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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.

San Diego Healthcare Fraud Defense Lawyer

San Diego Healthcare Fraud Defense Lawyer: Protecting Your Rights

There’s one reason you’re on this website: you’re looking for an elite criminal defense law firm, to handle your healthcare fraud case. We get it, you’re stressed – this is a hard situation to deal with. But, take a deep breath, you‘ve come to the right place.At Spodek Law Group, we leave no stone unturned. We do everything possible to win your case. Everything we do is focused on getting you results. We understand the difficulties and challenges of going through a healthcare fraud investigation or prosecution. If you’re accused of healthcare fraud, schedule a consultation with our criminal attorneys today.

What is Healthcare Fraud?

Before we dive into how to defend against healthcare fraud charges, let‘s define what it actually is. Healthcare fraud generally refers to knowingly making false statements or misrepresentations to obtain money or benefits from a healthcare program like Medicare, Medicaid, or private insurance.Common examples include:

  • Billing for services never rendered
  • Falsifying patient records or diagnoses
  • Performing unnecessary medical procedures
  • Paying kickbacks for patient referrals

While it may seem straightforward, healthcare fraud cases are incredibly complex due to the regulations and nuances involved. That’s why you need an experienced defense lawyer on your side.

Why You Need a Healthcare Fraud Defense Lawyer

Look, we get it – you might be thinking “it was just a mistake” or “I didn’t mean any harm.” But prosecutors don‘t care about intentions when billions of dollars are at stake. They will come after you with everything they‘ve got.That’s why you need a powerhouse legal team like Spodek Law Group fighting for you. We know all the ins and outs of healthcare law and regulations. We leave no stone unturned in building a strategic defense tailored to your unique situation.Here’s what our healthcare fraud defense lawyers can do for you:

Analyze the Evidence

First, we’ll comb through every shred of evidence against you – medical records, billing documents, witness statements, you name it. We’re looking for any holes, inconsistencies or weaknesses that could undermine the prosecution’s case.

Identify Defenses

Based on the evidence and circumstances, we’ll craft a defense strategy that gives you the best chance at avoiding charges or minimizing penalties. Common defenses include:

  • Lack of intent
  • Good faith belief actions were lawful
  • Reliance on professional advice
  • Widespread industry practice

Negotiate Pretrial

If the evidence appears damning, we can negotiate with prosecutors to potentially get charges reduced or dismissed through pretrial diversion, deferred prosecution or a non-prosecution agreement. Our goal is the best possible outcome for you.

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.

Fight at Trial

If it goes to trial, you can count on our heavyweight litigators to fight tooth and nail. We frequently call on medical experts to counter the prosecution‘s arguments and create reasonable doubt. We leave no angle unexplored in pursuing an acquittal.The bottom line: having the Spodek Law Group in your corner can make all the difference in a healthcare fraud case. We know how to navigate this legal minefield and use every tool at our disposal to protect your future.

Understanding Healthcare Fraud Charges

To build an effective defense, it’s critical to understand exactly what charges you’re facing and the potential consequences. Healthcare fraud charges can arise under various federal laws, including:

  • False Claims Act
  • Anti-Kickback Statute
  • Stark Law
  • Criminal healthcare fraud statute (18 U.S.C. 1347)

The penalties are no joke – we‘re talking potential prison time, massive fines, exclusion from federal healthcare programs, and more. Not to mention the personal and professional ramifications.That’s why as soon as you become aware of an investigation, you need to lawyer up immediately. Every statement you make can be used against you. We know how to deal with federal agents and prosecutors to protect your rights.

Common Healthcare Fraud Defenses

While every case is unique, there are some common defense strategies we employ for healthcare fraud charges:

Lack of Intent

Since healthcare fraud is a specific intent crime, one of the core defenses is arguing you lacked the requisite criminal intent. Maybe it was an honest mistake in coding or billing. Or you were following industry practices. Whatever the circumstances, we’ll make the case you didn‘t knowingly or willfully violate the law.

Widespread Industry Practice

Sometimes healthcare providers are prosecuted for conduct that is actually widespread within their field or specialty. We can present evidence that you were adhering to standard practices, not defrauding anyone.

Reliance on Advice

If you were operating based on guidance from a lawyer, compliance officer, or Medicare/Medicaid representative, that could negate the intent required for healthcare fraud. We’ll argue you had a good-faith basis for believing your actions were proper.

Prosecutorial Overreach

The government has to be able to prove each and every element of healthcare fraud beyond a reasonable doubt. If they can‘t, we’ll move to have the charges dismissed for lack of evidence or improper legal theory.No matter what defenses apply, you can count on our healthcare fraud defense team to explore every possible avenue and leverage every advantage to secure a favorable outcome.

What to Do If You’re Under Investigation

So what should you do if you get that sinking feeling you’re under investigation for healthcare fraud? Here are some critical dos and don’ts:


  • Hire an experienced healthcare fraud defense attorney immediately
  • Follow your lawyer’s instructions to the letter
  • Gather and preserve all relevant records
  • Be prepared for search warrants, interviews, or subpoenas
  • Stay calm and avoid making any statements


  • Speak to anyone about the investigation without your lawyer present
  • Alter, destroy or conceal any records or evidence
  • Lie or mislead investigators
  • Contact potential witnesses
  • Assume you can handle this alone

The minute you suspect an investigation is underway, the clock is ticking. You need to get a formidable legal team like Spodek Law Group on your side ASAP to start protecting your rights and interests.

Why Choose Spodek Law Group?

When you’re staring down serious federal charges that could upend your life and career, you can’t afford to take any chances with your legal representation. Here’s why Spodek Law Group should be your first choice:

Proven Healthcare Fraud Experience

We’ve handled hundreds of healthcare fraud cases at all stages – from investigation, to negotiation, to trial. Our attorneys literally wrote the book on healthcare fraud defense. We know the relevant laws and regulations inside and out.

Aggressive Litigation

Some law firms try to push clients into pleading guilty to make their lives easier. Not us. We are fierce, aggressive litigators always prepared to fight for an acquittal at trial if that‘s what it takes to get justice.

Meticulous Preparation

We leave no stone unturned in building the strongest possible defense. Our attorneys dig deep into the facts and circumstances surrounding each case. We’ll have a comprehensive strategy and be ready to counter any arguments.

Respected Reputation

Our firm has earned a reputation for excellence from judges, prosecutors and other defense attorneys. They know we bring our A-game every time and won‘t back down no matter how complex or high-stakes the case may be.

Personal Service

You’ll receive hands-on attention and open communication every step of the way. We take a team approach, holding regular meetings to go over every detail of your case and adjust strategy as needed.When you hire Spodek Law Group, you get legal representation and service fit for an elite clientele. No other firm will fight harder to protect your rights, freedom and future in the face of healthcare fraud charges.

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