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What are my options if I'm accused of Medicaid fraud?

Houston Medicaid fraud defense attorneys

There are generally two types of Medicaid fraud: fraud committed by healthcare service providers and fraud committed by recipients. The attorneys at Brewer, Pritchard & Buckley, P.C. represent healthcare service providers and medical professionals who have been accused of Medicaid fraud and are facing disciplinary action from a state or federal agency.

Some examples of Medicaid fraud include (but are not limited to):

  • Medical billing fraud — billing someone for medical services that weren't provided, billing twice for the same medical services, upcoding and overcharging.
  • Unbundling — charging separately for multiple medical tests or procedures, or billing for separate parts of a single, multi-step medical procedure.
  • Providing unnecessary medical services — Providing unnecessary medical tests, procedures and surgical operations.

Why you should take Medicaid fraud accusations seriously from the start

The consequences of being found guilty of Medicaid fraud can be serious. You can be sued or even face criminal charges and be convicted. As soon as you become aware of the allegations against you, it's important that you take them seriously and promptly seek legal help.

Here are some examples of the harsh legal consequences:

  • Under the federal False Claims Act (18 U.S.C. § 287), healthcare professionals convicted of Medicaid fraud can face up to five years in prison and a fine of $250,000. Corporations found guilty can be fined $500,000.
  • Under the Social Security Act (42 U.S.C. § 132Oa-7b(a)), the penalties for Medicaid fraud pertaining to a Federal Health Care Program can face prison time for up to five years, a fine of up to $25,000, or both.

It's important that you do not respond to a lawsuit verbally or in writing. That's because anything you say when telling your side of the story can be leveraged against you in court, even if you are innocent.

Instead, you should speak to an experienced healthcare fraud litigation attorney at Brewer, Pritchard & Buckley, P.C. who can review the details surrounding the allegations against you and devise an effective legal defense.

What if I'm being sued for Medicaid fraud?

A Medicaid fraud lawsuit against you can carry harsh legal consequences. If you are being sued, you may have to pay thousands of dollars in damages.

If you have been notified of a pending lawsuit against you for Medicaid fraud, it's important that you remain silent. Don't respond to the party who filed the lawsuit. You should also never destroy any medical records pertaining to your case. Doing so can also hurt your chance at a strong legal defense.

Let the Texas attorneys at Brewer, Pritchard & Buckley, P.C. handle your case for you. Our attorneys know how to respond to lawsuits against our clients so you can avoid going to trial. If your case does go to trial, we'll devise an effective legal strategy to help fight the allegations against you.

Our law firm is based in Houston, Texas, but we serve clients all over the United States. Take your case seriously from the start. Contact us online to learn about your legal rights and options.

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