WSJ logo
Forbes logo
Fox News logo
CNN logo
Bloomberg logo
Los Angeles Times logo
Washington Post logo
The Epoch Times logo
Telemundo logo
New York Times
NY Post logo
NBC logo
Daily Beast logo
USA Today logo
Miami Herald logo
CNBC logo
Dallas News logo

Tricare Fraud Defense

Tricare Fraud Legal Defense Team Serving the US

Lynette Byrd
Attorney Lynette Byrd
Tricare Fraud Defense Team Lead
Former DOJ Attorney envelope iconContact Lynette
Nick Oberheiden
Attorney Nick Oberheiden
Tricare Fraud Defense Team Lead envelope iconContact Nick
Wade McFaul
Wade McFaul
Tricare Fraud Defense Consultant
Former HHS-OIG Assistant Special Agent-in-Charge

Tricare is a federal healthcare program similar to Medicare. It is offered to active-duty military personnel, veterans, reservists, and their families. Every year, Tricare pays tens of billions of dollars to providers for services, drugs, and medical devices for their patients.

Federal Prosecutors Take an Aggressive Stance Against Tricare Fraud

Click image
to see larger version.

Tricare fraud is a booming business. Schemes to bill false claims cost the government billions of dollars each year. A 2022 Military Times article describes a scheme costing Tricare $15 million. After pleading guilty, the woman received a sentence of 18 to 36 months of probation and was ordered to pay $180,000 in restitution. After a guilty plea, the woman received a sentence of 18 to 36 months of probation and was ordered to pay $180,000 in restitution.

However, not all fraud cases are the same. Well-intentioned pharmacies and healthcare providers can face criminal and monetary penalties for making honest mistakes.

Whatever the situation, fraud allegations are quite serious. A criminal conviction could mean decades in prison. A civil case could result in millions of dollars in financial burden from fines, fees and restitution.

Under Investigation for Tricare Fraud?

Several federal agencies conduct inquiries on allegations of Tricare fraud. Prosecutors can file both civil and criminal charges. Knowing if your case is civil or criminal is the first step in building a solid defense.

Oberheiden, P.C. represents businesses and individuals under investigation for Tricare and other forms of healthcare fraud. Several of our fraud defense attorneys are former federal prosecutors. As a result, we can often anticipate the government’s arguments and strategies. In many cases, we can help our clients avoid criminal charges.

Recent Targets of Federal Tricare Fraud Investigations

In recent years, federal prosecutors placed an emphasis on allegations against compound pharmacies. Keep in mind, all Tricare providers are at risk of facing fraud claims. We have significant experience representing a wide range of providers. Our Tricare Fraud defense lawyers are available to defend companies including:

  • Compound pharmacies,
  • Hospitals,
  • Medical device (durable medical equipment or “DME”) companies,
  • Pharmacies,
  • Physician-owned entities, and
  • Toxicology labs.

Prosecutors seek charges against providers they accuse of Tricare fraud. The accused include doctors, nurses, senior company executives, and even staff members. At Oberheiden, P.C., we represent all defendants in Tricare fraud investigations. Our priority is to obtain a dismissal of charges against our clients.

Penalties for Tricare Fraud

The penalties for Tricare fraud are severe. Risks faced depend on whether your investigation is civil or criminal with possible penalties including:

  • Exclusion from future participation in Tricare,
  • Recoupment of fraudulent claims,
  • Treble (triple) damages,
  • Fees payable to the government,
  • Fines of up to $11,000 per false claim, and
  • Years, or even decades, of incarceration in federal prison.

Put our highly experienced team on your side

Dr. Nick Oberheiden
Dr. Nick Oberheiden

Founder

Attorney-at-Law

Lynette S. Byrd
Lynette S. Byrd

Former DOJ Trial Attorney

Partner

Brian J. Kuester
Brian J. Kuester

Former U.S. Attorney

Amanda Marshall
Amanda Marshall

Former U.S. Attorney

Local Counsel

Joe Brown
Joe Brown

Former U.S. Attorney

Local Counsel

John W. Sellers
John W. Sellers

Former Senior DOJ Trial Attorney

Linda Julin McNamara
Linda Julin McNamara

Federal Appeals Attorney

Aaron L. Wiley
Aaron L. Wiley

Former DOJ attorney

Local Counsel

Roger Bach
Roger Bach

Former Special Agent (DOJ)

Chris Quick
Chris J. Quick

Former Special Agent (FBI & IRS-CI)

Michael S. Koslow
Michael S. Koslow

Former Supervisory Special Agent (DOD-OIG)

Ray Yuen
Ray Yuen

Former Supervisory Special Agent (FBI)

Why Choose Us to Defend Your Tricare Fraud Allegations?

With your business, your finances, and your future at stake, you need an experienced law firm on your side. The fraud defense attorneys and former federal prosecutors at Oberheiden, P.C. are highly experienced in representing clients involved in Tricare and other healthcare fraud allegations. We know what it takes to protect our clients. We demonstrate that with our extensive list of successful results.

When facing federal prosecution, it’s vital to seek legal advice as soon as possible. From experience, we know the value of early involvement in our clients’ case. As former prosecutors, we know the strategies the government will try to use against you. If you’re serious about protecting yourself, your employees, and your family, you need a team to present the strongest possible defense.

Contact Oberheiden, P.C. for a Free Case Evaluation

Get details on how we can help defend you against Tricare fraud allegations now. Contact us for a free and confidential assessment. Our lawyers will be happy to help you gauge the situation, weigh your options, and devise a defense strategy. Get our help now by calling 888-680-1745.

WordPress Lightbox