Bellevue Healthcare Fraud Defense Lawyers - Federal Lawyer

Bellevue Healthcare Fraud Defense Lawyers

Is your Bellevue healthcare practice or medical business facing an audit or investigation? Our federal healthcare fraud defense lawyers can use their centuries of high-level experience to protect you. To put our career defense attorneys and former federal prosecutors on your side, call 888-680-1745 or request a free case assessment online now.

Healthcare providers in Bellevue are facing close scrutiny from federal authorities and “fee-for-service” audit contractors working with the Centers for Medicare and Medicaid Services (CMS). While federal program fraud and opioid diversion are currently top federal law enforcement priorities, all violations of the False Claims Act, Anti-Kickback Statute, Controlled Substances Act, and other statutes are likely to garner the federal government’s attention, and even unintentional violations can trigger recoupments, fines, and other penalties.

In many cases, however, healthcare providers are facing consequences that are far more severe. In cases of criminal healthcare fraud, physicians, pharmacists, and other providers in Bellevue can face years or decades of federal imprisonment. When their freedom is eventually restored, providers find themselves without a professional license, without a practice to which to return, and with a reputation that has been thoroughly and utterly destroyed.

Quick response, very knowledgeable, passionate, with a caring team with real experiencewith the same federal agencies that I was corresponding with (Roger Bach!) thus making all the legal concerns understandable. I would recommend to any other health care professional or would use Nick Oberheiden again if ever needed.... Thank you!read more
Shaunna R.
Shaunna R.
I am compelled to recommend Nick Oberheiden after dealing with many blood thirsty attorneys. Nick was extremely responsive, knowledgeable, and trustworthy. His expertise and relationships in the realm of federal healthcare is great. I wish I would have called him sooner. If you are facing a federal investigation... or suit, make Nick the first call you make. He really cares and is looking out for his clients best interest. His expertise has allowed my situation that seemed so daunting to be very manageable.read more
Lisa K.
Lisa K.
I found myself in an unfortunate situation with the federal government. I hired Nick Oberheiden as my attorney and it has been a life saving decision. His expertise and knowledge along with his commitment is superior and of utmost importance in federal cases. Nick has kept his word throughout this stressful process... and helped me receive the best possible outcome. You will not regret hiring Nick and his law firm to defend you!!!read more
Amir K.
Amir K.
Over the past decade I have plenty of experience with health care and federal attorneys. The one that has stood by far above and beyond the most intelligent, thoughtful, straight-forward, and strategic in defense and actions has been Nick Oberheiden. Nick has achieved results that others claim they could not. He has... taken on circumstances that felt as if not winnable, and worked to create a positive outcome. Nick has become a rock and support person through my troubling time and a beacon of hope and action that things will come out in the best possible manner. There is no attorney that I could support more then Dr. Oberheiden.read more
Matt H.
Matt H.
Dr Nick Oberheiden is a truly excellent attorney in every way! He’s knowledgeable and responds to all phone calls and emails swiftly. He is concise, and puts information in understandable terms. He is happy to explain and clarify any confusing matters or material. He will put your mind at ease immediately. For me,... it was like a superhero was protecting and helping me through what was one of the most stressful situations of my professional life! Nick is worth every single bit of the five star rating from me, and from other clients who have given him five star reviews as well!read more
Katherine R.
Katherine R.
We needed legal service and advise, Nick Oberheiden made a bad situation better. Prompt service, responded to email , and phone calls, addressed the problem professionally and on time. Would highly recomend them.
John P.
John P.
I have conferred and worked with Nick on several healthcare fraud defense cases, representing doctors, laboratory/pharmacy owners, durable medical equipment providers and marketing companies all investigated by the U.S. Department of Justice. Nick's level of expertise when it comes to the intricacies of medicare... billing, operational regulations and corporate structure is unmatched. His experience and knowledge, combined with his high-level contacts within the Department of Justice, nationwide, make him an invaluable resource to anyone who finds themselves being investigated or audited by the Government. Nick is easy to communicate with, and goes above and beyond to make himself available to his clients and colleagues in their time of need.read more
Joseph N.
Joseph N.
As a healthcare regulatory expert consultant and witness I have worked with a lot of attorneys over the years! But only a few actually stand out and would be someone I would refer my family or closest friends to if they had a legal need. One of these attorneys is without a doubt Nick Oberheiden! Nick is extremely... knowledgeable, professional, and plays chess while the other side is playing checkers. The old adage you get what you pay for is never more truer in Nick’s case. Highly recommended when your license and/or freedom is on the line!read more
Mike S.
Mike S.
From the moment we walked into Nick’s office, he made us feel safe and secure. Nick exemplifies kindness and compassion for his clients, qualities that I have found rare with attorneys. Nicks passion and expertise in Healthcare and Law are unrivaled.I strongly encourage and recommend others to use Nick.... Professionally, Nick is a Genius!read more
Shawn C.
Shawn C.
As a former supervising investigator with a large New York State agency investigating health care fraud, I have conferred with many defense attorneys over my thirty-year career. I can honestly say that I was not impressed with many of them, that is, until I met Dr. Nick Oberheiden. Not only is he an exceptional... attorney, who provides his clients with expert strategic legal guidance, he is highly regarded for his extraordinary character and integrity. Nick is extremely ethical and always has his clients' best interests at heart. Today, I am proud, honored and privileged to work with Nick in assisting him with his clients' needs, whether it is to determine if they have any criminal liability or to proactively establish a compliance program to prevent them from falling victim to any government audit/investigation. Nick works very efficiently - saving his clients time and money. So, if you are looking for an attorney to represent you or to offer you expert guidance, don't hesitate and contact Dr. Nick Oberheiden. You'll be glad you did!read more
Greg M.
Greg M.
I was a federal agent for over 30 years and have worked with many of the most successful DOJ and DoD attorneys. Dr. Oberheiden leads a team made up of the best former Federal, State, local attorneys and investigators that can quickly assess any type of federal legal matter. The collective knowledge and experience of... Dr. Oberheiden and his "Dream Team" have yielded successful outcomes in a significant number of federal legal matters which have benefited his clients time and time again! He and his team are determined to work each case to anticipate a prosecutor's case strategy and identity weaknesses in that strategy. Dr. Oberheiden is a relentless legal strategist that has earned him his favorable reputation among the legal community nationwide! If you want a reliable and results-oriented lawyer working for you, Oberheiden P.C. has my highest recommendation and confidence!read more
MICHAEL K.
MICHAEL K.
During the past year, i had the privilege to work alongside Dr. Nick Oberheiden as a team-member defending the owners of a specialty pharmacy being investigated by the HHS-OIG and the USDOJ. Thanks to Nick's leadership, knowledge and expertise, "Team Oberheiden" earned the pharmacy and its owners exoneration from... criminal and civil penalties. Case closed!read more
bill T.
bill T.
Excellent lawyer! I have been very happy with his legal services and highly recommend Dr. Nick Oberheiden.
Jakob S.
Jakob S.
Nick was extremely professional, polite, helpful, and friendly. He put my friend at ease and made us feel welcome to be with her. He answered our questions even though we were just there for support. Would definitely recommend him to anyone and would use myself if ever needed.
Jamie G
Jamie G
Nick is not smart, he is BRILLIANT! He knows the proceedings of the court extremely well and is a genius when working with prosecutors and judges!He is extremely hard working, and although I knew he was working on multiple cases, every time we dealt with mine, he made me feel that my case is the most important to... him. I will most certainly not be where I am, had it not been for Nick. I had worked with a couple of lawyers before Nick came so highly recommended to me, and I can tell you that he simply light years above them. Nick bats for the big leagues!!read more
Lorraine Emma De B.
Lorraine Emma De B.
I am a retired FBI Special Agent, who worked extensively with many attorneys. I find Dr. Oberheiden ti be very knowledgeable of the healthcare issues. He has a vast knowledge of all federal violations. He is very conscientious about the benefits of his clients. I saw him working around the continent of North America... to assist his clients. One of the great traits of the Oberheiden Law Firm, is that he tackles the allegations long before they reach the court stage. His capable staff is also very qualified and assist all clients as if they are the only client in their firm. I strongly recommend the Oberheiden Law Firm to anyone who has a federal case.read more
Gamal A.
Gamal A.
Nick is extremely professional and knows what he is doing. He is also very kind as a person (unless he is in court!) I would recommend him to just about anyone if they need an amazing lawyer that is top notch and would frankly be scary to face in the court room. He will always do a great job representing his clients.... Thank you very much.read more
Anna P.
Anna P.
Nick is the absolute top expert in any federal case
Jeff C.
Jeff C.
Smart. Smarter. Nick.As a healthcare executive, I once ran into a litigation issue. I hired Nick and, literally, before I knew it the case was resolved in my favor. Nick has an incredible presence and every lawyer in the room knows that Nick will do exactly what he says. It was a mesmerizing experience to see Nick in... action! Very calm and determined, Nick is the absolute top litigator.read more
Whitney Bryant M.
Whitney Bryant M.
Nick has been a friend and trusted advisor for almost 10 years. As anyone just looking at his bio can tell, Nick is an outstanding attorney in highest demand across the country. All healthcare providers should hire attorney Nick Oberheiden!! You will not be disappointed.
Pamela M.
Pamela M.
Dr. Oberheiden has served as council and represented our company on several occasions, even during depositions, contract reviews and providing invaluable advice on multiple occasions that transpired into multilevel success in our business. He and his teams knowledge of both local, state and federal statues,... accompanied by their areas of expertise law regarding best asset protection, estate planning and wealth management solutions have provided both professional and personal growth for my companies, safeguarding them and protection my family’s name and legacy. I would recommend this firm and Dr. Nick Oberheiden without hesitation. I have no doubt that you will experience success with his council.read more
Corban M.
Corban M.
I have worked with Nick Oberheiden for over ten years on various litigation matters in and around New York City. Nick is an accomplished and seasoned lawyer and litigator---efficient, reliable, practical and, at the same time, highly academic. Nick will take the time necessary to understand a client's short- and... long-term goals, and tailor his representation and advice to work toward and achieve those ends. Nick is a zealous advocate for his client, and will never sacrifice his client's interests for a quick or easy resolution to a case. At the end of the day, Nick is a great person to know if you or your business is in need of a top litigator or defense attorney.read more
Brendan C.
Brendan C.
When I was faced with one of the most terrifying and unexpected situations in my life, I called Dr. Oberheiden. I had vetted other attorneys and came right back to him. His knowledge, expertise, and reassuring presence made the decision easy. Throughout my case, his level of communication was what I needed and... expected. He constantly updated me on the status and progress of my case and was able to “talk me off the ledge” when the stress of it all would set in. He is simply the best of the best...there’s not a question about it.read more
Scarlett L.
Scarlett L.
Nick is a superb lawyer with exceptional skills and a formidable personality. Nick works harder, he thinks smarter, and he delivers faster than any lawyer you will ever find. Good, better, Nick!
Jacqueline S.
Jacqueline S.
1st class service. Atty. Iberheiden and Atty. Lynette Byrd were always available for us during the whole process of our Home Health Audit. Thank you so much!
Ed O.
Ed O.
I am a healthcare compliance consultant with almost 25 years of experience. The one advice I have for anyone seeking a lawyer with unbeatable healthcare law experience is to hire attorney Nick Oberheiden. For the past 8 years, I have worked with Nick on a variety of healthcare matters—from DEA compliance to DOL... supervisory rules to setting up PT and pain management clinics. I have never once seen a client not being 100% intrigued by Nick’s proven expertise in the field of healthcare structuring and compliance.Dr. S.T.read more
RAFT C.
RAFT C.
Nick Oberheiden is a spectacular lawyer, a true life saver. Nick is simply the very best!
Michael P
Michael P
Nick Oberheiden is the absolute best federal litigation attorney. Nick gives you the immediate comfort of feeling 100% protected. He is polite, respectful— and extremely compelling. His legal strategy turned out to be brilliant.
Marshall M
Marshall M
Great firm, with a great firm record of experienced healthcare and litigation attorneys.
Chris A.
Chris A.

Do Not Let an Audit or Investigation End Your Practice and Threaten Your Freedom

While these risks are very real, the outcome of a federal healthcare fraud audit or investigation is not a foregone conclusion. If you are facing an audit or investigation, you can affect the outcome. Our record proves it, and our attorneys can use their experience to help you avoid unnecessary consequences.

What is Oberheiden P.C.?

Oberheiden, P.C. is a federal defense law firm that represents healthcare providers nationwide in audits, investigations, and civil and criminal enforcement matters. With a team of highly-experienced in-house senior attorneys and a nationwide network of lawyers who all have extensive experience in the area of federal defense, we provide strategic and effective representation that is guided by our results in prior cases. We have seen what works, and we know when, why, and how the U.S. Department of Justice (DOJ) decides to prosecute. If your Bellevue healthcare business or medical practice is being audited or targeted in a federal fraud investigation, we can protect you.

Put our highly experienced team on your side

Dr. Nick Oberheiden
Dr. Nick Oberheiden

Founder

Attorney-at-Law

John W. Sellers
John W. Sellers

Former Senior Trial Attorney
U.S. Department of Justice

Local Counsel

Joanne Fine DeLena
Joanne Fine DeLena

Former Assistant U.S. Attorney

Local Counsel

Joe Brown
Joe Brown

Former U.S. Attorney & Former District Attorney

Local Trial & Defense Counsel

Amanda Marshall
Amanda Marshall

Former U.S. Attorney

Local Counsel

Aaron L. Wiley
Aaron L. Wiley

Former Federal Prosecutor

Local Counsel

Roger Bach
Roger Bach

Former Special Agent (OIG)

Gamal Abdel-Hafiz
Gamal Abdel-Hafiz

Former Supervisory Special Agent (FBI)

Chris Quick
Chris Quick

Former Special Agent (FBI & IRS-CI)

Kevin M. Sheridan
Kevin M. Sheridan

Former Special Agent (FBI)

Ray Yuen
Ray Yuen

Former Supervisory Special Agent (FBI)

Dennis A. Wichern
Dennis A. Wichern

Former Special Agent-in-Charge (DEA)

Why Choose Oberheiden P.C. in Bellevue?

If you are facing a MAC, RAC, UPIC, or ZPIC audit, if you have been contacted by CMS or the DOJ, or if your business or practice is being targeted by any other federal agency or task force in Bellevue, why should you choose Oberheiden P.C. for healthcare fraud defense?

1. We Provide Nationwide Federal Defense

Our healthcare fraud defense practice is nationwide in scope. This allows us to pick up on federal law enforcement trends, keep pace with the federal government’s new law enforcement initiatives, and effectively represent clients who may be accused of participating in nationwide healthcare fraud “conspiracies.” We have the attorneys and resources to handle cases that are confined to Bellevue and that cross state lines, and we know how to efficiently handle high-risk and large-scale cases without letting the federal government fully take the reins.

2. We Focus on Healthcare Fraud Defense

A significant portion of our practice is devoted to federal healthcare fraud defense. Many of our attorneys’ backgrounds are in this area (including founding attorney Dr. Nick Oberheiden), and our federal defense team includes several former DOJ attorneys who previously prosecuted healthcare fraud cases on behalf of the federal government. We understand the unique complexity of these cases, and we also understand the extreme risks involved. We use our vast knowledge of federal healthcare laws and program billing regulations to our clients’ advantage.

3. Our Team Includes Several Former Healthcare Fraud Prosecutors and Investigators

Wouldn’t it be nice to know what federal authorities are thinking? At Oberheiden P.C., we can tell you—definitively. This is because in addition to our former DOJ prosecutors, we also employ the services of several former federal agents with the Office of Inspector General (OIG), Federal Bureau of Investigation (FBI), Internal Revenue Service (IRS), and other agencies. We offer our clients decades worth of insights gained from working directly for the agencies that are accusing them of healthcare fraud.

4. Our Practice Focuses on Pre-Charge Resolution

While it is important to know that your defense lawyers are prepared to defend you at trial if necessary, it is far more important to know that your lawyers are doing everything possible to prevent your case from going to trial. At Oberheiden P.C., we emphasize pre-trial resolution. We promptly intervene in our clients’ audits and investigations, and we work diligently to convince auditors, investigators, and prosecutors that our clients’ practices do not warrant further scrutiny. If we can prevent charges from being filed, you can get back to business as usual.

5. Our Results (and Our Clients) Speak for Themselves

We have resolved the majority of our clients’ audits and investigations without civil or criminal charges being filed, and to date not a single client of Oberheiden P.C. has faced False Claims Act liability as a result of a healthcare fraud investigation in which we have been involved. Our clients also routinely provide testimonials thanking our attorneys for defending them effectively. In short, our results and our clients speak for themselves, and we are proud to let them do so.

Are you accused of a federal crime?

Don't delay. Learn about your rights.

Call Dr. Nick Oberheiden now!

888-680-1745

What are the Differences Between an Audit and an Investigation?

There are two primary ways that CMS, the DOJ, the OIG, and other federal authorities seek recoupments and other penalties in cases of alleged healthcare fraud: audits and investigations. While audits and investigations are very different, the ultimate consequences can be the same, and both require an equally strategic and custom-tailored defense.

Healthcare Fraud Audits: Contractors Get Paid to Demand Recoupments

During a healthcare fraud audit, employees of a private government contractor review the provider’s program billing records for evidence of overbillings. These contractors receive additional compensation from CMS if they uncover improper payments from federal government programs; and, as a result, accusations of overbilling are extremely common. However, in our experience, they are also frequently unjustified, and disputing unfounded audit determinations before they become final is critical to avoiding the long and time-intensive audit appeals process.

Healthcare Fraud Investigations: Fighting Healthcare Fraud is a Top Federal Priority

During a federal healthcare fraud investigation, agents from the OIG, DOJ, and various other agencies work to collect the evidence required to substantiate allegations of healthcare fraud. Federal authorities have various investigative tools at their disposal, including informal requests for “interviews,” civil investigative demands (CIDs), and federal subpoenas. Healthcare fraud investigations often involve numerous agencies (or coordinated task forces, such as the Opioid Fraud and Abuse Detection Unit), and they can lead to charges for a variety of related and unrelated offenses.

Am I Facing Civil or Criminal Penalties?

In healthcare fraud audits, CMS contractors only have the authority to impose civil penalties. However, auditors have the authority (and often the obligation) to report providers to CMS and the DOJ when they uncover evidence of alleged fraud, and this can trigger a follow-on investigation. Investigations can be either civil or criminal in nature, and investigations that start out civil can transition into criminal inquiries. As a result, providers need to treat all audits and investigations with equal care, and they must engage experienced federal defense counsel in order to protect against being civilly or criminally charged with healthcare fraud.

What is “Healthcare Fraud”?

Of course, all of this begs the question: What exactly is “healthcare fraud”?

Allegations of federal healthcare fraud can take many different forms. While there are certain acts that are exclusively criminal in nature (i.e. taking part in a healthcare fraud “conspiracy”), many statutes include provisions for both civil and criminal enforcement. Examples of acts and practices that can be prosecuted as civil or criminal healthcare fraud include (but are not limited to):

  • – Fraudulently certifying medical necessity or certifying a patient for hospice or home health services
  • – Upcoding medical services or procedures in order to bill at a falsely-inflated rate
  • – Unbundling related medical services or procedures in order to bill at higher individual rates
  • – Billing for services not actually provided or procedures not actually performed (“phantom billing”)
  • – Billing Medicare, Medicaid, or another federal benefit program for non-existent patients (or “ghost patients”)
  • – Offering, soliciting, paying, or receiving unlawful referral fees in violation of the Anti-Kickback Statute
  • – Engaging in prohibited transactions relating to designated health services under the Stark Law
  • – Providing opioid pain medications without medical necessity or without performing a re-examination prior to refilling a prescription

Is Your Bellevue Healthcare Practice or Medical Business at Risk?

Our firm is actively representing several physicians, pharmacists, clinics, laboratories, telemedicine companies, durable medical equipment (DME) companies, and other clients in federal healthcare fraud audits and investigations. If your Bellevue practice or business is being targeted, call 888-680-1745 or contact us online now for a free and confidential case assessment.

If you are under
investigation
you should contact us today

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