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Miami Health Care Fraud Defense Attorneys

Miami health care providers are often the target of high-stakes health care fraud investigations that can jeopardize their practice and potentially ruin their careers. If you suspect that you are under investigation, you need our experienced Miami health care fraud defense attorneys of Oberheiden, P.C.

Health care providers are currently being targeted for possible violations of health care laws and regulations. Aggressive prosecutors and authorities from the Department of Justice, Federal Bureau of Investigation, Medicare Fraud Strike Force, Health and Human Services Office of Inspector General, and Health Care Fraud Unit launch extensive investigations into local health care providers whom they suspect of myriad health care law violations.

Miami is home to one of nine cities with an established federal health care fraud task force. Investigators are constantly looking for providers who have violated federal statutes. When you are confronting charges brought by this task force or other federal agencies, it is critical that you seek legal assistance from a criminal defense lawyer who is experienced in health care fraud defense.

Oberheiden, P.C. offers health care fraud defense for medical providers, businesses, and entities that have found themselves targeted by federal agencies. Our Miami health care fraud defense attorneys offer over 100 years of combined legal experience that they put to use to quickly design a legal defense that is customized to your particular situation.

What Is Health Care Fraud?

Health care fraud involves submitting false or misleading information in order to receive health care benefits or payments for them. Health care fraud can be brought under a variety of federal or state statutes, which further define the crime and the potential penalties.

Federal Health Care Fraud Charges

One common statute that federal prosecutors use in health care fraud cases is 18 U.S.C. § 1347. This law defines health care fraud as the knowing and willful execution or attempt to execute a scheme to defraud any health care benefit program or to falsely obtain any benefit of a health care program.

To secure a conviction under this law, the federal prosecutor must prove the following legal elements by proof beyond a reasonable doubt:

  • The defendant knowingly and willfully executed or attempted to execute a scheme to defraud a health care benefit program or falsely obtained a benefit of a health care program.
  • The defendant made false statements that related to a material fact.
  • The defendant acted in a willful manner and intended to defraud the health care benefit program.
  • The defendant’s actions were in connection with the delivery of health care benefits, items, services, or the payment for them.

The potential penalty for conviction of this offense is up to ten years imprisonment along with additional fines.

There are many other statutes that federal prosecutors can use to charge individuals and entities with health care fraud. Federal authorities may use the following laws to prosecute Miami health care providers:

  • False Claims Act – This law is designed to protect the federal government from being overcharged for goods or services, including reimbursements from Medicare. The False Claims Act allows federal authorities to charge violations per each false claim that can result in significant penalties to health care providers and possible exclusion from further billing to the program. Additionally, it provides rewards for whistleblowers, which may motivate reports from anonymous sources.
  • Anti-Kickback Statute – The Anti-Kickback Statute makes it illegal for an individual to pay or receive anything of value in exchange for referrals to Medicare and other government health care programs.
  • Stark Law – The Stark Law prohibits doctors from referring Medicare patients to entities in which the doctor or an immediate family member has an ownership or investment interest.
  • Controlled Substances Act – The Drug Enforcement Agency is responsible for investigating potential criminal violations of drug laws, including monitoring physicians for writing prescriptions for unnecessary medication or selling prescriptions.

State Health Care Fraud Charges

Many instances of health care fraud may be prosecuted simultaneously at the state and federal level. Several health care programs are based on both federal and state law. For example, Medicaid is a program that is run by the state and federal government. Therefore, a person may be charged with both state and federal charges for Medicaid violations.

Florida law defines health care fraud as making a misrepresentation or intentionally deceiving a health care program, knowing that the deception results in an unauthorized benefit to the individual or a third party. Most forms of health care fraud in the state are considered third-degree felonies.

Types of Health Care Fraud

There are several activities that can rise to the level of health care fraud, including the following:

  •    Billing for services not rendered
  •    Fraudulent billing for a non-patient
  •    Billing for more hours than those rendered
  •    Duplicate billing
  •    Illegal fee sharing
  •    Billing for unnecessary services
  •    Falsification of credentials
  •    False cost reports
  •    Accepting kickbacks
  •    Illegal prescribing of medications
  •    Nurses ordering medications without the approval of the physician
  •    Counterfeit prescriptions
  •    Theft or sale of patient medications
  •    Forging prescriptions

If you have been charged with one of these offenses or another health care fraud violation, it is imperative that you retain a skilled Miami health care fraud defense lawyer who will quickly get to work on your case. Oberheiden, P.C., is available 24/7. Our Miami health care fraud defense attorneys can schedule a confidential consultation during which one of our seasoned health care fraud defense lawyers will discuss your situation with you and explain how we can help.

Why You Should Choose the Miami Health Care Fraud Defense Attorneys at Oberheiden, P.C., for Your Defense

When extreme penalties are at stake (such as possible imprisonment, the loss of a medical license, and the possibility of being ordered to pay exorbitant fines), it is important that you engage a federal defense law firm as soon as possible. Clients throughout Miami, Florida, and the rest of the country choose the experienced and proven Miami health care fraud defense attorneys at Oberheiden, P.C., for the following reasons:

  • Experience – Our firm has handled thousands of cases involving health care fraud defense. Some of our attorneys are former federal prosecutors who know how the other side works and what holes they may have in their case. Our team leverages over a century’s worth of legal experience in health care fraud defense in complex and high-stakes cases involving federal criminal charges.
  • Robust track record – We have a proven track record of securing favorable outcomes and have even convinced prosecutors to drop criminal charges against our clients. Our Miami health care fraud defense attorneys have helped many clients avoid federal indictments by providing early intervention in their case. We have often been able to stop federal investigations in their tracks long before charges are filed. Additionally, we have prevented many defendants from having to serve any prison time. Every client whom we have represented who was subject to a False Claims Act investigation has not been held criminally or civilly liable. Also, we have negotiated significant civil penalties to nominal amounts. We implement proven strategies that have garnered favorable outcomes for former clients.
  • Focus – Federal task forces and authorities devote extensive resources to health care fraud investigations and prosecutions. It is important that you mount a strong defense against these charges. Your attorney will focus on your case and employ proven strategies to defend you against serious charges. We have the knowledge and experience to lodge a strong defense on your behalf.
  • Customized legal representation – Our experienced attorneys know that every case is unique. We will create a customized defense strategy, commencing with an effective and aggressive defense from the start. We will explore all options about how we can resolve your case with a favorable outcome, including providing assistance to prosecutors in another case in exchange for dropping charges against you. Our skilled Miami health care fraud defense attorneys can also try to broker a favorable plea agreement that may help avoid prison time, such as seeking probation or alternatives to incarceration. We understand that your future and your freedom are at stake, and we will work tirelessly on your case.
  • Ready for a courtroom battle – Our attorneys can advise you on whether early resolution is in your best interest or if it is preferable to proceed to trial. Our attorneys have represented clients in over 500 trials and supervised many others. Our Miami health care fraud defense lawyers are recognized for their aggressive trial practice.

Speak with our Miami Health Care Fraud Defense Lawyers Today

If your Miami health care business, practice, or organization is currently under investigation, please call Oberheiden, P.C., to schedule an initial consultation with a skilled Miami health care fraud defense attorney. Our team can immediately get started on your case to mount an aggressive defense or help you create a compliance program. We have over 100 years of combined experience in defending clients against charges that can result in imprisonment, significant monetary fines, and damage to their reputations. Call our Miami health care fraud defense lawyers today at (214) 469-9009 or contact us online to schedule your confidential consultation.

All website terms, conditions, and disclaimers apply to this information and are hereby fully incorporated. Specifically, this information has been prepared (1) For informational purposes only and does not constitute legal advice; (2) This information may constitute attorney advertising in some jurisdictions; (3) Merely reading this information does not create an attorney-client relationship; (4) Attorneys of Oberheiden P.C., are not licensed in all states but are only licensed to practice in the states mentioned in their respective biographies. Nothing contained in here is meant to constitute the unauthorized practice of law or a suggestion of physical presence in the state; (5) Prior results do not guarantee similar outcomes in the future.

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