Milwaukee Healthcare Fraud Defense Lawyer
790 N Milwaukee St.
Milwaukee, WI 53202
In recent years, the federal government has shown an increased interest in bringing federal healthcare fraud charges against Milwaukee, Wisconsin doctors, pharmacists, and other healthcare providers. If your business or practice is under investigation, you need the experienced Milwaukee federal healthcare defense lawyers at Oberheiden P.C. Call 888-680-1745 to schedule a free case evaluation today.
Federal authorities overseeing the enforcement of the nations’ healthcare fraud law, including Medicare and Medicaid fraud, come down hard on practitioners and other healthcare operators suspected of abuse. Once a federal investigation is opened, it can quickly snowball into something very serious—even if the allegations are seemingly minor. In some cases, healthcare providers face criminal liability, which can—and often do—result in lengthy prison sentences. At Oberheiden P.C., we have remarkable experience defending healthcare practitioners in Milwaukee healthcare fraud cases. Our initial is always on eliminating the possibility of criminal charges. From there, we will work with you to develop a comprehensive defense strategy to address any remaining civil charges.
What Constitutes Healthcare Fraud?
Healthcare fraud is an incredibly broad term describing a wide range of abuses, most of which involve Medicaid or Medicare fraud. However, in this context, “fraud” doesn’t necessarily involve a provider’s intentional conduct; you can still commit healthcare fraud even if you made a series of inadvertent mistakes. That being the case, Milwaukee healthcare fraud cases must be taken very seriously.
Unfortunately, given the enormity of the types of conduct that can be considered fraudulent, it isn’t always clear what the government’s allegations are. At Oberheiden P.C., one of the first things our Milwaukee federal healthcare fraud lawyers do when you bring us on the case is to identify exactly what the government claims you did wrong. From there, we can work on a comprehensive defense strategy that takes your unique situation into account.
Adding to the complexity of these cases is the fact that multiple government agencies investigate Milwaukee healthcare fraud cases. Often, the Federal Bureau of Investigation (FBI) will lead an investigation; however, the FBI works in conjunction with other agencies such as:
- The Drug Enforcement Administration (DEA)
- The Health and Human Services Office of the Inspector General (HHS-OIG)
- The Centers for Medicare and Medicaid (CMS)
- The Department of Justice (DOJ)
For example, a federal agency may come across evidence that could raise investigators’ suspicions. Investigators within that agency will often follow up, at least initially, to confirm their suspicions. If they believe that you engaged in fraud, they may then involve the FBI. Private citizens also initiate some Milwaukee healthcare fraud cases under the qui tam provision of the False Claims Act.
While the scope of healthcare fraud allegations is incredibly broad, some of the most common cases Milwaukee healthcare providers have faced in recent years involve the following:
- Anti-Kickback Statute violations;
- Billing for services not actually rendered to patients;
- Controlled Substances Act and DEA registration violations (including prescription drug fraud);
- Department of Labor (DOL) fraud;
- Falsifying patient records, prescriptions, physician certifications, and election statements;
- Medicare, Medicaid, and Tricare coding violations (“billing fraud”);
- Providing and billing for medically unnecessary services; and
- Stark Law violations.
At Oberheiden P.C., our Milwaukee healthcare fraud defense attorneys have extensive, hands-on experience representing all types of providers in healthcare fraud cases. Not only are we incredibly well-versed in the legal principles that govern these claims, but we are also intimately familiar with the healthcare industry. This means when you retain Oberheiden P.C. you are not going to need to bring us up to speed on how your practice operates.
Why Choose the Milwaukee Federal Healthcare Fraud Defense Lawyers at Oberheiden P.C.?
If you face federal healthcare charges, one of the most important decisions you will make regarding your case is which attorney you select to represent you. Certainly, there are dozens of qualified Milwaukee healthcare fraud lawyers out there, and most of them can competently handle your case. However, when you are in the federal government’s crosshairs, you deserve more than competent representation, you want the best Milwaukee healthcare defense lawyer on your case.
What should you look for when interviewing attorneys to represent you? Below is a list of just a few things that sets Oberheiden P.C. apart from the many other Milwaukee healthcare fraud defense law firms.
Highly Experienced With Handling Complex Federal Lawsuits
At Oberheiden P.C., our lawyers have dedicated their careers to the defense of healthcare practitioners. We do not dabble in health fraud; it’s our sole focus. We’ve represented thousands of clients across the country in all types of healthcare fraud cases and understand what it takes to obtain the results you are looking for.
The Right Type of Experience
Healthcare fraud cases frequently end in settlement agreements. However, you do not want to be represented by a lawyer who aims to settle your case. You want a lawyer who is confident in their litigation abilities and has handled complex healthcare fraud cases in front of a federal jury. At Oberheiden P.C., we’ve handled many federal jury trials and more than 2,000 cases that ended without the need for a trial. We understand the importance of keeping the door open for the possibility of a plea agreement but will never try to convince you to take a deal for fear of litigating a case.
Inside Knowledge of Healthcare Fraud Cases
Many of the senior Milwaukee healthcare fraud defense attorneys at Oberheiden P.C. spent years prosecuting these cases on behalf of the federal government. This provides us with a unique perspective in that we understand how federal prosecutors build their case, which evidence they consider important, and what may convince them to withdraw charges.
Over the years we’ve been representing practitioners in healthcare fraud cases, we’ve never come across two identical cases. While this should be common knowledge among Milwaukee healthcare fraud defense attorneys, too often, lawyers take a one-size-fits-all approach to their representation. At Oberheiden, P.C, we take the time to listen attentively to what you have to say and work closely with you to develop a custom-tailored defense.
Frequently Asked Questions
When do federal prosecutors bring healthcare fraud charges?
There is a complex relationship between state and federal prosecutors. In many cases, healthcare fraud can be prosecuted on the state or federal level. Often, in less serious cases, federal prosecutors will defer to their local counterparts, allowing them to handle the case. However, when a case is especially serious, involves a matter of national importance, or alleges a violation of a federal law, federal prosecutors may get involved. Federal prosecutors are generally highly skilled attorneys who have honed their craft in state and local courts. You deserve a Milwaukee healthcare fraud defense attorney with that same level of skill and experience.
What is the Anti-Kickback Statute?
The Anti-Kickback Statute (AKS) is a federal criminal law prohibiting a medical provider from offering, paying, soliciting, or receiving anything of value in exchange for patient referrals when the patient’s medical bills are paid by any federally funded program. Most often, these cases involve patients receiving Medicaid or Medicare benefits. While some cases under the Anti-Kickback Statute involve the payment of money for referrals, other common kickbacks include expensive meals, hotel stays or vacations or high-paying positions within a company. If you are facing a violation of the Anti-Kickback Statute, it is crucial you protect yourself by reaching out to a respected Milwaukee federal healthcare fraud defense attorney immediately.
What is a Civil Investigative Demand?
A Civil Investigative Demand, or CID, for short, is a legally enforceable document that seeks documents or other information related to a pending federal investigation. CIDs are one of the primary tools federal authorities use when investigating claims of healthcare fraud. Federal agencies use CIDs to obtain information that may become the basis for future enforcement actions. If you receive a CID, it does not necessarily mean that you or your practice is under investigation; however, you can’t rule that out as a possibility. If you received a CID, it is important that you respond to a CID, but also that you also carefully consider your response.
Contact Oberheiden. P.C. to Schedule a Free Case Evaluation with a Milwaukee Healthcare Fraud Defense Attorney
If you or your practice is at the center of a healthcare fraud investigation, contact the Milwaukee federal healthcare fraud defense attorneys at Oberheiden P.C., for immediate assistance. You can reach our Milwaukee healthcare fraud defense lawyers at 888-680-1745 or contact us online. We have attorneys standing by to discuss your case with you. If a member of our team is not available immediately, we will respond to your inquiry as soon as possible.