Chambers & Partners Recognizes Blue LLP
Chambers & Partners has recognized Blue LLP in its 2024 North Carolina Regional Spotlight in the Dispute Resolution category. Chambers announced that it “ranks only […]
The Federal Government and State of North Carolina aggressively pursue Medicare and Medicaid fraud cases.
If you are being investigated or charged with healthcare fraud in Greensboro, North Carolina, having an experienced attorney on your side is critical. Blue LLP provides tailored legal defense for these intricate and high-stakes cases. Our work in federal criminal defense cases has enabled us to successfully represent clients in both criminal and civil matters.
Medicare and Medicaid are federally funded programs that serve millions of Americans. Because of the size of the robust program, fraud investigations and prosecutions are significant. Often working together, the state and federal government often investigate the following:
Medicare Fraud: This occurs when healthcare providers or organizations submit false claims or engage in other dishonest practices to secure improper payments from Medicare. Medicare primarily assists individuals aged 65 or older and younger individuals with certain disabilities.
Medicaid Fraud: This involves intentionally misrepresenting or concealing information to obtain unauthorized benefits from Medicaid, a government program intended to provide healthcare for low-income individuals and families.
Both types of fraud can result in severe financial losses and legal consequences. The government aggressively investigates and prosecutes these cases to protect public funds.
Common Types of Medicare and Medicaid Fraud
Fraudulent activities in healthcare can take many forms, including:
1. Billing for Services Not Provided: Submitting claims for medical treatments or procedures that were never performed.
2. Upcoding: Charging for higher-cost services than those actually provided.
3. Performing Unnecessary Procedures: Conducting and billing for tests or treatments that are not medically required.
4. Kickbacks: Offering or accepting financial incentives for patient referrals, which violates anti-kickback statutes.
5. False Cost Reporting: Misrepresenting operating expenses to inflate reimbursements.
6. Misusing Provider Credentials: Submitting claims under another provider’s name or credentials without their involvement.
Even unintentional mistakes can lead to significant legal challenges, making it essential to have skilled legal guidance.
Successfully defending against Medicare and Medicaid fraud allegations requires a deep understanding of federal criminal laws. Our experienced attorneys can help. On a regular basis, we:
1. Analyze the evidence. Fraud cases often involve extensive documentation. A skilled attorney will identify discrepancies and build a solid defense.
2. Aggressively Dispute Allegations . Many fraud accusations stem from errors rather than intentional misconduct. We can help determine whether allegations arise from administrative mistakes instead of fraudulent intent.
3. Manage Interactions With Authorities. Healthcare fraud allegations often involve multiple agencies. We will help manage communications on your behalf and protect your rights during an investigation or prosecution.
4. Negotiate Settlements. In some cases, resolving the matter through a settlement is the most practical solution. We can work with you to negotiate terms that may minimize penalties.
5. Safeguard your reputation. Healthcare fraud allegations can damage your professional and personal life. A strong defense can help mitigate these risks.
If you are under investigation or facing charges, prompt action is critical. We typically advise people to:
1. Contact an Attorney Immediately: Do not speak to investigators or law enforcement without legal representation. Anything you say could be used against you.
2. Retain Documents: Preserve all relevant records, including billing information, emails and all other relevant communications.
3. Avoid Retaliation: If a whistleblower is involved, avoid any actions that could be considered retaliatory.
4. Work With Your Attorney: Work closely with your lawyer to understand the allegations and build a strong defense.
If you are concerned about Medicare or Medicaid fraud, call us today to see how we can help. The call is free and confidential. We only take on clients who we believe we can help.
Complete the form below or call (919) 833-1931 for a free consultation.
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