Medicaid Fraud Lawyers | Wilmington Office
1313 North Market Street, Suite 1200, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
222 Delaware Ave, Suite 1105, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
824 N. Market Street, Suite 710, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
222 Delaware Ave, Suite 1410, Wilmington, DE 19801-1621
Medicaid Fraud Lawyers | Wilmington Office
Nemours Building, 1007 N. Orange Street, Suite 600, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
123 S Justison Street, Suite 100, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
1201 N Market St, Suite 1400, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
1313 Market St, Suite 5100, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
1313 N Market St, Suite 1201, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
1201 North Market Street, Suite 1500, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
1201 N Market St, Suite 1406, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
1106 West 10th Street, Wilmington, DE 19806
Medicaid Fraud Lawyers | Wilmington Office
1007 N Orange Street, 4th Floor, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
222 Delaware Avenue, Suite 1101, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
300 Delaware Ave, Suite 1015, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
500 Delaware Avenue, Suite 1410, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
Renaissance Centre, 405 N. King Street, 8th Flr., Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
1000 N. West Street, Suite 1244, Wilmington, DE 19801
Medicaid Fraud Lawyers | Centerville Office | Serving Wilmington, DE
5721 Kennett Pike, Centerville, DE 19807-1311
Medicaid Fraud Lawyers | Wilmington Office
919 North Market Street, Suite 1300, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
300 Delaware Avenue, Suite 1010, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
1523 Concord Pike, Suite 200, Wilmington, DE 19803
Medicaid Fraud Lawyers | Wilmington Office
1201 North Market Street, Suite 2100, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
300 Delaware Avenue, Suite 770, Wilmington, DE 19801
Medicaid Fraud Lawyers | Wilmington Office
1201 North Market Street, Suite 800, Wilmington, DE 19801
Lead Counsel independently verifies Medicaid Fraud attorneys in Wilmington and checks their standing with Delaware bar associations.
Our Verification Process and CriteriaMedicare and Medicaid are national medical health insurance programs that provide healthcare coverage. Medicare covers many of the healthcare expenses of people who are age 65 or older, people with a disability, or renal disease. Medicaid provides health care costs to people with low incomes. In most states, adults and dependent children are qualified to receive Medicaid with incomes up to 138% of the federal poverty line.
Medicaid and Medicare are subject to waste, abuse, and fraud. When fraud is involved, it can lead to criminal charges. Medicaid fraud involves making false representations or statements in order to obtain some benefit or payment that would not otherwise be provided. Fraud generally involves misrepresenting facts or concealing material facts. Medicare abuse usually involves practices that result in unnecessary cost or expense, and can also be the basis for criminal penalties.
Healthcare in the United States can be expensive and complicated. Billing government care providers, like Medicaid, requires following standard protocols. However, because of the size and scope of Medicaid, it can be subject to fraud or abuse. Common examples of Medicaid fraud may include:
Medicaid is operated by a combination of federal and state agencies. Suspected Medicaid fraud can be investigated by multiple agencies or law enforcement agencies, including:
Financial fraud is often flagged by computer analysis that reviews health care records submitted to Medicaid. The CMS Fraud Prevention System (FPS) can look for suspicious activity or suspected patterns of fraud. After identifying suspicious activity, an investigation will further look into the health care providers involved to determine if there is evidence of provider fraud, including site visits, talking to patients, and reviewing the provider’s medical and billing records.
Medicaid fraud can involve criminal and civil penalties. Health care fraud involving federal government healthcare agencies or programs is a felony offense. Under federal law, the penalties for federal health care fraud can include up to 10 years in federal prison time. If the fraud resulted in serious bodily harm to a patient, the penalties could increase to 20 years imprisonment. Felony convictions can harm your future job opportunities.
Healthcare providers are also prohibited from paying or accepting kickbacks for health care services. Violation of the Anti-Kickback Statute can result in up to 5 years in jail, thousands of dollars in fines, and Medicaid exclusion.
Unlawful self-referral involves a doctor referring a patient to medical services where the doctor has a financial interest. Violation of the Stark Law against physician self-referral can result in fines, restitution, punitive damages, and make the doctor ineligible for Medicare and Medicaid programs in the future.
If patients suspect their doctor has been improperly billing Medicaid for care, they may have an interest in reporting the doctor. Other doctors, health care workers, or family members may also report suspected Medicaid fraud. Under the False Claims Act (FCA), whistleblowers can recover up to 30% of the civil penalties recovered for fraud against the government.
If you are facing fraud allegations it does not necessarily mean you will be found guilty of any crime. You have legal defenses and constitutional protections to challenge the criminal charges in court with the right to legal counsel. There may be several viable defenses to a fraud charge, including improper billing caused by clerical errors or computer problems.
A federal fraud lawyer can help as soon as you learn about a fraud investigation. Legal representation can protect you from saying the wrong thing during a fraud interview. An experienced attorney can also inform you of your legal rights and the potential consequences of a plea agreement. A fraud attorney can also help negotiate favorable settlements to get the best possible resolution and avoid jail time or other severe penalties.
No matter what your legal issue may be, it is always best to seek legal help early in the process. An attorney can help secure what is likely to be the best possible outcome for your situation and avoid both unnecessary complications or errors.
In general, how much an attorney costs will often depend on these four factors: billing method and pricing structure, type of legal work performed, law firm prestige, and attorney experience. Depending on the legal issue you are facing, an attorney may bill you by the hour, settle on a flat fee, or enter into a contingency fee agreement. The type of legal work you need help with will also play a role in cost incurred.
Personal jurisdiction – Requirement that a particular court have authority over a person, in order to bind that person to the judgment of the court, based on minimum contacts. International Shoe Co v. Washington is a landmark Supreme Court case outlining the scope of a state court’s reach in personal jurisdiction.