Healthcare Fraud & White Collar Criminal Defense Lawyers
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(713) 209-2950

Upcoding Medicaid Fraud Defense Attorney

Our healthcare fraud defense lawyers know the law, can defend your rights

There are many similar medical procedures with subtle differences between them. Sometimes, there is a big difference in the price of these procedures. Hospitals and government-funded health care programs, like Medicaid, often use specific codes for each medical procedure. If you or a colleague at your medical practice uses a different code than the one assigned to a specific medical procedure and that code results in a higher price, that’s described as upcoding.

Upcoding is a very serious form of healthcare fraud. It’s also a common example of Medicaid fraud. The bottom line is it’s important to fully understand your legal rights and to act in a timely manner. Otherwise, you could face severe penalties for upcoding Medicaid fraud, including significant fines and possibly even jail time. That’s why we want to meet with you at Brewer, Pritchard & Buckley, PC as soon as possible.

What are common defenses in upcoding healthcare fraud cases?

Upcoding healthcare fraud cases occur for many different reasons. Some of the common legal defenses for upcoding made by medical professionals include:

  • Unintentional mistakes (accidently writing the wrong code number)
  • Misinterpreting medical codes (entering one code instead of another)
  • Performing the correct medical procedure instead of a different, less expensive one
  • Simple clerical errors

These cases might seem straightforward, but the reality is upcoding cases often involve a tremendous amount of evidence to prove you did nothing wrong. That’s why it’s important that you have a healthcare fraud attorney on your side who knows what upcoding Medicaid fraud is and understands how to build the strongest possible legal case.

Put your trust in a Medicaid fraud defense lawyer who puts your needs first

You have too much at stake to not take your upcoding healthcare fraud case seriously right from the start. Contact our law firm and schedule your case evaluation as soon as possible. Our Texas upcoding healthcare fraud attorneys have more than 90 years of combined legal experience. We handle cases across the state and throughout the country. Call now. We can help.

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