Medical Fraud Defense
Defense for healthcare fraud, Medicare fraud, and Medicaid fraud charges in Florida.
Understanding Medical Fraud Defense Charges
Medical fraud (healthcare fraud) involves submitting false claims to insurance companies or government healthcare programs like Medicare or Medicaid. This includes billing for services not rendered, upcoding (billing for more expensive services than provided), kickback schemes, and prescription fraud. These cases are aggressively prosecuted by federal and state authorities and can result in both criminal charges and civil penalties.
Potential Penalties
- •Federal healthcare fraud: Up to 10 years in prison per count
- •Up to 20 years if fraud results in serious bodily injury
- •Life imprisonment if fraud results in death
- •Fines up to $250,000 per count
- •Civil penalties up to three times the amount of fraudulent claims
- •Exclusion from Medicare and Medicaid programs
- •Loss of medical license and professional credentials
- •Restitution to government and insurance companies
How We Defend Medical Fraud Defense Cases
Billing errors or mistakes - Demonstrate that any incorrect billing was due to honest mistakes, not intentional fraud.
Lack of intent to defraud - Prove that you did not intend to deceive insurance companies or government programs.
Good faith belief - Show that you had a good-faith belief in the legitimacy of the claims submitted.
Challenge the evidence and documentation - Question the government's interpretation of billing records and medical documentation.
Insufficient evidence of scheme - Demonstrate that no fraudulent scheme existed.
Compliance with billing guidelines - Show that billing practices complied with applicable rules and regulations.
Challenge loss calculations - Question the government's calculation of fraudulent amounts to reduce penalties.
Negotiate settlement - Work to resolve the case through civil settlement rather than criminal prosecution.
Why Choose The Mirvis Law Firm?
Medical fraud cases are highly technical and involve complex healthcare billing regulations. These cases can destroy your career and result in years in federal prison. Tony Mirvis has experience defending healthcare professionals and understands the intricacies of medical billing and fraud allegations. We will fight to protect your license, your freedom, and your reputation.
With over 20 years of experience defending clients in Florida state and federal courts, Tony Mirvis has the knowledge, skills, and dedication to fight for the best possible outcome in your case.