Are You Facing Criminal Charges Related To Health Care Fraud?

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Medicare fraud and Medicaid fraud have received increased attention as health care costs have risen. These violations may be punished in both civil and criminal proceedings. At the law office of James E. Boren, we provide strong and experienced criminal defense for organizations and individuals who have been accused of health care fraud. We team up with civil lawyers to provide comprehensive protection for the administrative and criminal aspects of health care fraud investigations and prosecution. We have over 40 years of experience in criminal defense law and use state-of-the-art technology to provide you with the most effective representation possible.

If you are currently under investigation or have already been indicted on health care fraud charges, contact criminal defense attorney James Boren today and schedule an appointment to learn how we can help you.

Allegations Of Health Care Fraud

The law office of James E. Boren represents doctors, HMOs, dentists, medical equipment vendors and other health care providers in cases involving the following kinds of allegations:

  • Overbilling
  • Upcoding
  • Unbundling
  • Double billing
  • False invoice

Investigations Involving Health Care Fraud

The Office of Inspector General (OIG) and the Department of Health and Hospitals (DHH) work together to seek out health care fraud at the federal and state levels. Health care statutes provide for severe penalties, both civil and criminal, for medical billing fraud and other fraudulent practices. In many cases, investigators are overzealous in their attempt to uncover fraud, misinterpreting billing codes and patterns of patient-related services. Without medical knowledge or a full understanding of how doctors or health care providers function, investigators assume the worst and mistakenly believe fraud has occurred.

At the law office of James E. Boren, we consult medical professionals, accountants and health care billing experts to review the actions of our client. We provide evidence and expert witness testimony in defense of our client's billing practices and conduct. By explaining the relationship between medical services, patient histories and billing codes, we attempt to undermine the prosecution's case against our client.

Targets Of State And Federal Health Care Fraud Investigations

Hospitals, hospital administrators, doctors, nurses, dentists, eye care providers, nursing homes, physical therapists and hospital board members may all be targeted for health care fraud. Whether the underlying conduct includes billing for services not rendered, using improper billing codes or improper supervision of staff members, the penalties for fraud are very damaging to a health care professional.

The statutory penalties for Medicaid and Medicare fraud include penalties, debarment, treble damages and incarceration. Debarment and other professional licensing matters can mean the end of your career. A person who has been debarred is not likely to be covered by private health insurance providers or have the ability to obtain government contracts to work within the Medicare system.

Contact James Boren today to schedule an appointment with a knowledgeable criminal defense attorney. If you are facing any accusations or investigations, you need a qualified lawyer to fight for you. You cannot afford to take accusations of health care fraud lightly.