San Antonio Hospice Fraud Attorneys

The Oberheiden, P.C. is a nationally known healthcare law firm. Our team includes talented attorneys with years of experience and education from the nation’s best law schools, including Yale and Harvard. Our San Antonio Hospice fraud attorneys routinely serve clients in San Antonio, Texas and in the surrounding areas.. Our attorneys routinely serve clients in San Antonio, Texas and he surrounding areas.

Call Oberheiden, P.C. right away if you are under suspicion for home healthcare or hospice fraud in San Antonio, Texas or the surrounding areas. When you call, ask to speak with a member of our Healthcare Fraud Defense Team. Initial calls are free and confidential.

San Antonio, Texas Is Directly Monitored by the Federal Government

San Antonio, Texas is one of fifteen locations in the nation that is watched by the federal government. San Antonio is overseen by the Medicare Fraud Strike Force. This is a team of investigators and prosecutors from several federal agencies, including the Department of Health and Human Services. The purpose of this team is to monitor, investigate, and prosecute subjects of health care fraud.

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)

Home Healthcare Fraud and Hospice Fraud in San Antonio, Texas

Oberheiden, P.C. serves San Antonio, Texas area healthcare providers, hospice facilities, home healthcare businesses, business owners and executives, and health care providers. We have expertise in:

• OIG subpoenas,
• Grand jury subpoenas,

• Fraud to bill Medicare,

• Medicaid fraud,
• Violations of the Anti-Kickback Statute, False Claims Act, and Stark Law,
• Qui tam defense,
• HIPAA compliance,
• DEA investigations,
• Certifications of medical necessity,
• Billing inaccuracies,

• Overuse of health care services and equipment,

• RAC and ZPIC audits, and
• IRS investigations.

Oberheiden, P.C. partners with the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO), the National Center for Assisted Living (NCAL), and other related programs. Oberheiden, P.C. understands requirements of medical necessity approvals, clinical status determination, requirements for respite care, homebound assessments, and plan of care requisites.

Civil and Criminal Penalties of Home Healthcare and Hospice Fraud

Home healthcare and hospice fraud probes can affect your livelihood. You may face civil or criminal charges. Civil penalties may include:

• • Fines of up to $11,000 per false claim,
  • Recoupment requests,
  • Future exclusion from federal healthcare programs,
  • Non-payment of claims,
  • Assignment of treble damages, and
  • Attorney fees.

Criminal punishments are also serious in nature. They may include fines in the hundreds of thousands of dollars, a criminal record, or even prison time of:

• Up to 10 years for each count of fraud,
• Up to 20 years if the fraud resulted in serious bodily injury to the patient,
• Life in prison if the fraud resulted in the death of a patient.

If you’re found guilty of incorrectly prescribing medications, improperly supervising others, or of false certification, you may be excluded from all federal healthcare programs, prohibited from reimbursement from those programs, and you may also lose your professional license.

Top Features of the Right San Antonio Hospice Fraud Lawyer

If you’re facing allegations of home healthcare of hospice fraud, you need to hire the right San Antonio hospice fraud lawyer. These allegations can ruin your reputation, your business, and your life. The right defense lawyer can help protect you against allegations made by the federal government, the media, and even the public.

Top qualities of the right San Antonio defense lawyer include:

• Knowledge of the rules and regulations of home healthcare and hospice care. You do not have time to explain billing, coding, and certification rules to a lawyer who doesn’t have experience dealing with these matters.

• A history of successful resolution of healthcare audits and fraud investigations. Look for a San Antonio defense attorney with a history of negotiating complex healthcare fraud cases involving the OIG, DOJ, HHS, and IRS.

• Litigation and trial experience. Federal prosecutors will know if you have a good defense lawyer. Ask each candidate how many healthcare fraud trials they’ve handled in their career. Also, ask how many cases they’ve managed that resulted in neither civil, nor criminal penalties for their clients.

Immediate Defenses for Home Healthcare and Hospice Fraud Clients

Oberheiden, P.C. has worked a great number of healthcare fraud cases in San Antonio, Texas and throughout the nation. Several of our lawyers have previous experience in healthcare auditing and as former federal healthcare fraud investigators and prosecutors with the DOJ. This valuable experience allows us to build strong defenses we implement when you retain us.

Immediate legal advocacy for our clients. If you’re suspected of home healthcare or hospice fraud, don’t wait to get legal help. The longer you wait, the more time the federal government has to build its healthcare fraud case against you. Once retained, we reach out to federal prosecutors to begin immediate advocacy. We get answers to these important questions, usually within hours:

• What triggered the investigation?
• Is it a civil or criminal matter?
• Are you facing prison time?
• What can be done to resolve the matter?

When we get answers to these questions, we are able to plan the best possible defense for you.

Proving our clients did not commit a crime. Most home healthcare and hospice fraud investigations in San Antonio happen because of human or business error. Very few cases begin because someone intended to commit a crime. The most common errors include:

• Unqualified or overwhelmed staff,
• Negligence,
• Supervision errors, and
• Unawareness of changing healthcare laws and rules.

Our court system knows that no one is perfect and that mistakes can happen. The federal government must prove beyond a reasonable doubt that you committed a crime. We analyze the evidence to determine if they can meet that standard.

Appropriate certification. Many fraud inquiries allege a business owner or healthcare provider incorrectly certified or re-certified medical necessity. Oberheiden, P.C. uses known legal exceptions to medical necessity rules to show that your use was proper. The federal government knows that these exceptions exist, but they rarely include them in their complaint or arguments. Oberheiden, P.C. uses industry authorities and our litigation experience to present legal exceptions and delegation rules.

Protecting your professional reputation. Our clients have concerns about their professional reputation when they’re facing fraud allegations. Oberheiden, P.C. understands these worries. We help protect your professional reputation from biased media reports and rumors. We address slander and look for chances to correct false stories promoted about our clients.

We are available every day of the year for our clients. Call us directly, complete our contact form, or email us.

Oberheiden P.C.
21750 Hardy Oak Blvd Suite 102-189
San Antonio, TX 78258
210-942-0986