Medicare Fraud Defense Attorney in Miami

Don’t Fight the Government Alone. Fischer Redavid PLLC Can Help.

Medicare fraud, healthcare fraud, and Medicaid fraud cost the government billions of dollars each year. The Federal Bureau of Investigation (FBI) is the primary police agency investigating these cases. They are proactive and try to target these fraudulent schemes before too much damage is done. That means investigations begin early and may last a long time.

Under the federal False Claims Act, a “whistleblower” who turns in someone who is subsequently convicted of healthcare fraud can receive a portion of the funds recovered. This is a strong financial incentive for someone who suspects another of Medicare or Medicaid fraud.

Although it’s a federal crime, it is also a state crime in Florida. South Florida, in particular, is a haven for this type of activity, and the government is heavily invested in making sure perpetrators are caught and prosecuted. The Florida Attorney General’s Office has a special division assigned to these cases and spares no expense or resource in prosecuting these cases.

State laws. Federal laws. Localized crime. Prosecutorial focus. Whistleblower incentives. For all these reasons and more, healthcare providers, as well as patients, need to understand they are under scrutiny for any potential violation. Fischer Redavid PLLC has the experience and knowledge necessary to help you stay aware of the laws and to aid you in building a defense if you find yourself under investigation.

Contact our Medicare fraud defense attorneys in Miami at (305) 400-0074. We offer free case consultations.

Defining Healthcare Fraud

Healthcare fraud usually refers to fraud committed against the Centers for Medicare and Medicaid Services (CMS). The federal government’s deep pockets attract fraud in many forms. Healthcare provider and patients may be investigated for potential violations.

General types of healthcare fraud include:

  • Billing for tests, treatment, and supplies not actually provided
  • Conspiracy between a provider and patient to bill for services not provided, with a kickback agreement
  • Healthcare providers performing unnecessary tests and procedures
  • Billing for used equipment as if it were new
  • Upcoding, or inflating costs by using improper billing codes
  • Unbundling, or billing for tests or treatments separately rather than using the billing code that bundles them together
  • Kickbacks, or illegal referral fees paid from one provider to another

Many laws – federal and state, criminal and civil – exist to prohibit various types of fraud. There are several laws devoted solely to preventing different types of kickbacks. Some types of kickbacks are very obvious, and others are far more subtle. If you think no one can accidentally run afoul of Medicare fraud laws, think again. Prosecutors, however, won’t give you a pass for an unintentional violation. These laws do not require willful misconduct in order to charge you.

Even if you have no reason to believe you’ve opened yourself up to the possibility of Medicare fraud charges, it is in your best interest to contact our Miami healthcare fraud defense attorneys at Fischer Redavid PLLC. We can help you understand common pitfalls in the law, how to avoid them, and how certain types of activities might be permitted in some circumstances but prohibited in others.

Healthcare fraud cases are very serious. Regardless of whether you believe you are innocent or guilty, and regardless of the specific charges you face, do not underestimate the importance of choosing the right attorney.

Call Fischer Redavid PLLC at (305) 400-0074 right away. We answer 24/7.

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