Accusations of healthcare fraud can have serious consequences. Every year, many surgeons, doctors and other healthcare professionals are accused of healthcare fraud. If convicted, they could face years in jail and face thousands (or even millions) of dollars in fines. They could even perhaps lose their medical license or face other disciplinary sanctions.
With so much at stake, it’s important that medical professionals make sure their voice is heard loud and clear. Otherwise, they might not get the opportunity to explain actions and defend their rights. That’s why it’s critical that healthcare professionals hire an experienced healthcare fraud defense attorney in these cases.
What are common examples of healthcare fraud?
If you are reading this article, you may have already been accused of healthcare fraud. Some of the most common accusations made against medical professionals include:
- Conspiracy to commit healthcare fraud
- Billing for medical services not performed
- Double billing for medical services
- Performing so-called unnecessary medical procedures
- Upcoding, which involves charging a higher price for a medical procedure
- Unbundling, which involves changing a higher rate for individual medical procedures instead of charging a lower rate by combining several procedures for billing purposes
These are just some of the most common examples of healthcare fraud. The bottom line is it’s critical that you take your legal case seriously right from the start.
Who investigates healthcare fraud cases?
Many allegations of healthcare fraud are investigated by the U.S. Department of Justice. This is especially true if the allegations against you or a colleague violate federal laws. The Federal Bureau of Investigations, the U.S. Department of Health and Human Services Office of the Inspector General may also be part of the investigation.
Depending on the civil or criminal charges facing you, state or local prosecutors and police may be involved in investigating you or your medical practice and taking your case to trial. That’s why it’s important that you have a lawyer on your side who knows the law and understands how the legal system works.
What are common defenses for healthcare fraud?
Every healthcare fraud case is unique, but in many cases, some of the most common legal defenses for allegations of healthcare fraud include:
- Clerical errors
- Accounting errors
- Billing errors
- Misunderstanding about “unnecessary” medical procedures which doctors believe were necessary
- Person who takes legal action against medical professional was not directly affected and cannot legally act
As we explained, every healthcare fraud case is different. That’s why each case needs to be carefully designed to suit each client’s specific legal needs.
Why should I hire a healthcare fraud defense attorney?
When you have an experienced healthcare fraud defense lawyer on your side, you can make sure your voice is heard loud and clear. As your attorney, we can work with you and give your case a strong, robust legal defense. Specifically, reasons why you should have one of our lawyers on your side include:
- Explore all the legal options available to you.
- Independently investigate the allegations against you.
- Consult with experts, if necessary, about your specific case.
- Request to have the charges against you dismissed.
- Represent you at all court appearances, if your case goes to trial.
- Appeal your case to a higher court, if necessary.
As a medical professional, you understand the importance of having someone on your side with the knowledge and expertise to perform a specific job at the highest level. The same is true when it comes to selecting an attorney to defend your rights and your reputation.
Learn more about how a healthcare fraud defense attorney at Brewer Pritchard & Buckley, PC can help you. Contact our law firm and schedule an appointment. We represent medical professionals nationwide.