Dallas Healthcare Fraud Attorney
Contact a Fraud & Business Crime Lawyer in Texas
Under Title 18 U.S.C. §1347, healthcare fraud is a federal offense in the United States. In some instances, healthcare fraud may be related to medical providers defrauding healthcare benefit programs by submitting inaccurate claims for products or services. In other cases, medical providers may be accused of healthcare fraud for defrauding patients through services that were not medically necessary. It is not uncommon for federal and state agencies to work together to investigate fraudulent healthcare claims, meaning that accused parties may face state and federal charges in healthcare fraud cases. In cases related to fraudulent claim submissions, accused parties often face allegations related to Medicare and Medicaid. Doctors, ambulance companies, pharmacists, hospitals, clinics, and various other parties may all face healthcare fraud charges.
Are you or someone you know facing a healthcare fraud charge in the state of Texas? Make sure to call Dallas Healthcare Fraud Attorney Peter Barrett right away. Peter Barrett has years of experience in fraud and business crime defense and is committed to fighting for the rights of the accused. Don’t let alleged fraud ruin your life. Call Dallas Healthcare Fraud Lawyer Peter Barrett to start working on your defense today.
To reach Attorney Peter Barrett’s office, dial (214) 307-8667 now.
What Is Involved in a Healthcare Fraud Case?
Because individuals and institutions can be accused of healthcare fraud, it is extremely important for anyone in the medical profession to have an experienced lawyer on hand in case they face charges related to this crime. In addition to single individuals being charged with healthcare fraud, two or more people may be charred with healthcare fraud conspiracy under Title 18 U.S.C. §1349. This statute stipulates that it is illegal for a group of people to attempt to defraud healthcare benefit programs or patients, whether they are successful in that attempt or not. Under, U.S. Code §3729, the False Claims Act, individuals or groups may also face civil action for healthcare fraud, depending on the circumstances of the case. These charges are usually brought by the Government in cases where accused parties have attempted to commit Medicare/Medicaid fraud.
Common healthcare fraud charges include:
- Billing for services that were not provided or not medically necessary
- Falsifying claims that a patient is home-bound
- Attempting to secure patients or services through bribes
- Upcoding/unbundling (improperly applying codes to receive higher reimbursements for medical diagnoses and procedures)
- Misrepresenting when services were provided
- Misrepresenting what service providers were used
- Waiving deductibles and co-payments without a justifiable reason
- Billing for drug prescriptions the pharmacy never filled
- Reporting diagnoses and procedures incorrectly
- Utilizing unnecessary services
- Unnecessarily or falsely issuing prescription drugs
- Engaging in unlawful prescription drug buy-backs
- Unlawfully prescribing and distributing medication
- Medicaid/Medicare fraud
Why It Is Essential to Hire an Experienced Healthcare Fraud Defense Attorney
Healthcare fraud can result in a maximum prison sentence of 10-20 years, or a fine of $10,000 for each false claim. Under the False Claims Act, you can also be sentenced to up to five years in prison and a fine of $250,000.
Fortunately, there are multiple defenses for healthcare fraud that an experienced attorney will be able to apply. In many cases, the accused party may not have even been aware they were filing an inaccurate claim. If an accused’s business has a valid compliance program, it is possible to argue that compliance errors may have been inadvertent. Errors in billing or compliance do not inherently demonstrate that the accused party had intent to commit healthcare fraud, and the burden of proof is on the government to convince a judge otherwise.
Contact Dallas Healthcare Fraud Defense Attorney Peter Barrett today to begin working on your case. Attorney Barrett is known for providing compassionate and energetic legal aid, and our seasoned legal team has successfully argued cases in state and federal courts, the Supreme Court of Texas, as well as appellate and district courts. Remember, just because you have been accused of a crime does not mean you should give up hope. Contact Peter Barrett, and start fighting for your future today.
To schedule a consultation with a healthcare fraud lawyer in Dallas, call (214) 307-8667 or contact us 24/7 online.