Hundreds of Health Care Providers Facing Criminal Fraud Charges after Nationwide Sweep

 Posted on October 05, 2016 in Criminal Defense

After a nationwide sweep for healthcare fraud violations, the Justice Department is bringing criminal charges against hundreds of providers. Nurses, physicians, and even entire clinics are all on the list. What does this mean for their future, and what can you do if you happen to be facing such charges? The following information may be able to help.

Healthcare Fraud or Honest Mistake?

At first glance, avoiding charges for healthcare fraud might seem like an easy task. However, there are strict guidelines and regulations for healthcare providers and facilities. One misstep could lead to serious problems. For example, failing to practice due diligence and ensure that all employees are eligible to participate in Federal healthcare programs could put you at risk. Haphazard documentation can lead to accidental double billing for services rendered.

Overloaded schedules, high turnover rates, and a change in suppliers can all be contributing factors. In situations where possible violations may already be present, these issues can further exasperate the problem, thereby increasing your risk of being flagged for a violation. In short, what may have been a handful of honest mistakes, or temporary mismanagement of your practice due to staff shortage, could put you at serious risk for criminal charges for healthcare fraud.

When an Investigation Finds Evidence of Fraud

Generally, healthcare providers are first flagged by their licensing boards for violations, which come from the results of an investigation. In these instances, the provider is at risk for multiple consequences, which can include criminal charges and a suspension or revocation of their license to practice. Of course, not all criminal charges come because of an investigation by a licensing board. As evidenced in the recent sweep, sting operations that monitor healthcare providers can also lead to criminal charges. In either situation, aggressive criminal defense is needed to protect your future.

Contact Our Milwaukee Criminal Defense Lawyers

When your future is on the line, you need an advocate on your side, an attorney who will aggressively represent you and seek to protect you from the consequences of criminal charges. You need an ally that will protect your right to be considered innocent until proven guilty. In short, you need a seasoned and experienced lawyer who understands your situation and the complexities of the federal court system.

At Gimbel, Reilly, Guerin & Brown, LLP we have the skills and knowledge needed to effectively represent you in your healthcare fraud case. Backed by more than 40 years of experience and a track record of success, we handle both state and federal cases. We will aggressively pursue the most favorable outcome possible for your situation and ensure your Constitutional rights are upheld. Contact our Milwaukee, Wisconsin criminal defense lawyers and schedule your consultation. Call 414-271-1440 today.

Sources:

http://www.cnn.com/2016/06/23/health/health-care-fraud-takedown/

https://www.justice.gov/usao-md/pr/five-defendants-face-federal-charges-pain-management-clinic-kickback-scheme

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Avoiding_Medicare_FandA_Physicians_FactSheet_905645.pdf