Health Care Fraud

Health Care Fraud

Health care fraud is a major government priority right now.  The Department of Justice, the Department of Health and Human Services’ Office of Inspector General and local Attorneys General are spending tremendous resources investigating and vigorously prosecuting health care fraud cases.  The investigators often use confidential informants, previous employees and others with potential inside information to assist in the investigation and prosecution. As a result, incidental errors or negligence are often identified as potential fraud. The Medicare/Medicaid billing manuals/procedures are not easy to understand and often coding errors and simple misunderstandings lead to adverse consequences. With significant increases in funding from the federal government for health care fraud audits, health professionals are often faced with intrusive investigations.

For over 30 years, Philadelphia Criminal Defense Lawyer Hope Lefeber has been an aggressive advocate for her clients’ constitutional rights.  She defends doctors, home health agencies, pharmacists, urgent care center employees, physician’s assistants and other individuals involved in the delivery of medical care.  As a former Enforcement Attorney for the United States Securities & Exchange Commission, Ms. Lefeber is an experienced federal criminal defense attorney with in-depth knowledge of federal law and procedure. She has been consistently honored as a Pennsylvania Super Lawyer, as one of the Top 100 Trial Lawyers by the National Trial Lawyers Association, and as one of the Top 10 Criminal Defense Attorneys in Pennsylvania by the National Academy of Criminal Defense Attorneys.

Examples of Health Care Fraud

  • Kickbacks, Referral Fees
  • Submitting false claims to CMS for payment
  • Billing for ghost patients
  • Billing for services not provided
  • Billing for equipment not provided
  • Up-coding
  • Lack of medical necessity
  • Utilization of excluded providers
  • Making false statements on applications or contracts to participate Medicare or Medicaid program

Defending Federal Health Care Fraud Charges

What initially presents as a simple investigation into billing issues and irregularities is serious, as it often leads to formal indictments. In addition, providers can lose their ability to bill for health care, can have bank accounts frozen and may owe enormous penalties. If you or your business is being investigated for healthcare and/or insurance issues, it is critical that you call an experienced federal criminal lawyer immediately.

Hope Lefeber will investigate every aspect of your case and, together with you, will plan a strategy employing forceful advocacy and exacting preparation designed to obtain the best results. If necessary, Ms. Lefeber will use a team of highly qualified experts and investigators to investigate and prepare for trial. This is crucial in order to level the playing field as the government will use its extraordinary resources to prosecute these crimes.

Contact Experienced Health Care Fraud Attorney Hope Lefeber

If you are facing federal charges, having a lawyer who is highly skilled in healthcare and insurance fraud is critical to your defense. To get representation from a highly skilled defense attorney, contact the Philadelphia law office of Hope Lefeber by calling 610-668-7927 or completing our online form. Consultations are free and confidential.