Puerto Rico Healthcare Fraud Defense Lawyers

Health care providers in Puerto Rico face the same federal oversight as providers on the U.S. mainland. Audits and investigations can lead to substantial penalties; and, in order to avoid these penalties, providers need to know how to defend themselves effectively.

Fraud, waste, and abuse are pervasive in our modern health care system. Each year, Medicare, Medicaid, Tricare, and Veterans Affairs (VA) lose billions of taxpayer dollars due to fraudulent overbillings, and the federal government has attributed much of the nation’s current opioid problem to over-prescription and medication diversion by health care providers. As a result, despite the critical role providers play in our health care system, they are now squarely within the federal government’s crosshairs. Audits, investigations, takedowns, and prosecutions are the norm, and providers across Puerto Rico are suddenly finding themselves fighting to stay out of prison.

Are you facing a federal health care fraud audit or investigation in Puerto Rico? If so, our federal health care fraud defense lawyers can help you avoid life-altering and practice-threatening consequences due to being charged with criminal fraud. We have protected the majority of our clients against federal charges, and we also have a proven track record of helping our clients avoid fines and prison time post-indictment. While we cannot guarantee what the federal government will do, what we can guarantee is this: We will rely on our attorneys’ centuries of combined experience on both sides of federal health care fraud cases to protect you to the fullest extent possible.

Nick is extremely professional and knows what he is doing. He is also very kind as a person (unless he is in court!) I would recommend him to just about anyone if they need an amazing lawyer that is top notch and would frankly be scary to face in the court room. He will always do a great job representing his clients. Thank you very much.read more
Anna Pham
Anna P.
Nick is the absolute top expert in any federal case
Jeff Crilley
Jeff C.
Smart. Smarter. Nick. As a healthcare executive, I once ran into a litigation issue. I hired Nick and, literally, before I knew it the case was resolved in my favor. Nick has an incredible presence and every lawyer in the room knows that Nick will do exactly what he says. It was a mesmerizing experience to see Nick in action! Very calm and determined, Nick is the absolute top litigator.read more
Whitney Bryant Milam
Whitney Bryant M.
Nick has been a friend and trusted advisor for almost 10 years. As anyone just looking at his bio can tell, Nick is an outstanding attorney in highest demand across the country. All healthcare providers should hire attorney Nick Oberheiden!! You will not be disappointed.
Pamela mulrooney
Pamela M.
Dr. Oberheiden has served as council and represented our company on several occasions, even during depositions, contract reviews and providing invaluable advice on multiple occasions that transpired into multilevel success in our business. He and his teams knowledge of both local, state and federal statues, accompanied by their areas of expertise law regarding best asset protection, estate planning and wealth management solutions have provided both professional and personal growth for my companies, safeguarding them and protection my family’s name and legacy. I would recommend this firm and Dr. Nick Oberheiden without hesitation. I have no doubt that you will experience success with his council.read more
Corban Milam
Corban M.
I have worked with Nick Oberheiden for over ten years on various litigation matters in and around New York City. Nick is an accomplished and seasoned lawyer and litigator---efficient, reliable, practical and, at the same time, highly academic. Nick will take the time necessary to understand a client's short- and long-term goals, and tailor his representation and advice to work toward and achieve those ends. Nick is a zealous advocate for his client, and will never sacrifice his client's interests for a quick or easy resolution to a case. At the end of the day, Nick is a great person to know if you or your business is in need of a top litigator or defense attorney.read more
Brendan Carosi
Brendan C.
When I was faced with one of the most terrifying and unexpected situations in my life, I called Dr. Oberheiden. I had vetted other attorneys and came right back to him. His knowledge, expertise, and reassuring presence made the decision easy. Throughout my case, his level of communication was what I needed and expected. He constantly updated me on the status and progress of my case and was able to “talk me off the ledge” when the stress of it all would set in. He is simply the best of the best...there’s not a question about it.read more
Scarlett Lee
Scarlett L.
Nick is a superb lawyer with exceptional skills and a formidable personality. Nick works harder, he thinks smarter, and he delivers faster than any lawyer you will ever find. Good, better, Nick!
Jacqueline Singleton
Jacqueline S.
1st class service. Atty. Iberheiden and Atty. Lynette Byrd were always available for us during the whole process of our Home Health Audit. Thank you so much!
Ed Orosa
Ed O.
I am a healthcare compliance consultant with almost 25 years of experience. The one advice I have for anyone seeking a lawyer with unbeatable healthcare law experience is to hire attorney Nick Oberheiden. For the past 8 years, I have worked with Nick on a variety of healthcare matters—from DEA compliance to DOL supervisory rules to setting up PT and pain management clinics. I have never once seen a client not being 100% intrigued by Nick’s proven expertise in the field of healthcare structuring and compliance. Dr. S.T.read more
RAFT Consultants
Nick Oberheiden is a spectacular lawyer, a true life saver. Nick is simply the very best!
Michael P
Michael P
Nick Oberheiden is the absolute best federal litigation attorney. Nick gives you the immediate comfort of feeling 100% protected. He is polite, respectful— and extremely compelling. His legal strategy turned out to be brilliant.
Marshall M
Marshall M
Great firm, with a great firm record of experienced healthcare and litigation attorneys.
Chris Anderson
Chris A.

15 Keys to Success When Facing a Federal Health Care Fraud Audit or Investigation in Puerto Rico

5 Key Facts about Facing a Health Care Fraud Audit or Investigation

1. Providers Can Be Charged for Intentional and Unintentional Billing Fraud

In federal health care fraud matters, ignorance is not a defense. Even if you (or one of your employees) unknowingly overbilled Medicare, Medicaid, Tricare, or the VA, you can still be charged with civil violations of the False Claims Act and the Anti-Kickback Statute. The Stark Law also imposes civil penalties for physicians who engage in prohibited referral transactions related to designated health services regardless of whether they were aware their actions violated federal law.

2. Audits and Investigations Can Ultimately Lead to the Same Outcomes

While audits and investigations are very different inquiries that involve very different standards and procedures, the end result can ultimately be the same. If an auditor concludes that a practice or business has overbilled the government, it can (and may be obligated to) refer the provider to the U.S. Department of Justice (DOJ) for civil or criminal prosecution. As a result, Puerto Rico health care providers must treat audits and investigations with equal care, and they must execute comprehensive defense strategies focused on fighting all of the allegations against them.

Put our highly experienced team on your side

Dr. Nick Oberheiden
Dr. Nick Oberheiden



John W. Sellers
John W. Sellers

Former Senior Trial Attorney
U.S. Department of Justice

Local Counsel

Joanne Fine DeLena
Joanne Fine DeLena

Former Assistant U.S. Attorney

Local Counsel

Lynette S. Byrd
Lynette S. Byrd

Former Assistant U.S. Attorney


Amanda Marshall
Amanda Marshall

Former U.S. Attorney

Local Counsel

Aaron L. Wiley
Aaron L. Wiley

Former Federal Prosecutor

Local Counsel

Roger Bach
Roger Bach

Former Special Agent (OIG)

Gamal Abdel-Hafiz
Gamal Abdel-Hafiz

Former Supervisory Special Agent (FBI)

Chris Quick
Chris Quick

Former Special Agent (FBI & IRS-CI)

Kevin M. Sheridan
Kevin M. Sheridan

Former Special Agent (FBI)

Ray Yuen
Ray Yuen

Former Supervisory Special Agent (FBI)

Dennis A. Wichern
Dennis A. Wichern

Former Special Agent-in-Charge (DEA)

3. Trying to Be “Helpful” to Auditors or Investigators

While you may have an obligation to produce your practice’s billing records or provide other information in response to a subpoena or civil investigative demand (CID), handing over evidence when you are not legally required to do so is a mistake. There are certain circumstances in which it can make sense to voluntarily disclose information; however, the decision to do so needs to be made strategically and with the advice of legal counsel.

4. Ignoring the Audit or Investigation

Ignoring the audit or investigation, assuming it will “go away,” and waiting to see how the inquiry progresses before seeking legal representation are all common mistakes as well. If your Puerto Rico health care practice or medical business is facing scrutiny from federal authorities, protecting your practice – and yourself – needs to be your top priority.

5. Trying to Defend Your Practice Without Legal Advice

As a result of the complexity of the issues involved, the risks of facing civil or criminal charges, and the experience of the auditors or investigators who are looking into your practice or business, it is imperative that you seek legal representation immediately. In order to defend yourself to the fullest extent possible, you need to put experience on your side.

Are you accused of a federal crime?

Don't delay. Learn about your rights.

Call Dr. Nick Oberheiden now!


5 Key Reasons Why Health Care Providers in Puerto Rico and Nationwide Choose Oberheiden, P.C.

1. We are a Team of Senior Defense Attorneys and Former Federal Prosecutors

Our federal defense team is comprised entirely of senior defense attorneys and former federal prosecutors. Our practice is focused on federal defense with particular emphasis on health care fraud and related offenses, and we do not have junior associates or paralegals working on our clients’ cases. Throughout your case, you will work exclusively with our senior attorneys.

2. We have a Nationwide Presence

Our firm has a nationwide presence, and this allows us to effectively and efficiently represent clients in Puerto Rico. We have successfully defended health care providers and medical businesses across the country, and we use this vast experience to our clients’ advantage.

3. We have a Substantial Track Record of Securing Favorable Results for Our Clients

Our track record in federal health care fraud audits and investigations is substantial. We have secured favorable results in thousands of cases, with the majority of our clients never facing civil or criminal charges. In cases in which it has not been feasible to avoid charges (whether due to the provider’s delay in seeking legal representation or other factors), we have achieved favorable results both prior to and during trial.

4. We Focus on Securing Efficient and Discrete Pre-Charge Resolutions

While it is possible to successfully defend against charges of federal health care fraud (as our record shows), it is far less disruptive to resolve a federal inquiry before charges get filed. For this reason, we focus our efforts on securing favorable pre-charge resolutions for our clients. By getting involved in the process early and inserting ourselves into the audit or investigation, we are able to gain control of the process and work to steer it toward an efficient, positive, and discrete outcome.

5. We are Available When and Where Our Clients Need Us

Serving our clients is our top priority, and it shows in how we run our practice. Our clients have access to our senior attorneys 24/7, and we speak with our clients regularly during the stages at which their involvement is required. Whether we need to be on the ground in Puerto Rico or in any city across the United States, our attorneys will be there fully prepared to protect you and your practice or business.

Request a Free Assessment of Your Federal Health Care Fraud Case in Puerto Rico

If you need legal representation for a federal health care fraud audit or investigation in Puerto Rico, we urge you to contact us promptly to discuss your case. To speak with one of our senior federal defense attorneys in confidence, call 888-680-1745 or tell us how we can reach you online now.

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