Health Care Fraud Defense Lawyers in Baltimore
Defending Clients in Maryland, Washington, D.C. & Beyond
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.
Health Care Fraud Defense
The lawyers at Nathans & Ripke LLP have lectured and published nationally on health care fraud defense, including editing and contributing to a published compliance manual. We have decades of experience representing individual doctors, medical practice groups, pharmaceutical companies, hospitals, home health agencies, durable equipment manufacturers, and skilled nursing facilities.
We have also represented individuals working at all levels of health care services in response to:
- Government investigations
- Document requests
- Grand Jury investigations
- Trials and negotiated dispositions of civil and criminal charges
Attorney Larry Nathans was recently retained to provide health care federal sentencing and appellate expertise for one of four WellCare executives recently convicted in the United States District Court for the Middle District of Florida (Tampa).
Our Baltimore health care fraud defense lawyers have also represented whistleblowers who have identified fraud and abuse violations in the area and who wish to avail themselves of the qui tam provisions available under federal law.
Is Medicare Fraud a Felony?
Medicare fraud can be a felony. But, it is not always the case; some are just exposed to penalties, fines, exclusion, and so on. Medicare is a federal program, and defrauding the government and its program is illegal and can lead to criminal charges. So by nature, those who commit Medicare fraud are exposed to criminal charges and they in turn can be convicted of a felony. Anyone who commits Medicare fraud is exposed to criminal or civil liability or both. With that in mind, we provided some information that would help you further understand why some are held criminally liable, and some just pay fines.
Top-Rated White Collar Criminal Defense Firm
Our firm has established a national reputation for outstanding representation. U.S. News rated our firm as one of the premier white collar defense firms in Maryland. All of our partners have been selected to the list of Maryland Super Lawyers®.