Oklahoma City Healthcare Fraud Defense Lawyer
Contents
- 1 Oklahoma City Healthcare Fraud Defense Lawyer
- 2 Understanding Healthcare Fraud Charges
- 3 The Prosecution’s Burden
- 4 The Spodek Law Group Difference
- 5 A Nationwide Presence
- 6 Mounting an Aggressive Defense
- 7 1. Challenging the Evidence
- 8 2. Proving Lack of Intent
- 9 3. Negotiating Strategically
- 10 4. Whistleblower Representation
- 11 The Stakes Are Too High to Go It Alone
Oklahoma City Healthcare Fraud Defense Lawyer
Understanding Healthcare Fraud Charges
Healthcare fraud encompasses a wide range of activities involving the submission of false claims or misleading information to government health programs like Medicare and Medicaid, or private insurers, to illegally obtain money or benefits.2
Common allegations include:
- Billing for services never rendered
- Upcoding for more expensive treatments
- Performing medically unnecessary procedures
- Violating anti-kickback statutes
- Falsifying patient records or cost reports
Even unintentional billing errors can potentially trigger fraud investigations and charges.3 The consequences if convicted are severe – massive fines, program exclusions, asset seizures, and possible prison time.
The Prosecution’s Burden
To secure a conviction, federal prosecutors must prove several key elements beyond a reasonable doubt, including:3
Falsity: You knowingly made false statements or misrepresentations related to your billing.
Materiality: The falsehoods were material, meaning they influenced the government’s decision to pay the claims.
Knowledge and Intent: You knew your actions were unlawful and intended to defraud the healthcare program.
Damages: There is quantifiable evidence of improper payments resulting from the alleged fraud scheme.
Our defense strategy? Rigorously challenge the prosecution’s evidence on each of these fronts.
The Spodek Law Group Difference
So, what sets us apart from other criminal defense firms? Simple – our unwavering commitment to fight for you. We don’t just take a cookie-cutter approach, we meticulously analyze every aspect of your unique situation to craft a defense tailored precisely to your needs.4
Our attorneys possess specialized healthcare fraud knowledge and extensive trial experience. We leverage this expertise to:
- Scrutinize the prosecution’s evidence for flaws or inconsistencies
- Identify potential constitutional violations during the investigation
- Retain industry experts to analyze billing data and practices
- Negotiate strategically to pursue the best possible resolution
But most importantly, we treat you like a partner, not just a client. From day one, we foster an environment of open communication, so you always understand the legal landscape and options before us.
A Nationwide Presence
With offices in New York City and Los Angeles, our elite team of litigators defends healthcare professionals across all 50 states against fraud allegations at both the federal and state levels.4 No matter where you practice, we’ve got your back.
Mounting an Aggressive Defense
Defending healthcare fraud cases demands an intricate understanding of the complex regulations and billing requirements governing the medical industry. But our attorneys thrive on intricacy. We embrace the challenge.
Here’s just a glimpse at the multifaceted strategies we employ:
1. Challenging the Evidence
We’ll pour through every document, record, and data file – scrutinizing the prosecution’s evidence for gaps, inconsistencies, or statistical flaws that undermine their claims of widespread fraud.3 For example, did investigators improperly extrapolate a few “errors” into allegations of a massive, systematic scheme? We have the quantitative firepower to dismantle those statistical models.
2. Proving Lack of Intent
In many healthcare fraud cases, the alleged misconduct stems from incredibly complex billing rules and ever-changing regulations – not actual criminal intent.2 We’ll fight to demonstrate your actions were simply inadvertent mistakes made in good faith, without any purposeful scheme to defraud.
3. Negotiating Strategically
While our trial-ready team never shies away from courtroom battles, we also recognize that pre-trial resolutions can sometimes be the wisest path – if properly negotiated from a position of strength.3Our attorneys will rigorously advocate for you during these negotiations, leveraging weaknesses in the prosecution’s case to pursue the most favorable terms, such as:
- Avoiding criminal charges entirely
- Reducing potential sentences
- Protecting your professional licenses and ability to practice
4. Whistleblower Representation
In the healthcare realm, whistleblower allegations frequently spark fraud investigations. But we know how to effectively represent whistleblowers too, guiding them through the complexities to obtain monetary rewards while avoiding civil or criminal liability.3 No matter which side you’re on, we’ve got you covered.
The Stakes Are Too High to Go It Alone
When your career, finances, and potentially even your freedom hang in the balance, trying to navigate these treacherous legal waters alone is simply too risky. You need a powerhouse advocate in your corner. The elite criminal defense team at Spodek Law Group has the courtroom experience, regulatory mastery, and unwavering tenacity to mount the strongest possible defense against even the most daunting healthcare fraud allegations.Don’t become another federal conviction statistic. Protect yourself by calling our firm immediately if you’re under investigation or facing charges. Because when it comes to your future, we never stop fighting.