Top Morrow, GA Health Care Fraud Lawyers Near You
Our nationwide team of defense lawyers includes a former U.S. Attorney, four former Federal Prosecutors, two former FBI agents and two former Army JAGS.
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As A Former Federal Prosecutor, Attorney Rice Knows What It Takes to Help You Find the Results You Deserve.
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Experience Matters When So Much Is On The Line. Representing Clients In All States For Federal Criminal Defense
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Fed Trouble? Free Consult. Former Prosecutor & Team Former Federal Agents. Call/Text 24/7. Immediate Response Guaranteed!
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Get The Personalization AND Experience You Need To Win Your Criminal Defense Case
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3151 Maple Drive NE, Suite 210, Atlanta, GA 30305
The Rice Law Firm, LLC helps Morrow clients with their Health Care Fraud needs.
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2392 N Decatur Road, Decatur, GA 30033
Those seeking legal help with Health Care Fraud can reach out to Shein, Brandenburg & Schrope, a local practice representing people in Morrow, Georgia.
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33 S. Main Street, Suite 300, Alpharetta, GA 30009
A law firm in Morrow, Georgia, Briskin, Cross & Sanford, LLC experienced in helping clients with Health Care Fraud issues.
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315 Washington Avenue Northeast, Marietta, GA 30060
For legal issues concerning Health Care Fraud, let Lisa Wells Law Firm, a local practice in Morrow, Georgia, help you find a solution.
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1180 Peachtree Street, NE, Suite 1600, Atlanta, GA 30309-3521
950 The Lenox Building, 3399 Peachtree Road, Atlanta, GA 30326-1120
1170 Peachtree Street, NE, Suite 2400, Atlanta, GA 30309-7676
1230 Peachtree St. NE, Suite 1700, Atlanta, GA 30309
3424 Peachtree Rd NE, Suite 1200, Atlanta, GA 30326
912 Holcomb Bridge Rd, Suite 203, Roswell, GA 30076
1331 Spring St NW, Suite 1400, Atlanta, GA 30309
511 East Paces Ferry Road, N.E., Atlanta, GA 30305
1230 Peachtree St NE, Suite 1900, Atlanta, GA 30309
3348 Peachtree Rd NE, Suite 1400, Atlanta, GA 30326
310 Tanner Street, Carrollton, GA 30117
999 Peachtree Street NE, Suite 1500, Atlanta, GA 30309
1075 Peachtree Street NE, Suite 1700, Atlanta, GA 30309
3340 Peachtree Rd NE, Suite 1800, Atlanta, GA 30326
171 17th Street, N.W., Suite 1100, Atlanta, GA 30363
260 Peachtree Street Northwest, Suite 2502, Atlanta, GA 30303
101 Marietta St NW, Suite 3300, Atlanta, GA 30303
303 Peachtree Street NE, Suite 5300, Atlanta, GA 30308
229 Peachtree St NE, Suite 2505, Atlanta, GA 30303
1221 Peachtree St NE, Suite 400, Atlanta, GA 30361
3104 Briarcliff Road, PO Box 29964, Atlanta, GA 30359
Morrow Health Care Fraud Information
Lead Counsel independently verifies Health Care Fraud attorneys in Morrow and checks their standing with Georgia 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.
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 Georgia 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