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Healthcare Fraud Lawyer

Whether you are a doctor, a billing specialist, a clinic owner, or another professional in healthcare, there is a chance you could be accused of healthcare fraud. You could be facing questions from investigators, an audit, or possible criminal charges.

Healthcare fraud accusations could happen unexpectedly and are often complicated to handle. You may not be sure what you are being accused of, but facing charges does not mean you are guilty, and you do not have to handle this alone. A healthcare fraud lawyer can help you understand what is happening, protect your rights, and build your defense. Let an experienced defense attorney from Price Benowitz give you the sound legal advice you need for complex cases such as this.

What Are the Different Types of Healthcare Fraud Accusations?

Healthcare fraud is an umbrella term. These are some of the most common allegations that could lead to medical fraud charges and the need for a lawyer:

  • Billing for services that were not provided
  • Submitting claims for more expensive services than what was performed (upcoding)
  • Improperly bundling or unbundling codes
  • Receiving or paying kickbacks for patient referrals
  • Self-referrals that violate the Stark Law
  • Falsifying patient records or diagnoses
  • Writing or filling illegitimate prescriptions
  • Misusing telehealth billing under federal programs

These allegations often involve federal laws like the False Claims Act 31 U.S.C. §§ 3729–3733, the Health Care Fraud Statute 18 U.S.C. § 1347, and the Anti-Kickback Statute 42 U.S.C. § 1320a–7b(b). The government takes these cases seriously and may severely, but an investigation does not mean a conviction is inevitable. Connect with an attorney from our firm if you are facing charges or accusations of healthcare fraud.

Early Legal Help Could Make a Significant Difference

If you are facing charges or an investigation, attorneys experienced in handling healthcare fraud cases will help you:

  • Understand what they are being accused of and why
  • Navigate interviews with investigators
  • Respond to subpoenas or requests for documents
  • Analyze claims and billing records
  • Separate unintentional errors from criminal conduct
  • Push back on overreach and inflated charges
  • Build a clear, fact-based defense

The sooner a defense attorney gets involved, the more time there is to direct the narrative, protect the accused’s reputation, and respond strategically. Reach out today to learn more.

What Makes Healthcare Fraud Cases Complex?

Healthcare fraud cases are typically handled at the federal rather than the state level. Federal cases involve more aggressive investigators, more resources, and a different kind of courtroom process altogether. Agencies such as the Department of Justice, the US Department of Health and Human Services Office of Inspector General, and the Federal Bureau of Investigation may be involved in building a federal case.

Federal cases also often involve inspecting large amounts of paperwork, including thousands of billing records, contracts, and communications. Strategizing a defense takes patience and knowing when to dispute and when to negotiate. That is why it is important to work with a lawyer who focuses on federal work, understands the healthcare industry, and has experience with fraud cases.

Call an Experienced Healthcare Fraud Attorney for Help

If you are accused of healthcare fraud, it could feel overwhelming. A healthcare fraud lawyer could help you make sense of what is happening and give you strategic guidance from someone with experience who knows how to listen.

If investigators have contacted you, received a subpoena, or know something may happen, do not wait to get help. The sooner you contact an attorney, the better chance you have to protect yourself. Call the team at Price Benowitz today and take the first step forward.

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