Healthcare Fraud Defense
Defending doctors, hospitals, and healthcare executives • Medicare & Medicaid fraud • False Claims Act whistleblower defense
Federal Healthcare Fraud Defense
Healthcare fraud prosecutions destroy medical careers and practices overnight. With the government recovering billions annually through the False Claims Act, healthcare providers face unprecedented scrutiny. Every billing decision, medical necessity determination, and referral relationship is under the microscope.
Treble Damages
False Claims Act provides for triple damages plus penalties per claim
Exclusion from Medicare
Career-ending exclusion from all federal healthcare programs
Whistleblower Bounties
Qui tam relators receive 15-30% of government recovery
High-Profile Healthcare Fraud Defense
We secured time served for an NBA player in a $4 million healthcare fraud conspiracy. Our experience defending complex healthcare fraud cases means we understand how the government builds these cases - and how to defeat them.
Healthcare Fraud Schemes We Defend
Comprehensive defense for all healthcare fraud allegations.
Billing Fraud
Upcoding, unbundling, billing for services not rendered, duplicate billing, and improper modifier use.
Kickbacks & Bribes
Anti-Kickback Statute violations, Stark Law violations, illegal referral arrangements, and inducements.
False Claims Act
Whistleblower qui tam actions, false certifications, worthless services claims, and government intervention cases.
Medical Necessity
Allegations of medically unnecessary services, improper diagnoses, and lack of documentation.
Prescription Fraud
Illegal prescribing, pill mill operations, controlled substance violations, and pharmacy fraud schemes.
DME & Lab Fraud
Durable medical equipment schemes, laboratory testing fraud, genetic testing scams, and telemedicine fraud.
Defending Against Government Enforcement
OIG & CMS Audits
Responding to audits, ZPIC investigations, RAC audits, and payment suspensions. We protect your practice during aggressive government reviews.
Search Warrants & Raids
When federal agents raid your practice or home, immediate response is critical. We protect privileged materials and patient records.
Civil Investigative Demands
Strategic response to CIDs and subpoenas that minimizes exposure while protecting against self-incrimination.
Parallel Proceedings
Coordinating defense across criminal, civil FCA, administrative exclusion, and state licensing board proceedings.
Healthcare Fraud Defense Strategy
Protecting medical professionals requires specialized knowledge and experience.
Compliance Defense
Demonstrating good faith compliance efforts, reliance on legal advice, and industry standard practices.
Medical Experts
Working with medical experts to establish medical necessity and appropriate standard of care.
Statistical Analysis
Challenging government extrapolations, sampling methodologies, and damage calculations.
Healthcare Investigation? Protect Your Medical License
Healthcare fraud investigations can destroy your practice overnight. Don't face the government alone. Our attorneys understand healthcare law and know how to protect medical professionals.
Available 24/7 • Confidential • Former Federal Prosecutors