Top New London, CT Health Care Fraud Lawyers Near You

Health Care Fraud Lawyers | Serving New London, CT

185 Asylum Street, City Place II, 15th Floor, Hartford, CT 06103

Health Care Fraud Lawyers | Serving New London, CT

363 Main Street, 4th Floor, Hartford, CT 06106

Health Care Fraud Lawyers | Serving New London, CT

500 Enterprise Dr, Suite 402, Rocky Hill, CT 06067

Health Care Fraud Lawyers | Serving New London, CT

One Constitution Plaza, 5th Floor, Hartford, CT 06103

Health Care Fraud Lawyers | Serving New London, CT

100 Pearl Street, 10th Floor, Hartford, CT 06103

Health Care Fraud Lawyers | Serving New London, CT

One State Street, Hartford, CT 06103

Health Care Fraud Lawyers | Serving New London, CT

20 Church Street, 17th FL, One Corporate Center, Hartford, CT 06103

Health Care Fraud Lawyers | Serving New London, CT

One State Street, Suite 1800, Hartford, CT 06103

Health Care Fraud Lawyers | Serving New London, CT

50 Founders Plaza, Suite 203, East Hartford, CT 06108

Health Care Fraud Lawyers | Serving New London, CT

50 Russ Street, Hartford, CT 06106

Health Care Fraud Lawyers | Serving New London, CT

1022 Boulevard, Suite 272, West Hartford, CT 06119

Health Care Fraud Lawyers | Serving New London, CT

2230 Main Street, Glastonbury, CT 06033

Health Care Fraud Lawyers | Serving New London, CT

185 Asylum Street, CityPlace I, 34th Floor, Hartford, CT 06103-3458

Health Care Fraud Lawyers | Serving New London, CT

100 Pearl Street, 14th Floor, Hartford, CT 06103

Health Care Fraud Lawyers | Serving New London, CT

71 Raymond Rd, West Hartford, CT 06107

Health Care Fraud Lawyers | Serving New London, CT

2 Congress St, #2C, Hartford, CT 06114

Health Care Fraud Lawyers | Serving New London, CT

Cityplace I, 185 Asylum Street, 36th Floor, Hartford, CT 06103

Health Care Fraud Lawyers

88 Howard Street, Suite C-1, New London, CT 06320

Health Care Fraud Lawyers | Serving New London, CT

130 Washington St, Hartford, CT 06106

Health Care Fraud Lawyers | Serving New London, CT

280 Trumbull Street, 22nd Floor, Hartford, CT 06103

Health Care Fraud Lawyers | Serving New London, CT

225 Asylum St, Hartford, CT 06103

Health Care Fraud Lawyers | Serving New London, CT

185 Asylum St, Suite 3701, Hartford, CT 06103

Health Care Fraud Lawyers | Serving New London, CT

29 South Main Street, Suite 305, West Hartford, CT 06107

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New London Health Care Fraud Information

Lead Counsel Badge

Lead Counsel Verified Attorneys in New London

Lead Counsel independently verifies Health Care Fraud attorneys in New London and checks their standing with Connecticut bar associations.

Our Verification Process and Criteria

  • Ample Experience

    Attorneys must meet stringent qualifications and prove they practice in the area of law they’re verified in.
  • Good Standing

    Be in good standing with their bar associations and maintain a clean disciplinary record.
  • Annual Review

    Submit to an annual review to retain their Lead Counsel Verified status.
  • Client Commitment

    Pledge to follow the highest quality client service and ethical standards.

The Average Total Federal Prison Sentence for in Connecticut

19.23 months *

* based on 2021 Individual Offenders - Federal Court sentencing in Connecticut federal courts. See Sentencing Data Information for complete details.

What Qualifies as Health Care Fraud?

Health care fraud involves making false representations to gain money or benefits related to medical care, insurance, or government benefits. Health care fraud can be committed by anyone involved in the healthcare industry, including patients, doctors, insurance providers, and medical services companies.

State and federal law enforcement take health care fraud very seriously. The penalties can include years in prison for a felony conviction. However, some innocent people are caught up in false accusations of fraud and should consult with a criminal defense lawyer to understand their legal rights.

What Are the Types of Health Care Fraud?

There are several types of health care fraud. In some cases, fraud is committed by a prospective patient, including false statements on an insurance form. This could include using someone else’s insurance to get medical care.

More extensive healthcare fraud involves health care providers or medical services businesses. Medical providers and home health services may make a fraudulent claim to patients, insurance companies, or Medicare for compensation. Some examples of health care fraud may include:

  • Unbundling, or charging separate billing codes for bundled services
  • Double-billing or duplicate billing
  • Billing for services that were never provided
  • Fraudulent billing for medically unnecessary services
  • Up-coding, or seeking reimbursement for services that should be billed at a lower rate
  • Misrepresentation of the type of service provided

Kickback Fraud

Another type of fraud in health care involves kickbacks. Kickbacks are the referral fees, illegal remunerations, bribes, or rebates paid directly or indirectly for referrals in health care. Kickbacks are illegal in health care under the Anti-Kickback Statute. It is unlawful to pay for inducing or rewarding patient referrals for business involving any item or service payable by the federal healthcare programs, including drugs, supplies, or health care services.

Self-Referral Fraud

Physician self-referral laws prohibit physicians from referring patients with Medicare or Medicaid to facilities or services where the physician has a financial interest. This includes entities where the doctor’s immediate family member has a financial relationship. For example, if a doctor’s spouse is a co-owner of a radiology provider, the doctor cannot refer a patient to that provider, unless an exception applies.

Is Health Care Fraud a Felony?

Health care fraud can be charged as a misdemeanor or a felony. As a misdemeanor, a conviction could carry up to one year in jail and a fine. As a felony, health care fraud is punishable by more than a year in prison and thousands of dollars in fines.

The penalties associated with health care fraud depend on the specific facts involved. Some aggravating factors can increase the penalties, including where the fraud involved:

  • Multiple incidents of fraud
  • Medical identity theft
  • Insurance fraud
  • Money laundering

Is Health Care Fraud a Federal Crime?

Health care fraud can be a state-level crime in Connecticut or a federal offense, depending on the circumstances. It is federal crime for whoever knowingly and willfully executes a scheme to:

  • Defraud any health care benefit program; or
  • Obtain money, property, or health care benefits by fraudulent pretenses, representations, or promises.

The penalties for a federal government fraud conviction include up to 20 years in prison. If the fraud results in death, a conviction could result in life in prison.

How is Health Care Fraud Detected?

Healthcare fraud can be detected through computerized fraud prevention systems or reporting of potential fraud. The Centers for Medicare and Medicaid Services (CMS) uses a Fraud Prevention System (FPS) to analyze healthcare providers networks to detect patterns that represent a risk of fraudulent activity. The leads are then investigated by field office agents to identify possible fraud and refer the health care fraud cases for criminal prosecution.

Why Do I Need a Health Care Fraud Defense Lawyer?

There are severe penalties for a conviction of health care fraud. A felony conviction could result in a permanent criminal record, and make it more difficult for you to find a job in the future. With a lot at stake, a criminal defense lawyer can help you fight the charges for health care fraud to avoid a criminal record. An experienced criminal defense attorney can also negotiate to get a plea deal with reduced criminal charges or minimum sentencing. If you are accused of health care fraud, you may have several legal defense options. The prosecutor has the burden of proving every element of the offense beyond a reasonable doubt. Possible criminal defenses to fraud charges include:
  • No intent to commit fraud
  • False claims were made by mistake
  • Another person was responsible for making a false claim
  • Incorrect claims were caused by computer error or operator error
Health care fraud may also include related charges, which could increase the penalties and consequences of a conviction. Some related charges to health care fraud may include forgery, insurance fraud, or identity theft.
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