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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.

Best San Antonio Healthcare Fraud Defense Lawyer

The Elite Healthcare Fraud Defense Firm in San Antonio

You Need the Best Lawyers When Allegations of Healthcare Fraud Arise

So, you find yourself accused of healthcare fraud – it’s a serious situation, but, with the right legal team in your corner, even the most daunting federal charges can be overcome. That’s where the Spodek Law Group comes in – we’re the elite criminal defense firm specializing in healthcare fraud cases across Texas and nationwide. Our healthcare fraud defense attorneys in San Antonio have an unparalleled track record, but we’re more than just legal experts. We’re strategists, investigators, and most importantly – zealous advocates solely focused on achieving the best possible outcome for you. When your career, finances, and freedom are on the line, you need lawyers who will leave no stone unturned in building an aggressive defense strategy tailored to your unique circumstances.

What Exactly Constitutes Healthcare Fraud in Texas?

Healthcare fraud is essentially any deliberate deception or misrepresentation made to improperly obtain money, benefits, or payments from healthcare programs like Medicare, Medicaid, or private insurers. Common examples in Texas include:

  • Billing for services never rendered or supplies never ordered
  • Upcoding to bill for more expensive treatments than those provided
  • Accepting kickbacks for patient referrals
  • Falsifying patient records or physician certifications
  • Performing medically unnecessary procedures or tests

The scope is broad, but the consequences are severe – healthcare fraud is a federal felony under 18 U.S.C. § 1347, punishable by up to 10 years in prison per count. And in Texas, it can also violate state laws like the Texas Medicaid Fraud Prevention Act or False Claims Act, opening you up to additional civil penalties and fines. But, what if it was just a billing error or misunderstanding of complex regulations? Unintentional mistakes happen, especially in the chaotic healthcare field. That’s why having a skilled San Antonio healthcare fraud lawyer from day one is crucial – we can argue lack of criminal intent and work to mitigate or avoid charges altogether.

The Spodek Law Group’s Holistic Approach to Healthcare Fraud Defense

At our firm, we understand no two cases are alike, so we take a multidisciplinary, holistic approach tailored to your specific situation. Our healthcare fraud defense strategies may include:

Attacking the Evidence
The government’s case often relies heavily on statistical data, medical expert testimony, and evidence obtained through search warrants or wiretaps. Our attorneys will rigorously analyze every aspect, challenging the methodologies used and legality of evidence gathering procedures. Even a single flaw can derail the prosecution’s case.

Conducting a Parallel Investigation
While prosecutors build their narrative, our team launches a parallel investigation – interviewing witnesses, gathering exculpatory evidence, and developing alternative theories to counter the allegations. We leave no stone unturned in pursuit of the truth.

Negotiating Favorable Resolutions
Sometimes going to trial isn’t the best strategy. Our skilled negotiators will explore pre-trial diversion programs, deferred prosecution agreements, or plea bargains that could keep you out of prison while minimizing collateral consequences like potential medical license suspension.

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.

Battling at Trial
If fighting charges at trial is the wisest course, you can rely on our courtroom veterans to mount an aggressive defense. We handle every aspect of trial preparation and have a track record of winning tough healthcare fraud cases against federal prosecutors. No matter which path your case takes, our healthcare fraud defense attorneys in San Antonio will guide you every step of the way with candid advice and an unwavering commitment to protecting your rights.

Why Hire the Spodek Law Group as Your Healthcare Fraud Defense Team?

When allegations as serious as healthcare fraud arise, you need to be prepared for a long and complex legal battle – one that could make or break your career and future. So, why put your trust in the Spodek Law Group?

Our Healthcare Fraud Expertise is Unmatched
Healthcare fraud cases involve complex regulations, medical evidence, and billing technicalities that few lawyers truly understand. At our firm, we’ve been exclusively focused on healthcare fraud for decades, giving us insights into prosecution strategies and case law that generalists simply can’t match.

We’re Respected by Prosecutors and Peers
Our healthcare fraud defense team isn’t just knowledgeable – we’re highly respected by federal prosecutors and judges for our ethics, tenacity, and skill. That reputation gives us more leverage in negotiations and courtrooms.

We Invest Massive Resources into Every Case
Unlike public defenders, we have the resources to wage protracted legal battles against the government’s team of investigators and prosecutors. We’ll spare no expense on expert witnesses, document analysis, or any other tools needed to build the strongest possible defense.

You’ll Receive Exclusive VIP Attention
As a boutique firm, we purposefully remain small to give each client our fullest attention and dedication. Your case will be directly handled by our elite partners, not shuffled off to an overworked associate fresh out of law school.

We Understand the Immense Stress You’re Under
Facing federal charges is one of the most stressful, anxiety-inducing experiences anyone can go through. We get it – and we’ll be by your side as counselors and supporters in addition to legal advocates, helping you navigate this turbulent process. When everything is on the line, you need the best healthcare fraud lawyers in San Antonio fighting for you. At the Spodek Law Group, that’s exactly what you’ll get – elite legal representation from a team that will move mountains to protect your future.

Don’t Wait – Contact Our Healthcare Fraud Defense Attorneys Today

Healthcare fraud investigations move quickly, so you can’t afford to delay hiring a lawyer. The moment you suspect you’re under scrutiny, get the Spodek Law Group on your side by calling our San Antonio office for an urgent consultation. We’ll break down the charges, analyze the evidence, and start developing a strategic defense plan immediately. The road ahead may be difficult, but with our elite healthcare fraud defense team in your corner, you can face it with confidence and resolve. Your career, finances, and freedom are at stake – make sure you have the best lawyers battling for you. Contact the Spodek Law Group’s San Antonio healthcare fraud defense attorneys now.

Defending Against Healthcare Fraud Charges: A Comprehensive Guide

Understanding the Government’s Tactics in Healthcare Fraud Prosecutions

When the federal government targets you with healthcare fraud charges, you’re up against a veritable army of investigators and prosecutors with nearly unlimited resources. To build a strong defense, it’s critical to understand the tactics they’ll employ:

Data Mining and Statistical Modeling
Expect the prosecution to rely heavily on analysis of your billing data, utilizing complex algorithms to identify outliers or patterns they deem suspicious. Our healthcare fraud lawyers will scrutinize their methodologies and challenge any flawed assumptions.

Confidential Informants and Undercover Agents
The government may have planted informants within your staff or had undercover agents attempt to induce you into criminal conduct through sting operations. We’ll work to suppress any tainted evidence obtained illegally.

Parallel Civil and Criminal Proceedings
In complex healthcare fraud cases, you may face concurrent civil and criminal charges from different agencies like the Department of Justice and Department of Health and Human Services. Our team will coordinate a unified defense strategy across all fronts.

Aggressive Pursuit of Pre-Trial Detention
Federal prosecutors often argue for pre-trial detention, claiming healthcare providers pose a risk of fleeing or continuing alleged fraudulent schemes. We’ll vigorously fight to allow you to remain free on bond pending trial.

Threats of Enhanced Sentences
The government frequently uses scare tactics, threatening healthcare fraud defendants with decades in prison unless they accept a plea deal. Our attorneys ensure you understand the actual sentencing guidelines and make informed decisions. By anticipating these prosecution strategies from the outset, our San Antonio healthcare fraud defense lawyers can develop countermeasures and a comprehensive game plan to dismantle the government’s case.

Common Healthcare Fraud Defenses We Utilize

No two healthcare fraud cases are identical, so our defense strategies are always customized. However, some common defenses we may employ include:

Lack of Criminal Intent
Healthcare fraud requires the government to prove you knowingly and willfully engaged in deceptive conduct. We’ll argue any billing errors or regulatory violations were simply negligent mistakes made without criminal intent.

Demonstrating Compliance Programs
Having robust compliance programs in place can negate the government’s claims you intended to defraud healthcare programs. We’ll highlight your safeguards and good faith efforts.

Challenging the “Falsity” Element
The crux of any healthcare fraud case is proving you made objectively false statements or representations. We’ll undermine this by showing your claims were legitimate under applicable laws and regulations.

Attacking the Materiality Element
Even if minor errors occurred, the government must still prove any false statements were material to the decision to pay out claims. We’ll argue immaterial discrepancies don’t constitute fraud.

Statute of Limitations Violations
Healthcare fraud charges must be brought within a certain timeframe. If the government overreached, we’ll seek dismissal based on violating the statute of limitations.

Suppressing Illegally Obtained Evidence
The Fourth Amendment prohibits unreasonable searches and seizures. If any evidence was improperly gathered, we’ll move to exclude it and cripple the prosecution’s case. These are just a few of the many defensive avenues our San Antonio healthcare fraud lawyers may pursue based on the specific facts of your situation. The key is having a legal team with the healthcare law knowledge and experience to identify every potential weakness in the government’s case.

What to Do (and Not Do) When Facing Healthcare Fraud Allegations

If you suspect you’re under investigation for healthcare fraud, your actions in the critical early stages can profoundly impact the outcome. Here’s a quick guide on what to do – and what to avoid at all costs:

Do: Hire an Experienced Healthcare Fraud Lawyer Immediately
As soon as you become aware of an investigation, whether through a target letter, subpoena, or raid, your first call should be to an elite healthcare fraud defense firm like Spodek Law Group. Having legal representation from day one is crucial.

Don’t: Obstruct the Investigation in Any Way
Never alter or destroy any records, lie to investigators, or take any action that could be construed as obstruction of justice. This will only compound your legal troubles.

Do: Gather and Preserve All Relevant Records
While being careful not to obstruct, you should immediately start collecting and safeguarding any documents, emails, or other records that could be relevant evidence.

Don’t: Discuss the Case with Anyone Outside Your Legal Team
Anything you say can potentially be used against you, even casual comments to colleagues, friends, or family members. Only discuss details with your attorneys.

Do: Prepare for Civil and Criminal Exposure
Healthcare fraud cases often involve parallel civil and criminal actions. Be ready to defend yourself on multiple legal fronts simultaneously.

Don’t: Assume Mistakes Were Unintentional
Even if you believe any billing issues were simply innocent errors, the government may still aggressively pursue criminal charges. Don’t try handling this alone. By following this guidance and getting the Spodek Law Group’s elite healthcare fraud defense attorneys involved from the very start, you’ll be in the best position to protect your rights and interests. The earlier we can start developing a customized defense strategy, the better your chances of a favorable outcome.

What to Expect If Convicted of Healthcare Fraud in Texas

While our sole focus is vigorously fighting for an outright dismissal or acquittal, we also counsel clients on the potential consequences of a healthcare fraud conviction in Texas:

Federal Prison Sentences
Under 18 U.S.C. § 1347, each count of healthcare fraud carries up to 10 years in federal prison. With multiple counts common, sentences can quickly add up to decades behind bars.

Massive Criminal Fines and Restitution
On top of prison time, you’ll likely face crippling fines of up to $250,000 per count, plus orders to pay full restitution to defrauded healthcare programs.

Asset Forfeiture Proceedings
Any money, property, or assets derived from the alleged healthcare fraud scheme will be subject to federal forfeiture, potentially leaving you destitute.

Loss of Professional Licenses
Healthcare fraud convictions almost always trigger mandatory revocation of medical licenses, nursing certifications, and other professional credentials needed to work in the industry.

Exclusion from Federal Healthcare Programs
You’ll likely be excluded from billing Medicare, Medicaid, and other federal healthcare programs, severely impacting your ability to continue practicing.

Collateral Immigration Consequences
For non-citizens, even a single healthcare fraud conviction can result in deportation, denial of naturalization, or inadmissibility to the United States. The stakes couldn’t be higher, which is why you need the most aggressive, skilled, and experienced healthcare fraud defense lawyers in San Antonio to avoid these devastating penalties. At Spodek Law Group, we leave no stone unturned in pursuit of an acquittal or dismissal – but if convicted, we’ll fight tenaciously during sentencing to minimize the consequences as much as possible.

Why Experience Matters in Complex Healthcare Fraud Cases

When your career, finances, and freedom hang in the balance of a federal healthcare fraud prosecution, you can’t afford to take chances with an inexperienced lawyer. These cases are simply too complex and high-stakes to trust to anyone other than proven experts in healthcare fraud defense.

At the Spodek Law Group, our San Antonio healthcare fraud attorneys have over 50 years of combined experience exclusively focused on this niche area of law. We’ve handled cases involving:

  • Billing fraud and false claims
  • Anti-kickback violations
  • Stark Law violations
  • Pharmaceutical fraud
  • HIPAA violations
  • Compounding pharmacy fraud
  • Durable medical equipment fraud
  • Home health agency fraud
  • Hospice care fraud
  • Substance abuse treatment fraud

No matter what specific healthcare fraud scheme you’ve been accused of, our team has extensive experience developing winning defense strategies tailored to the nuances of that particular area.We’ve taken on the toughest prosecutors from the Department of Justice, FBI, DEA, HHS-OIG, and other federal agencies – and won. Our command of healthcare regulations, billing rules, and prosecutorial tactics is simply unmatched in the San Antonio area.When you hire the Spodek Law Group, you get:

  • A legal team that has handled thousands of healthcare fraud cases
  • Lawyers who previously worked as federal prosecutors themselves
  • Insights into the government’s playbook and how to counter it
  • Respected advocates with clout and credibility in federal courts
  • Access to elite medical, billing, and forensic expert witnesses
  • A track record of securing acquittals and dismissals in complex cases

In the ultra-specialized world of healthcare fraud, this level of experience and expertise is invaluable. Don’t gamble your future on an inexperienced lawyer – get the elite defense team at Spodek Law Group to level the playing field against the federal government’s unlimited resources.

Rapid Response is Critical – Contact Our Healthcare Fraud Lawyers Now

Healthcare fraud investigations move at lightning speed, with surprise raids, seizures of records, and arrests often happening with no warning. That’s why you can’t afford to wait if you suspect you’re under scrutiny – you need to get the Spodek Law Group’s elite healthcare fraud defense team protecting your rights immediately. Our rapid response capabilities give you a crucial head start while the government is still building its case. We’ll quickly:

  • Intervene to stop any overreach or civil rights violations
  • Secure and analyze all potential evidence against you
  • Start gathering exculpatory information and witness testimony
  • Develop a comprehensive defense strategy and timeline
  • Advise you on preserving assets and protecting your medical license
  • Seek to get you released on bond if you’ve been arrested

With our San Antonio healthcare fraud lawyers on your side from day one, you’ll avoid devastating mistakes while we work to get charges reduced or dismissed entirely. The earlier we get involved, the better we can control the narrative.So if you’ve received a target letter, subpoena, or had your home or office raided, don’t delay – contact the Spodek Law Group immediately for an urgent consultation. Your future depends on getting elite legal representation in your corner from the very start of this legal battle.

Get the Spodek Law Group’s Healthcare Fraud Defense Team on Your Side

When the federal government comes after you with healthcare fraud charges, you need the most aggressive, skilled, and experienced lawyers in your corner from day one. In San Antonio, that’s the Spodek Law Group – an elite criminal defense firm solely focused on healthcare fraud. Our attorneys have successfully defended thousands of healthcare professionals and companies against these complex allegations. We know the tactics prosecutors will use, and we have a track record of dismantling their cases through meticulous investigation, strategic defenses, and fierce advocacy at trial. But we’re more than just legal experts – we’re counselors and supporters who understand the immense stress you’re under. Our team will stand by your side every step of the way, exploring every possible avenue to protect your career, finances, and freedom. Don’t gamble your future by hiring an inexperienced lawyer for such a high-stakes legal battle. 

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