Detroit Hospice Fraud Defense Lawyers

Dr. Nick Oberheiden is a Detroit healthcare fraud defense lawyer and managing principal of Oberheiden, P.C. He has significant experience in representing clients accused of hospice or home healthcare fraud. Our team features former healthcare prosecutors and experienced defense counsel.

Detroit Medicare Fraud Investigations

Detroit is one of only nine U.S. areas with an established special task force to monitor, investigate, and prosecute Medicare Fraud. Prosecutions in Detroit are more aggressive and frequent than in other communities. The elite Healthcare Fraud Prevention and Enforcement Action Team (HEAT) leads these prosecutions. HEAT is a coordinated federal task force of agents from the Department of Justice (DOJ), the Department of Health and Human Services (HHS), the Office of Inspector General (OIG), the Federal Bureau of Investigation (FBI), and others. Fraudulent activities often target reimbursement from federal health care programs like Medicare and Medicaid, highlighting the severity and implications of such fraud.

Hospice & Home Healthcare Fraud

Oberheiden, P.C. represents Detroit hospice and home health agencies, business owners, and medical professionals. Our specialities include:

• OIG & Grand Jury Subpoenas
• Medicare & Medicaid Fraud
• Anti-Kickback Statute
• False Claims Act & Qui Tam Defense
• Stark Law (Self-Referrals)
• HIPAA Compliance
• DEA and Prescription Issues
• Certifications of Medical Necessity
• Billing Errors and Overbilling
• Overutilization of Services and Equipment
• RAC & ZPIC Audits
• IRS Investigations

Oberheiden, P.C. works with the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO), and the National Center for Assisted Living (NCAL). A Detroit hospice fraud defense attorney fully understands standards for:

• Certification Requirements
• Hospice Re-Certifications
• Clinical Status Determinations
• Respite Care
• Home Bound Evaluations
• Medical Necessity
• Conditions of Coverage and
• Plan of Care

Put our highly experienced team on your side

Dr. Nick Oberheiden

Founder

Attorney-at-Law

Lynette S. Byrd

Former DOJ Trial Attorney

Partner

Brian J. Kuester

Former U.S. Attorney

Hon. Kevin McCarthy

55th Speaker, U.S. House of Representatives (ret.)

Government Consultant

Mike Pompeo

Of Counsel

Former U.S. Secretary of State

John W. Sellers

Former Senior DOJ Trial Attorney

Linda Julin McNamara

Federal Appeals Attorney

Nicholas B. Johnson

Former Prosecutor

Roger Bach

Former Special Agent (DOJ)

Chris J. Quick

Former Special Agent (FBI & IRS-CI)

Michael S. Koslow

Former Supervisory Special Agent (DOD-OIG)

Ray Yuen

Former Supervisory Special Agent (FBI)

What Are the Penalties?

Targets of fraud allegations can face the following:

• Recoupment Requests
• Non-Payment of Future Claims
• Civil Fines of up to $ 11,000 per False Claim
• Exclusion from Federal Healthcare Programs
• Treble Damages
• Attorney Fees
• Criminal Fines
• Criminal Indictment
• Imprisonment
• Up to 10 Years in Prison for Each Count of Medicare Fraud
• Up to 20 Years in Prison If the Fraud Resulted in Serious Bodily Injury
• Life in Prison If the Fraudulent Medicare Practice Resulted in the Patient’s Death
• Civil & Criminal Fines
• Possible Suspension or Revocation of Medical License

Choosing the Right Detroit Hospice Fraud Defense Lawyer

The penalties listed above require a competent and successful Detroit hospice fraud defense attorney. Healthcare fraud allegations jeopardize your business, your reputation, and your livelihood. You need attorneys to forcefully defend you. Attorneys who have the skills to convince the government, the media, and the public that you did nothing wrong.

Our Proven Defense Strategies

What shapes the reputation of Oberheiden, P.C.? Our experience and our record of winning. We have managed over 2,000 healthcare investigations and tried more than 200 criminal cases in court. Many of our Detroit hospice fraud defense lawyers were previously in charge of audits and investigations at the DOJ. They now offer their valuable insights and contacts with you. Our firm has extensive experience dealing with other federal agencies, including the Department of Justice, FBI, and HHS, which allows us to provide immediate answers to these questions:

• Pressure on the Government. Targets of government inquiries must act quickly. Without opposition by experienced defense counsel, prosecutors will more easily build their case. Don’t give the government that advantage. Hire Oberheiden, P.C. the moment you are aware of an audit or investigation. Let us get you immediate answers to these questions:
  • What is this investigation about?
  • Is the case civil or criminal?
  • Does the government threaten jail time?
  • What can my lawyers do to get the issue resolved?
• No Intent. Many incidents prompting healthcare investigations stem from human errors, not criminal activity. Mistakes happen due to unqualified or overwhelmed staff, negligence, supervision errors, and changing rules. Many of our clients’ businesses have grown faster than their corporate structure can maintain. The U.S. justice system acknowledges the issue of human error. The U.S. Constitution puts a high burden of proof on the government to demonstrate criminal intent. In court, our Detroit hospice fraud defense attorneys force the government to accept its burden of proof.
• Appropriate Certifications. Many fraud cases claim providers unlawfully certified or re-certified medical necessity. A Detroit hospice fraud defense lawyer from Oberheiden, P.C. knows that while that’s easy to say, it’s hard to prove. We direct judges and juries to exceptions and delegation rules prosecutors like to omit in their charges.
• Media Intervention. Our commitment to defend you goes far beyond establishing legal strategies and defense plans. Our clients have important concerns about their reputation and perception by the public. The media has the power to ruin someone’s reputation. Igniting rumors about wrongdoings in news reports can have damaging effects. A Detroit hospice fraud defense attorney intervenes when slanderous reporting occurs. We create opportunities to correct the facts and educate the public on our clients’ behalf.

We are available every day of the year, 24 hours a day. You can call us directly or complete our contact form or by emailing us directly.

Additional Pages for Detroit, Michigan

• Detroit federal criminal defense
• Detroit federal appeals
• Detroit healthcare
• Detroit anti-kickback defense
• Detroit False Claims Act & Qui Tam defense
• Detroit healthcare fraud defense
• Detroit Medicare fraud defense
• Detroit pediatric dental investigations