accepting kickbacks for patient referrals
  • Identity theft to submit false claims
  • Prescribing drugs for non-medical reasons

Milwaukee has seen major healthcare fraud cases involving millions in fraudulent billing. There is a Medicare Fraud Strike Force team dedicated to prosecuting cases in Milwaukee.[2]

Penalties for Healthcare Fraud in Milwaukee

Healthcare fraud charges can lead to[3]:

  • Up to 10 years in federal prison per charge
  • Fines up to $250,000 for individuals per charge
  • Restitution to victims
  • Loss of professional licenses

Proving Healthcare Fraud in Milwaukee

To convict someone of healthcare fraud in Milwaukee, prosecutors must prove[3]:

  • The defendant knowingly devised a scheme to defraud a healthcare program
  • The defendant executed this scheme to defraud
  • The scheme involved a material deception
  • The scheme was done willfully with intent to defraud

Healthcare Fraud Defense Lawyers in Milwaukee

Proving intent to defraud can be challenging. An experienced Milwaukee healthcare fraud defense lawyer can often get charges reduced or dismissed by challenging the strength of the prosecution’s evidence and proving reasonable doubt.[4]

Fighting Healthcare Fraud Charges in Milwaukee

Healthcare fraud defense strategies may include[5]:

  • No proof the defendant intended to defraud
  • Billing errors were accidental, not intentional fraud
  • Lack of knowledge billing was improper
  • No material deception occurred

Avoiding Healthcare Fraud Investigations in Milwaukee

To reduce the risk of scrutiny in Milwaukee:[6]

  • Bill accurately for services rendered
  • Do not order unnecessary tests or procedures
  • Use proper billing codes
  • Avoid kickbacks or self-referrals

Retaining an Attorney if Facing Charges in Milwaukee

Being charged with healthcare fraud in Milwaukee is extremely serious. Immediately retain an experienced criminal defense attorney to protect your rights. An attorney can often negotiate reduced charges or penalties. Do not delay seeking legal help if accused of any type of healthcare fraud in Milwaukee.


I hope this overview provides a helpful introduction to healthcare fraud laws and defense strategies in Milwaukee. Please reach out if you need assistance finding a knowledgeable Milwaukee healthcare fraud defense lawyer.