What Miami, Florida Medical Providers Should Know About Medicare Fraud

A group of former Assistant United States Attorneys who prosecuted healthcare fraud for the Department of Justice has teamed up with nationally sought-after defense attorneys with years of experience in healthcare fraud accusations to form Oberheiden & McMurrey, LLP.  Our firm assists individuals and businesses from across the country, including in Miami and throughout Florida, in defending against accusations of healthcare fraud, violations of anti-kickback laws, Medicare fraud, and other such allegations.  Our clients include hospices, home health care providers, doctors, medical business owners, DME and device companies, surgical centers, hospitals, toxicology laboratories, pharmacies, and rehabilitation groups.  The Oberheiden & McMurrey, LLP has the unique ability to provide you with the insight and knowledge of former key government healthcare prosecutors and former leaders of the Medicare Fraud Strike Force.

Medicare Fraud Investigations in Miami

If you practice in the medical field in Miami, you should be aware that prosecutions for healthcare fraud in Miami-Dade County are more frequent and more aggressively pursued than they are in other parts of the county.  The stricter approach began when the federal government, through the Department of Justice, identified Dade County and the Miami area as a crisis zone for healthcare fraud, causing the establishment of a Health Care Fraud Prevention and Enforcement Action Team (HEAT) for the area, composed of members of several federal agencies who specialize in healthcare enforcement.  Miami is now one of only nine cities in the United States to face oversight by HEAT, including monitoring by the Medicare fraud strike force through the Department of Justice (“DOJ”), the Office of the Inspector General (“OIG”), and the Department of Health and Human Services (“DHHS”).

Not Every Mistake Constitutes Healthcare Fraud

Business owners and medical providers in Miami know that the rules and regulations in the healthcare field are constantly changing and frequently confusing.  To be sure, there is a difference between simple human error and intentional fraud.  A billing code that was deemed appropriate yesterday may be disallowed tomorrow.  Unfortunately, simple errors can lead to accusations of healthcare fraud.  Moreover, the federal government has recently allowed the Center for Medicaid and Medicare Services (“CMS”), as well as other federal agencies, to investigate providers based on data analysis showing that they have a high quantity of federal business.  In other words, your success in treating federally funded patients may, by itself, cause an audit of your company or practice.

Keep in mind: Just because you are accused of Medicare Fraud does not mean you did something wrong. Call the former Medicare prosecutors and experienced defense attorneys of Oberheiden & McMurrey, LLP to discuss your case. All calls are free and confidential.

Miami Medicare Fraud Defense Attorneys Are Available to Answer Your Questions

If you have been notified or suspect that you are being investigated or audited by the government, or simply have legal questions, contact the experienced attorneys at Oberheiden & McMurrey, LLP today for a free and confidential consultation seven days a week, including weekends.