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What to Do if You’re Charged with Healthcare Fraud Involving Genetic Testing

What to Do if You’re Charged with Fraud Involving Medicare Part D

So you got accused of messing with Medicare Part D. That really bites. Part D is the prescription drug program. The feds take this stuff real serious. But don’t freak out just yet. Plenty of ways to fight back if your innocent. This article will walk through how to deal with Part D fraud charges. I’ll explain the common scams, finding a lawyer, building your defense, and more. Hang in there – it ain’t over yet.

Understanding Part D Fraud

First up – the types of Part D frauds people get charged with:

  • Fake prescriptions – Writing scripts for drugs that patients don’t need.
  • Identity theft – Using someone else’s ID to get drugs.
  • Kickbacks – Getting paid to write certain prescriptions.
  • Stealing prescription pads – Forging prescriptions.
  • Billing for unprovided drugs – Pharmacy fraud.

Lots of ways to scam the system. Folks get greedy or desperate. But it’s illegal and comes with big penalties if caught.

Getting an Attorney

After getting charged, your first call should be to a criminal defense lawyer. Don’t try going solo here. Medicare fraud is felony with real jail time.

Many lawyers offer free consultations. Find someone experienced specifically in healthcare cases. This stuff gets complicated. You need someone who knows the system.

If you can’t afford a private attorney, the court will appoint a public defender. They may have heavy caseloads but there still legit lawyers.

The Legal Process

Your lawyer will walk you through the basic process after charges get filed:

Christine Twomey
Christine Twomey
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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.
  • Arrest – The cops might come grab you at home or work if they haven’t already.
  • Charging docs – These formally accuse you of specific crimes.
  • Arraignment – You’ll enter a plea at your first court hearing. Usually plead not guilty here.
  • Pretrial motions – Your lawyer can challenge the evidence and witnesses.
  • Plea bargain – Negotiate to plead guilty to lesser charges.
  • Trial – If no plea deal, your case goes to court before a judge or jury.
  • Sentencing – If found guilty, the judge gives you a punishment.

This whole thing takes over a year typically. It’s a waiting game so be patient.

Building Your Defense

While your lawyer handles the legal side, they’ll need your help on the facts. Gather up anything that supports your innocence like:

  • Records showing prescriptions were legit.
  • Documents proving you provided the billed services.
  • Emails or notes refuting the charges.
  • Testimony from staff backing your story.

Also write a timeline of what happened from your view. Finding inconsistencies can help weaken the prosecution’s case.

Basically reconstruct proof of your innocence. This evidence could raise reasonable doubt at trial or even get charges thrown out pre-trial.

Consider Taking a Plea Bargain

Many fraud cases end in plea deals. This involves pleading guilty to lesser charges to avoid trial. Your lawyer will advise if it’s smart to take a deal.

Plea bargains provide certainty versus the uncertainty of trial. But they still lead to penalties, so weigh carefully.

Potential Penalties if Convicted

If found guilty at trial, you’ll likely face:

  • Years in federal prison
  • Massive fines, possibly millions of dollars
  • Restitution to repay victims
  • Loss of medical/pharmacy licenses
  • Asset forfeiture – they can seize your property

It’s devastating, especially for first offenses. Have your lawyer highlight mitigating factors to reduce the sentence.

The Opioid Crisis Connection

The opioid epidemic brings extra focus on Part D fraud. Prosecutors crack down on doctors and pharmacies viewed as illegally supplying drugs.

But each case has unique circumstances. Fight unjust charges but take fair deals. Listen to your lawyer’s advice.

Stay Strong, Don’t Lose Hope

Being accused of healthcare fraud feels overwhelming. But take it step by step. Rely on your support network. Keep the faith that ultimately you’ll be OK.

Millions have faced criminal charges and moved on with their lives. Have courage that you will too. This storm will pass.

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