Lebedin Kofman LLP

NY Medical Fraud Defense

Not a day goes by without news of federal investigations, raids, and criminal charges against doctors and medical business owners. It seems like the government is going after healthcare providers more than ever before. With that in mind, it is imperative for medical professionals to engage a medical fraud defense attorney as soon as possible in order to mitigate the risks of severe penalties and even incarceration.

The federal healthcare system is complex with many different laws, rules, policies, and procedures that must be followed. As a result, it is not uncommon for mistakes to be misinterpreted by investigators and district attorneys as fraud. Having a skilled medical fraud defense attorney can help medical professionals avoid being wrongfully accused of Medicaid fraud.

The legal landscape surrounding Medicaid and Medicare is fraught with complexities, making it essential for accused professionals to seek the guidance of a medical fraud defense attorney who understands the intricacies of the law. A medical fraud defense attorney can protect your career, medical license, and freedom. It is critical never to voluntarily provide information to investigators because anything you say can be used against you in the event of an investigation.

In situations where criminal charges could result in prison time, the representation of a medical fraud defense attorney becomes even more crucial. Such legal support is necessary as soon as you are contacted by investigators regarding a Medicare or Medicaid case. These legal professionals focus on defending doctors and medical businesses from allegations of fraudulent billing, including accusations of overcharging, ordering unnecessary patient tests, and submitting false insurance claims.

Engaging a medical fraud defense attorney is vital when facing accusations of offering or paying kickbacks to referring physicians, a serious violation of the Anti-Kickback Statute. This federal law prohibits healthcare providers from exchanging money or valuables for patient referrals, and violating it can lead to hefty fines and jail time.

Additionally, obtaining or creating fraudulent documents such as medical records, insurance applications, and prescriptions is another area where the skill of a medical fraud defense attorney is invaluable. This conduct violates numerous state and federal regulations and can result in civil or criminal charges.

Moreover, making false statements or misleading investigators is a felony that can lead to significant fines, restitution, and even incarceration. A medical fraud defense attorney can offer crucial guidance and defense strategies to medical professionals in these situations.

It's not just physicians who need the defense services of a medical fraud defense attorney; receptionists, office managers, or any employee at a medical practice can also be accused of Medicare or Medicaid fraud. It is crucial for any healthcare facility to have a dedicated legal professional to assist them during an investigation, ensuring that their rights are protected and that they have the best possible defense against unjust allegations.


Healthcare Fraud Lawyers

The state government monitors healthcare fraud very closely, often necessitating the defense by a medical fraud defense attorney. Federal prosecution agencies frequently collaborate with local law enforcement and state attorneys to prosecute healthcare fraud allegations. The alleged fraudulent schemes typically revolve around billing for services or medical supplies that were never provided or falsely inflating medical bills to obtain more money than what was owed. Defending against such allegations requires a detailed understanding of both healthcare and criminal law, focusing on demonstrating that the defendant did not commit any act of fraud and was only guilty of a mistake.

A healthcare fraud conviction can lead to severe civil and criminal penalties. For someone facing such allegations, partnering with a medical fraud defense attorney can be critical in navigating the complexities of the case and potentially mitigating the consequences. In the criminal context, the defendant could face a prison sentence of up to 15 years and be required to repay the monies involved in the healthcare fraud scheme, among other penalties.

Physicians, healthcare providers, and businesses in the healthcare industry who find themselves subject to federal criminal investigations would greatly benefit from the help of a medical fraud defense attorney. These investigations often begin due to whistleblower tips or official referrals, making it crucial to have legal representation that is well-versed in defending against such claims.

In cases where individuals are being investigated for Medicaid or Medicare fraud or other healthcare-related charges, securing a medical fraud defense attorney can protect your rights and guide you through the legal process.

Having a medical fraud defense attorney with extensive experience in federal healthcare investigations can significantly impact the outcome of your case. Our attorneys are skilled in defending against accusations of Medicare or Medicaid fraud and are ready to assist you if you receive a subpoena or notice of investigation. The involvement of a skilled attorney early in the process can be pivotal in avoiding criminal charges or negotiating a more favorable settlement.

In summary, facing healthcare fraud allegations can be daunting, but with the right legal representation, it is possible to defend against these charges effectively. If you are under investigation or have been accused of healthcare fraud, reaching out to a medical fraud defense attorney promptly can make a significant difference in the outcome of your case.


Medical Billing Fraud NY Attorneys

Federal prosecutors in New York have been known to aggressively pursue criminal charges against physicians and healthcare business owners accused of various kinds of medical fraud, including Medicare Fraud, Medicaid Fraud, illegal kickbacks, opioid violations, and more. For anyone facing such allegations, consulting with a medical fraud defense attorney is crucial to navigate the complexities of the legal system and to mount a robust defense.

The New York Attorney General’s office operates a special unit known as the Medicaid Fraud Control Unit (MFCU), dedicated to prosecuting healthcare fraud. This unit, equipped with a team of prosecutors, investigators, and auditors, focuses on identifying and penalizing fraudulent Medicaid billing practices. For healthcare professionals under investigation by the MFCU, securing a medical fraud defense attorney can be a critical step in protecting their rights and livelihood.

Medicare and Medicaid fraud not only carries the risk of substantial prison time, fines, and other penalties for those convicted, but it also undermines the integrity of vital healthcare programs. Individuals accused of such fraud need a knowledgeable medical fraud defense attorney to help them challenge the charges and minimize the potential consequences.

In the case of a New York doctor convicted of Medicare and Medicaid fraud, the importance of having a medical fraud defense attorney becomes evident. The doctor faced serious charges for billing the government for nonexistent procedures and was sentenced to a significant prison term. This example underscores the severe penalties associated with healthcare fraud and the need for competent legal defense.

Healthcare fraud cases, such as the one involving a man who owned several clinics and was arrested for healthcare fraud and money laundering, highlight the complex nature of these crimes. Anyone involved in such a case, whether being investigated or facing charges, should seek the help of a medical fraud defense attorney. The right legal representation can provide invaluable guidance and support through the challenging process of defending against healthcare fraud allegations.

Lebedin Kofman LLP

Lebedin Kofman LLP | Criminal Attorney and DWI Lawyer

26 Broadway 3rd floor, New York, NY 10004, United States

(646) 663-4430