Top Loxahatchee, FL Health Care Fraud Lawyers Near You
We FIGHT To Get Results. Over 40 Years Of Experience Defending Those Accused Of Serious State And Federal Charges
Se Habla Español
Free Consultation
Virtual Appointments
Experienced, relentless defense attorney specializing in Federal crimes. 28 years of strategic defense protecting your rights.
Free Consultation
Virtual Appointments
Top-Rated, Highly-Experienced, LOCAL Federal Criminal Defense Attorneys. 150+ Yrs. Combined Experience. A+ by the BBB, Super Lawyers, Superb 10 AVVO, Top 100 Trial Lawyers
Free Consultation
Defending your rights since 1974. Nationally recognized experts in Federal and White Collar offenses. Highly qualified with the experience necessary to WIN. Call now!
Se Habla Español
Free Consultation
Our nationwide team of defense lawyers includes a former U.S. Attorney, four former Federal Prosecutors, two former FBI agents and two former Army JAGS.
Free Consultation
Virtual Appointments
Fed Trouble? Free Consult. Former Prosecutor & Team Former Federal Agents. Call/Text 24/7. Immediate Response Guaranteed!
Se Habla Español
Free Consultation
Virtual Appointments
Federal Defender with 25 years trial experience. Assisting those accused of drug crimes, white collar and any federal criminal defense matters. You speak to me directly!
Free Consultation
1001 Brickell Bay Drive, Suite 2700 M-1, Miami, FL 33131
Other Nearby Offices
O’Brien Hatfield, PA has experience helping clients with their Health Care Fraud needs in Loxahatchee, Florida.
Se Habla Español
Free Consultation
Virtual Appointments
524 Datura St., Suite 108, West Palm Beach, FL 33401
Other Nearby Offices
Musca Law has experience helping clients with their Health Care Fraud needs in Loxahatchee, Florida.
Se Habla Español
Free Consultation
3700 Airport Road, Suite 401, Boca Raton, FL 33431
Other Nearby Offices
Representing clients with Health Care Fraud issues in Florida, Whittel & Melton, LLC, a reputable law firm based in Loxahatchee.
Se Habla Español
Free Consultation
4601 Military Trail, Suite 206, Jupiter, FL 33458-4837
Assisting people in Florida with their Health Care Fraud needs. Learn More.
Se Habla Español
Free Consultation
Virtual Appointments
9130 S Dadeland Blvd, Two Datran Center, Suite 1910, Miami, FL 33156
Get experienced legal representation for Health Care Fraud issues. Clients in Loxahatchee, Florida can turn to Jeffrey S. Weiner, P.A. for help.
Se Habla Español
Free Consultation
4123 Eastridge Circle, Pompano Beach, FL 33064
Law Offices of Charles L. Waechter has experience helping clients with their Health Care Fraud needs in Loxahatchee, Florida.
Free Consultation
66 W. Flagler St., Suite 1000, Miami, FL 33130
Choose Antonio Pena Law Group PLLC for qualified Health Care Fraud representation in the Loxahatchee, Florida area.
Se Habla Español
Free Consultation
601 Brickell Key, Suite 700, Miami, FL 33131
Other Nearby Offices
Bulldog Law has experience helping clients with their Health Care Fraud needs in Loxahatchee, Florida.
Se Habla Español
Free Consultation
Virtual Appointments
14707 S Dixie Hwy, Suite 302, Miami, FL 33176
Representing people in Loxahatchee, Florida with their Health Care Fraud issues.
Se Habla Español
Free Consultation
2030 S. Douglas Road, Suite 214, Coral Gables, FL 33134
333 SE 2nd Ave, Fl 20, Miami, FL 33131
Wells Fargo Center, 333 SE 2nd Avenue, Suite 2700, Miami, FL 33131
777 South Flagler Drive, Suite 1700 West Tower, West Palm Beach, FL 33401
1875 NW Corporate Blvd., Suite 300, Boca Raton, FL 33431
350 E. Las Olas Blvd., Suite 1440, Las Olas Centre II, Fort Lauderdale, FL 33301-4211
525 Okeechobee Blvd., Suite 900, West Palm Beach, FL 33401
701 Waterford Way, Suite 340, Miami, FL 33126
98 SE 7th Street, Suite 700, Miami, FL 33131
, Miami, FL 33134
350 East Las Olas Boulevard, Suite 1750, Fort Lauderdale, FL 33301
2400 E Commercial Blvd, Suite 1100, Fort Lauderdale, FL 33308
525 Okeechobee Boulevard, Suite 1100, West Palm Beach, FL 33401
Courthouse Center, 40 Northwest 3rd Street, Suite 200, Miami, FL 33128
6400 N. Andrews Avenue, Suite 510, Fort Lauderdale, FL 33309
777 South Flagler Drive, 1900 Phillips Point West, West Palm Beach, FL 33401
Loxahatchee Health Care Fraud Information
Lead Counsel independently verifies Health Care Fraud attorneys in Loxahatchee and checks their standing with Florida bar associations.
Our Verification Process and Criteria
Ample Experience
Attorneys must meet stringent qualifications and prove they practice in the area of law they’re verified in.Good Standing
Be in good standing with their bar associations and maintain a clean disciplinary record.Annual Review
Submit to an annual review to retain their Lead Counsel Verified status.Client Commitment
Pledge to follow the highest quality client service and ethical standards.
What Qualifies as Health Care Fraud?
Health care fraud involves making false representations to gain money or benefits related to medical care, insurance, or government benefits. Health care fraud can be committed by anyone involved in the healthcare industry, including patients, doctors, insurance providers, and medical services companies.
State and federal law enforcement take health care fraud very seriously. The penalties can include years in prison for a felony conviction. However, some innocent people are caught up in false accusations of fraud and should consult with a criminal defense lawyer to understand their legal rights.
What Are the Types of Health Care Fraud?
There are several types of health care fraud. In some cases, fraud is committed by a prospective patient, including false statements on an insurance form. This could include using someone else’s insurance to get medical care.
More extensive healthcare fraud involves health care providers or medical services businesses. Medical providers and home health services may make a fraudulent claim to patients, insurance companies, or Medicare for compensation. Some examples of health care fraud may include:
- Unbundling, or charging separate billing codes for bundled services
- Double-billing or duplicate billing
- Billing for services that were never provided
- Fraudulent billing for medically unnecessary services
- Up-coding, or seeking reimbursement for services that should be billed at a lower rate
- Misrepresentation of the type of service provided
Kickback Fraud
Another type of fraud in health care involves kickbacks. Kickbacks are the referral fees, illegal remunerations, bribes, or rebates paid directly or indirectly for referrals in health care. Kickbacks are illegal in health care under the Anti-Kickback Statute. It is unlawful to pay for inducing or rewarding patient referrals for business involving any item or service payable by the federal healthcare programs, including drugs, supplies, or health care services.
Self-Referral Fraud
Physician self-referral laws prohibit physicians from referring patients with Medicare or Medicaid to facilities or services where the physician has a financial interest. This includes entities where the doctor’s immediate family member has a financial relationship. For example, if a doctor’s spouse is a co-owner of a radiology provider, the doctor cannot refer a patient to that provider, unless an exception applies.
Is Health Care Fraud a Felony?
Health care fraud can be charged as a misdemeanor or a felony. As a misdemeanor, a conviction could carry up to one year in jail and a fine. As a felony, health care fraud is punishable by more than a year in prison and thousands of dollars in fines.
The penalties associated with health care fraud depend on the specific facts involved. Some aggravating factors can increase the penalties, including where the fraud involved:
- Multiple incidents of fraud
- Medical identity theft
- Insurance fraud
- Money laundering
Is Health Care Fraud a Federal Crime?
Health care fraud can be a state-level crime in Florida or a federal offense, depending on the circumstances. It is federal crime for whoever knowingly and willfully executes a scheme to:
- Defraud any health care benefit program; or
- Obtain money, property, or health care benefits by fraudulent pretenses, representations, or promises.
The penalties for a federal government fraud conviction include up to 20 years in prison. If the fraud results in death, a conviction could result in life in prison.
How is Health Care Fraud Detected?
Healthcare fraud can be detected through computerized fraud prevention systems or reporting of potential fraud. The Centers for Medicare and Medicaid Services (CMS) uses a Fraud Prevention System (FPS) to analyze healthcare providers networks to detect patterns that represent a risk of fraudulent activity. The leads are then investigated by field office agents to identify possible fraud and refer the health care fraud cases for criminal prosecution.
Why Do I Need a Health Care Fraud Defense Lawyer?
There are severe penalties for a conviction of health care fraud. A felony conviction could result in a permanent criminal record, and make it more difficult for you to find a job in the future. With a lot at stake, a criminal defense lawyer can help you fight the charges for health care fraud to avoid a criminal record. An experienced criminal defense attorney can also negotiate to get a plea deal with reduced criminal charges or minimum sentencing. If you are accused of health care fraud, you may have several legal defense options. The prosecutor has the burden of proving every element of the offense beyond a reasonable doubt. Possible criminal defenses to fraud charges include:- No intent to commit fraud
- False claims were made by mistake
- Another person was responsible for making a false claim
- Incorrect claims were caused by computer error or operator error