Detroit Hospice Fraud Defense Lawyers - Oberheiden, P.C.
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Detroit Hospice Fraud Defense Lawyers

Detroit address – by appointment only:
220 West Congress St. 2nd Floor
Detroit, MI 48226
313-462-7972

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

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 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.

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). Our attorneys fully understand 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
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)

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.

When it comes to choosing the right attorney, home health and hospice care business owners must look for three criteria.

  • First, your attorney must be familiar with all rules and regulations relating to home health and hospice care. When under prosecution, there’s no time for uninformed lawyers.
  • Second, choose a lawyer who has favorably resolved healthcare audit and fraud investigations. What help is hiring the best DWI or assault defense lawyer with no record winning healthcare fraud cases?
  • Third, your attorney must have superior litigation and trial experience. Prosecutors know how much experience a defense lawyer has in court. Ask your lawyer, “How many healthcare fraud trials have you argued in your career?”

When interviewing lawyers, smart clients ask smart questions. Test your lawyer candidate and insist on a concrete answer to this question:

How many Medicare Fraud cases have you handled so far that resulted in no civil and no criminal liability for your client?

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 attorneys were previously in charge of audits and investigations at the DOJ. They now offer their valuable insights and contacts with you.

  • 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 attorneys force the government to accept its burden of proof.
  • Appropriate Certifications. Many fraud cases claim providers unlawfully certified or re-certified medical necessity. The Detroit hospice fraud defense lawyers of Oberheiden, P.C. know 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. Our attorneys intervene when slanderous reporting occurs. We create opportunities to correct the facts and educate the public on our clients’ behalf.

Our Track Record

Detroit Hospice Fraud Defense Lawyers

Our clients range from individual providers to entire healthcare systems. We represent clients in Detroit who face investigation by the Department of Justice (DOJ), the Department of Defense (DOD), the Federal Bureau of Investigation (FBI), the Drug Enforcement Administration (DEA), the Office of Inspector General (OIG), the Medicaid Fraud Control Unit (MFCU), Detroit and Michigan law enforcement, or the Internal Revenue Service (IRS).

  • Defense of Healthcare Service Business Investigated by the Department of Justice and the Office of Inspector General for Medicare Fraud.
    Result: No civil or criminal liability.
  • Defense of Healthcare Service Business Investigated by the Department of Justice and the FBI for Medicare Fraud.
    Result: No civil or criminal liability.
  • Defense of Healthcare Service Business Investigated by the Department of Justice and the FBI for Medicare Fraud and False Claims Act Violations.
    Result: No civil or criminal liability.
  • Defense of Healthcare Service Business Investigated by the Department of Defense and the FBI for Tricare Fraud.
    Result: No civil or criminal liability.
  • Defense of Healthcare Service Business Investigated by the Department of Defense and the OIG for Tricare Fraud.
    Result: No civil or criminal liability.
  • Defense of Physician Syndication Investigated by the Department of Justice and the Office of Inspector General for Medicare Fraud and Stark Law.
    Result: No civil or criminal liability.
  • Defense of Physician Investigated by the Department of Health and Human Services and the Office of Inspector General for Medicare Fraud and Stark Law Violations.
    Result: No civil or criminal liability.
  • Defense of Physician Investigated by the Department of Justice and the Office of Inspector General for Medicare Fraud and False Claims Act Violations.
    Result: No civil or criminal liability.
  • Defense of Healthcare Service Business Investigated by the Office of Inspector General for Medicare Fraud and Stark Law Violations.
    Result: No civil or criminal liability.
  • Defense of Healthcare Organization Investigated by the Department of Justice and the Office of Inspector General for Medicare Fraud.
    Result: No civil or criminal liability.
  • Defense of Healthcare Marketing Group Investigated by the Department of Justice and the Office of Inspector General for Medicare Fraud, Stark Law Violations, and False Claims Act Violations.
    Result: No civil or criminal liability.
  • Defense of Healthcare Service Business Investigated by the Department of Justice and the Office of Inspector General for Medicare Fraud.
    Result: No civil or criminal liability.
  • Defense of Healthcare Service Business Investigated by the Department of Health and Human Services and the Office of Inspector General for Medicare and Tricare Fraud.
    Result: No civil or criminal liability.
  • Defense of Healthcare Conglomerate Investigated by the Department of Justice and the Office of Inspector General for Medicare Fraud.
    Result: No civil or criminal liability.

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

This information has been prepared for informational purposes only and does not constitute legal advice. This information may constitute attorney advertising in some jurisdictions. Reading of this information does not create an attorney-client relationship. Prior results do not guarantee similar future outcomes. Oberheiden, P.C. is a Texas PC with headquarters in Dallas. Mr. Oberheiden limits his practice to federal law.

Why Clients Trust Oberheiden P.C.

  • 2,000+ Cases Won
  • Available Nights & Weekends
  • Experienced Trial Attorneys
  • Former Department of Justice Trial Attorney
  • Former Federal Prosecutors, U.S. Attorney’s Office
  • Former Agents from FBI, OIG, DEA
  • Serving Clients Nationwide
Email Us 888-680-1745 866-781-9539
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