Experienced Reno, Nevada Healthcare Fraud Defense Attorneys
1515 Plumas Street
Reno, NV 89509
When healthcare providers, physicians, pharmacists, and other clients face allegations of healthcare fraud in the Biggest Little City in the World, they rely on a skilled legal team to defend their rights. Whether facing an investigation, audit, or trial related to healthcare fraud in Reno, Nevada, Oberheiden P.C. is here to assist you. Our attorneys have extensive experience representing clients facing all types of federal healthcare fraud allegations.
Being targeted in a federal healthcare fraud investigation significantly threatens your practice’s long-term stability and reputation. Federal agents and prosecutors throughout Reno work with the Department of Justice (DOJ), Drug Enforcement Administration (DEA), and Office of Inspector General (OIG) to actively target providers in Reno and other parts of Nevada.
Penalties for healthcare fraud can be stringent, including decades of federal imprisonment and thousands of dollars in fines. No matter your situation, you need to seek the guidance of an experienced Reno, Nevada, healthcare fraud defense team to protect your rights and interests. Contact Oberheiden P.C. today for a confidential consultation to discuss your case and legal options.
What You Need to Know About Federal Healthcare Fraud Investigations
These investigations are slightly different than other types of criminal cases. Here are a few things to know.
Any Healthcare Provider Could Be Targeted
Federal healthcare fraud investigations pose a significant risk to healthcare providers. Generally, federal authorities identify and target providers who bill through Medicaid, Medicare, or Tricare. They will look to see if there are any billing data anomalies within these providers’ records. Remember that no provider is immune from being investigated, even if they have not engaged in fraud. For example, a provider who regularly bills Medicare for a specific service or supply may draw attention if other providers in Reno do not have similar billing patterns. While this does not necessarily indicate fraudulent activity, it can prompt a federal investigation.
Allegations Can Occur at Any Time
Healthcare fraud can take many forms. While intentional overbilling is a common type of fraud, unintentional billing violations can also lead to prosecution. The presence of intent, or lack thereof, is critical in determining whether a provider may face civil or criminal charges. However, it is not the deciding factor when it comes to federal penalties.
Federal healthcare fraud investigations can involve various allegations under different federal laws, including the False Claims Act, Anti-Kickback Statute, and Stark Law. Some of these allegations may include:
- Billing and coding errors
- Physician self-referrals
- False claims
- Billing for medically unnecessary services or equipment
- Billing for services or equipment not provided
- Prescription drug fraud
- Falsifying patient records
- Fraudulent physician certifications
- Tax evasion
When facing a federal investigation, you need to determine the reason for the inquiry so that your legal team can build an effective defense strategy. An experienced Reno, Nevada, healthcare fraud defense attorney can intervene in the investigation on your behalf to identify the nature and extent of the allegations against you. At Oberheiden P.C., our experienced attorneys can represent you in all matters related to federal healthcare fraud allegations. Contact us for a confidential consultation.
The Government Does Not Always Target the Right Party
Healthcare fraud investigations can be misguided, and despite costing the federal government billions of dollars, they can target legitimate healthcare providers. If you are a provider targeted in a federal investigation, you will want to quickly identify the source of the government’s misinformation and gather the necessary evidence to close the case promptly. However, ensuring your billings can withstand scrutiny is important due to the wide range of healthcare laws. With unintentional mistakes carrying severe consequences, providers need to conduct thorough internal assessments to determine the scope of potential exposure.
The penalties for healthcare fraud can be severe in civil and criminal cases. Civil and criminal violations can result in significant financial penalties, and criminal investigations may lead to long-term imprisonment. Other potential consequences of a federal healthcare fraud investigation include the following:
- Exclusion from Medicare, Medicaid, Tricare, and DOL
- Fees and costs
- Loss of DEA registration
- State board licensing action
- Treble damages
- Pre-payment review
- Denial of pending claims
While the potential penalties are significant, the outcome of an investigation depends on the severity of the allegations, the nature of the investigation, and the strength of the provider’s defense. Our healthcare fraud defense attorneys have helped clients avoid charges and penalties, negotiate plea deals and dismissals, and mitigate sentences through strategic trial representation.
You Need an Aggressive Defense Strategy
Even if you have done nothing wrong, an aggressive defense strategy is still necessary to avoid federal charges. Often, that means taking action early in the investigative process and using the information gathered during an internal assessment to respond appropriately. At Oberheiden P.C., our healthcare fraud defense attorneys have a wealth of experience defending healthcare providers against allegations of fraud and other violations.
Our attorneys have extensive experience on both sides of federal healthcare fraud cases, including prosecuting cases on behalf of the government. We will provide you with a unique perspective and insight into how the government builds its cases against providers. Using this knowledge and experience, we can develop comprehensive defense strategies tailored specifically to the facts and allegations involved in your case.
By intervening early in the investigative process and building a strong defense strategy, we can often prevent charges from being filed in the first place. In cases where charges have already been filed, we have a proven track record of negotiating favorable plea deals, obtaining dismissals prior to trial, and using strategic trial representation to substantially mitigate our clients’ sentences in court.
We have represented many professionals in the healthcare industry, including:
- Testing laboratories
- Durable medical equipment (DME) companies
- Company owners, board members, and executives
- Compounding pharmacists
- Hospitals, clinics, and other medical facilities
- Physician groups
An aggressive defense strategy is key to avoiding federal charges and protecting your livelihood as a healthcare provider. If you are facing a federal healthcare fraud investigation or have been charged with a healthcare-related offense in Reno, Nevada, contact the experienced attorneys at Oberheiden P.C. for a free and confidential consultation.
Federal Healthcare Fraud Defense Lawyers at Oberheiden, P.C. Answer Your Questions
Q: Should I Report Improper Billing to Medicare, Medicaid, Tricare, or the DOL?
If you become aware that your business or practice has submitted improper reimbursement requests to Medicare, Medicaid, Tricare, or the DOL, it is important to proceed cautiously to avoid making mistakes that could have severe consequences. There could be significant penalties and legal repercussions depending on the nature and extent of the improper billings. One key step is to immediately seek legal advice from a healthcare fraud defense attorney who can help you navigate the situation. An experienced attorney can assess the situation, review the evidence, and help you develop an effective strategy for responding to the investigation. It is important to remember that any statements you make to investigators can be used against you. With that in mind, you will want to have an attorney present during any questioning.
Q: Do I Need to Cooperate With the Government?
Cooperating with a federal healthcare fraud investigation is not a straightforward matter. You want to strike a balance between cooperation and protecting your rights. Overcooperation can put you at risk of prosecution and penalties. Oberheiden P.C. has experience in these types of investigations and can guide you on the appropriate actions to take. We can also represent you in negotiations with federal agents and prosecutors to protect your interests.
Q: What Should I Do If I Received a Target Letter, Subpoena, or Civil Investigative Demand?
If you receive a target letter, subpoena, or civil investigative demand, it is crucial to understand the implications of each and to respond accordingly. When receiving any of these investigative tools, consult with a healthcare fraud defense lawyer as soon as possible.
Q: Will Oberheiden P.C. Handle My Federal Healthcare Fraud Investigation in Reno?
Absolutely. Our attorneys are ready to represent healthcare providers and medical businesses in Reno, Nevada. The attorneys at Oberheiden P.C. have extensive experience in federal healthcare fraud investigations and can help you understand your options. We can also develop an appropriate response to the federal government’s demands. We can also communicate with federal agents and prosecutors on your behalf to protect your rights and interests.
Schedule a Confidential Case Assessment With our Reno, Nevada, Healthcare Fraud Defense Attorneys
Since these issues must be addressed, you must contact our healthcare fraud attorneys as soon as possible. If you wait to seek legal advice, it could mean harsher consequences for you and your practice. Schedule your consultation by calling 888-680-1745 or contacting us online to speak with a member of our federal defense team about your healthcare fraud investigation in Reno, Nevada.