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Health Care Fraud

Greater Baltimore, Maryland / Washington, D.C. Region Health care Fraud Attorneys

Health care providers know that treating patients involves complex regulations and reimbursement procedures, including oversight from private insurers, as well as state and federal agencies. State and federal investigators periodically contact health care providers and review billing practices and procedures. Unfortunately, those investigations can elevate from routine audits to full blown grand jury investigations and criminal proceedings. They can also lead to federal false claims act civil actions involving potentially huge fines and penalties.

Nathans & Biddle lawyers have decades of experience representing individual doctors, medical practice groups, pharmaceutical companies, hospitals, home health agencies, durable equipment manufacturers, and skilled nursing facilities, as well as individuals working at all levels of health care services, in responding to government investigations, subpoenas, document requests, grand jury investigations, and in trials and negotiated dispositions of civil and criminal charges. Our lawyers have lectured and published nationally on health care fraud defense, including editing and contributing to a published compliance manual.

Our work for providers builds on our rigorous and independent investigation of the facts relevant to a client's situation, use of outside experts, including certified coders and regulatory and reimbursement specialists, and relentless attention to detail and advocacy before investigative agencies, prosecutors, judges, and juries.

We have also represented whistleblowers who have identified fraud and abuse violations in the area and who wish to avail themselves of the qui tam relator provisions available under federal law.

For more information on our fraud defense practice, please contact Robert Biddle at Nathans & Biddle.

Recent Successes

Nathans & Biddle was retained after physician was convicted of multiple counts of mail fraud, health care fraud and false statements in the federal court in Philadelphia. Client eventually sentenced to less than half of the final recommended Federal Sentencing Guidelines range and one third of the initial sentencing recommendation by the United States Attorney's Office.

Decision by Maryland Federal prosecutors to decline to indict CFO of health care company based in large part upon an advice of counsel defense.

Substantial federal sentencing downward departure for physician in false billing case resulting in a non-incarceration sentence primarily because of his extraordinary history of public service.

CFO of health care company granted immunity by the Maryland State Prosecutor in bribery investigation.

Physician escaped indictment in False Claims Act investigation and civil settlement reached where multiple possible explanations for over billing involving other persons were presented to prosecutors.

(See White Collar Criminal Defense, Public Corruption, Mortgage Fraud, Health Care Fraud, Appellate and Post Conviction and Federal Sentencing sections for other significant recent successes related to our federal and state felony representation)

Primary Office
120 East Baltimore Street
Suite 1800
Baltimore, Maryland 21202

410-783-0272 (Telephone)
410-783-0518 (Facsimile)

Additional Location
113 Ridgely Avenue
Annapolis, Maryland 21401

410-783-0272 (Telephone)
410-783-0518 (Facsimile)

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