FAQ About Healthcare Fraud
Answers you can trust from experienced healthcare fraud defense attorneys
Have you been accused of healthcare fraud? Struggling to find accurate information and answers to your important legal questions? You have come to the right place. Our experienced, healthcare fraud defense attorneys at Brewer, Pritchard & Buckley, PC have decades of experience defending the rights of medical professionals accused of healthcare fraud.
Our work has taught us the importance of obtaining accurate information. Without the facts, you cannot make educated decisions. Doctors and surgeons know this well. You can’t diagnose what’s wrong without examining a patient or running the necessary medical tests. The same is true when it comes to your legal issue involving healthcare fraud. That’s why it’s important that we meet with you to analyze your case as soon as possible.
Get straight answers to your important legal questions. Contact our law firm and schedule a case evaluation with an experienced healthcare fraud attorney at our law firm. You have too much at stake as a medical professional. The longer you wait, the more complicated your legal case will likely become. Call now or contact us online. Our attorneys want to help you.
What is your healthcare fraud question?
The following are some of the most frequently asked questions about healthcare fraud. This is just a small sampling of many of the questions you likely have about your case. For a more detailed answer to your specific question, simply contact our law firm and make an appointment with one of our attorneys.
- What are common healthcare fraud charges?
- What is the False Claims Act?
- What does the term ‘qui tam’ mean?
- What should I do if I’m being sued for Medicaid fraud?
- What should I do if a whistleblower has accused me of healthcare fraud?
- What should I do if I believe I have been falsely charged with healthcare fraud?
- What should I do if my medical practice has been accused of double billing for medical services?
- What should I do if my medical practice has been accused of billing for unnecessary medical services?
- Can I lose my medical license due to healthcare fraud?
- Should I make a settlement offer to resolve a healthcare fraud charge?
- Should I talk to my insurance provider if my medical practice has been accused of healthcare fraud?
- Should I talk to a prosecutor if I’m charged with healthcare fraud?
- Can a doctor go to jail for healthcare fraud?
- Should I accept a plea deal from a prosecutor if I’m charged with healthcare fraud?
- How can a healthcare fraud defense attorney help a doctor?
Some of the most common – and most serious – healthcare fraud charges include:
- Billing for medical services not performed
- Double billing for medical services
- Medicaid and Medicare fraud
- Performing unnecessary medical procedures
- Unbundling medical services
- Upcoding medical services
Federal and state false claims acts allow qui tam whistleblowers to act against individuals and companies that defraud governmental programs, including healthcare programs, such as Medicaid, Medicare and TRICARE.
Qui tam is a Latin term used to describe an action by a private individual who assists in a prosecution (a whistleblower). The False Claims Act contains a qui tam provision that allows a whistleblower who has knowledge of healthcare fraud to receive part of the penalty imposed.
First, do not respond verbally or in writing to the lawsuit. Anything you say or write could be used against you in a court of law. Simply contact our law firm right away. We can examine the healthcare fraud lawsuit filed against you and explain the legal options available to you.
While it may be tempting to respond to a whistleblower’s healthcare fraud claim – especially if you believe there is no merit to the case – do not do so. Anything you say or write in response to a whistleblower’s healthcare fraud claim could be used to strengthen your case. Instead, contact our law firm. One of our lawyers can meet with you and review the whistleblower complaint filed against you or your medical practice.
We understand how frustrating it can be to be falsely accused of healthcare fraud. You likely worked very hard to build your medical practice and establish a stellar professional reputation. The reality is anything you say or do will likely only hurt your legal case. That’s why it’s important to not respond directly. Instead, simply contact us. Our law firm can work with you to carefully craft a strong legal response to false allegations.
If your medical practice has been accused of double billing for medical services, don’t respond directly to this accusation. By doing so, you could provide the person, company or government agency that claims you double-billed for medical services with information that could potentially be used against you. Instead, we strongly advise you to contact our law firm. We know how to respond to serious accusations, and we can help you mount a strong and rigorous legal defense.
Being accused of billing a patient for unnecessary medical services can have serious consequences, from having your medical license suspended or revoked to possibly facing civil charges or fines. As a result, it’s important that you do not directly respond to these accusations. Otherwise, you could potentially jeopardize the outcome of your legal case. Instead, we highly recommend meeting with an attorney at our law firm. We know how to handle these complex cases and how to effectively respond to them.
In certain circumstances, you can potentially lose your medical license due to certain healthcare fraud violations. This is especially true if these violations are found to be unethical or violations of state or federal laws. That’s why it’s important to fully understand your rights and the legal options available to you under the law. One of our healthcare fraud attorneys can review the details of your case with you and recommend the best course of action to resolve your case.
While it may be tempting to make a financial settlement offer to a patient to resolve an allegation of healthcare fraud, there could be unintended legal ramifications to making an offer. The person accusing you of healthcare fraud may try to claim you were bribing them. A settlement offer may also be interpreted as an admission of guilt. Instead, one of our experienced healthcare fraud attorneys can review the details of your case with you and explain the different legal options available to you and your medical practice.
The safest approach to any healthcare fraud violation is to talk to as few people as possible, including your insurance provider. That’s because your relationship with the insurance provider could potentially turn adversarial, depending on the nature of your healthcare fraud case. That’s why we advise you to instead consult with an attorney at our law firm who can evaluate the case against you and recommend the best course of action.
Before talking to a law enforcement official about a healthcare fraud violation, it’s always wise to consult first with an experienced defense attorney. Anything you say or put in writing with a prosecutor could be used against you in a court of law. Our healthcare fraud lawyers review the charges against you and represent you in all legal proceedings involving prosecutors and other law enforcement officials.
Most likely, you will not be incarcerated for healthcare fraud violations. Most legal cases involving healthcare fraud are civil violations, which do not involve jail time. That doesn’t mean you should not take your healthcare fraud case seriously right from the start. Depending on the nature of your case, you could be subject to fines or even the focus of a healthcare fraud lawsuit, which could potentially bankrupt your medical practice. You worked hard to build your medical practice. Allow one of our experienced attorneys to defend your rights.
Before you agreed to any deal involving your healthcare fraud case, it’s always important to carefully review the potential impact of these decisions. By accepting a plea deal, you could leave your medical practice vulnerable to legal action and be the subject of future healthcare fraud lawsuits. Our experienced healthcare fraud defense lawyers can review your potential deal offer and advise you on whether we believe you should accept the deal or mount a strong legal defense instead. That’s our job and we’re proud to help medical professionals like you.
There are so many ways an experienced healthcare fraud defense lawyer can help you, depending on the circumstances involving your case. We can work with you to have your charges dismissed. We can represent you in all court proceedings. If necessary, we can appeal your case to a higher court.
People trust you to help them when they’re sick, based on your medical expertise. You can turn to us for the same reason if you’re facing a legal challenge to your medical practice involving healthcare fraud. We know the law. We understand how the legal system works. We have the knowledge and the expertise to mount the strongest possible legal defense on your behalf.