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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.

NYC Healthcare Fraud Criminal Lawyers

Healthcare fraud is a serious federal offense that can have severe consequences. So, what do you do, if you get hit with one of these things? 1

Understanding Healthcare Fraud

Healthcare fraud involves knowingly and willfully executing, or attempting to execute, a scheme to defraud any healthcare benefit program. It can include submitting false claims, misrepresenting services, or making illegal kickback arrangements. Even if you didn’t intend to defraud, lack of knowledge is not a valid legal defense. 1Common examples of healthcare fraud include:

  • Billing for services not rendered
  • Upcoding to receive higher reimbursements
  • Performing unnecessary services solely for insurance billing
  • Falsifying patient records or treatment plans
  • Accepting kickbacks for patient referrals

Consequences of Healthcare Fraud

Healthcare fraud is a federal crime investigated by agencies like the FBI, DEA, and Department of Health and Human Services. Penalties are severe, including:

  • Fines up to $250,000 per false claim
  • Up to 10 years in federal prison per offense
  • Exclusion from federal healthcare programs
  • Loss of professional licenses

Even an investigation alone can damage your reputation and career. Prosecutors aggressively pursue these cases to recover losses and deter future fraud. 1

What to Do If Accused

If accused of healthcare fraud, the first step is to hire an experienced federal criminal defense attorney immediately. Do not speak to investigators without legal counsel present.Your attorney will:

  • Analyze the charges and evidence against you
  • Advise you on navigating the investigation process
  • Develop a strategic defense tailored to your case
  • Negotiate with prosecutors for reduced charges or penalties
  • Represent you in court if charges are filed

Spodek Law Group has over 50 years of combined experience defending clients nationwide against federal healthcare fraud charges. We understand the complexities of these cases and fight aggressively to protect your rights. 1

Building a Healthcare Fraud Defense

Potential defenses against healthcare fraud charges depend on the specific circumstances. Some common strategies include:

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.
  • Lack of intent to defraud
  • Billing errors or mistakes
  • Entrapment by investigators
  • Challenging the prosecution’s evidence and witnesses

Your attorney will thoroughly investigate the allegations, scrutinize the government’s case, and identify any weaknesses or legal issues that can be leveraged in your defense. 1

Avoiding Healthcare Fraud Charges

The best way to avoid healthcare fraud charges is through comprehensive compliance programs and training. This includes:

  • Implementing policies and procedures to prevent errors
  • Conducting regular audits and monitoring
  • Providing staff education on fraud laws and regulations
  • Maintaining detailed patient records and billing documentation
  • Promptly self-reporting and correcting any identified issues

Even accidental mistakes can raise suspicions, so diligence is crucial for healthcare providers and organizations. 1

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