Hedding Law Firm

Medicaid Fraud Lawyer in California

Los Angeles Medicaid Fraud Attorney

Medicaid fraud occurs where health care providers, including doctors, hospitals and dentists, bill the government for payment of medical goods and services that were never delivered or provided. Basically, medicaid fraud is theft of government money through the making of false statements.

The False Statements Act, 18 U.S.C. §1001:

Health care providers found guilty of this federal crime by intentionally providing false statements to the government, in the form of documents or written communication that try to conceal facts, are guilty under this act.

Medicaid Fraud Penalty for conviction under this Act is a fine not exceeding $10,000 or an imprisonment of up to five years.

Medicaid fraud has different forms – as far as – different scheme in which it is committed. Some common schemes are filing false time sheets, billing for face to face visits when in reality there was no meeting, submits billings for physician office visits when the clinic has no licensed physician on staff.

Medicaid Fraud Penalties

  • Imprisonment for up to 5 years
  • Fines up to $20,000
  • Civil penalties of $2,000 per false claim
  • Exclusion from Medicaid

Different Types of Medicaid Fraud

There are a number of different types and forms of Medicaid fraud that can be prosecuted by the government.  Sometimes people are submitting bills for false services.  Other times, individuals are using other people’s medical cards in order to get services performed against them.

When it comes to this type of fraud where the government is actually losing money.  This is when they will arrest people and charge them with crimes and/or force them to pay the money back in the form of what they call restitution.  They can punish them with jail time or probation.  They can lose certain rights for a significant period of time.  There’s all types of punishment that can be related to a Medicaid fraud case.

So, if you’re charged with Medicaid fraud, you should get an attorney who has experience with this, because sometimes the government doesn’t get it exactly right.  They don’t realize certain things related to you.

Remember, it’s a big bureaucracy that’s set up and once they see that you do something wrong and there’s a perception there as far as their system goes that you violated some rule then they’re going to come at you, but that doesn’t mean that they always get it right.

Lawyer to Develop a Defense Strategy

That’s why sitting down with an attorney and going over the facts and details can help the attorney understand exactly what happened so they can properly defend you.  But realize, when you are getting Medicaid services provided to you, you typically are going to have to sign documents and agree to certain rules.

A lot of times people don’t pay attention to that, and the next thing you know, they’re violating those rules without even realizing it.  That’s typically not going to be a defense in a Medicaid fraud case.  You’re expected to know and realize that you have certain things that you’re supposed to do if you want to collect those benefits and certain things that you can’t do if you want to collect those benefits.

So, the best move if you’re charged with a Medicaid fraud-related crime is to get a strategy together and decide first, is this a case I’m going to fight all the way to a jury trial?  Then you sit down with your attorney and figure out what your defense is.  Obviously, you want to make sure that your defense makes sense under the circumstances of your case and the current state of the law.

What I do a lot of times in these Medicaid fraud cases is get the jury instructions that apply to the charges that you have pending against you.  We see exactly what elements the government is going to have to prove to find you guilty and then we can have a frank discussion about whether they’re going to be able to do that.

We also look at what the potential defenses are and see if you can meet any of those defenses with evidence.  You could testify and there’s other evidence that could be brought to bear depending on the facts and circumstances surrounding your case.

So, if you’re charged with a Medicaid fraud crime in Los Angeles, pick up the phone, make the call and let’s sit down and talk.  Let’s decide what we can do to get you out of the criminal justice system as fast as possible. Contact a Medicaid fraud lawyer at our office today and we get your federal criminal charges under control and place every effort to get you the best results possible.

Also See:
Will I Go to Jail If Charged with Medicare Fraud?

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