HealthCare Fraud Overview

Florida Health Care Fraud Defense Lawyers

Certified Criminal Trial Specialist • Florida and Nationwide

The procedures for properly billing Medicaid, Medicare and private health insurance companies are complicated. With CPT and ICD-9 codes and the interpretations of the code changing annually, it can be difficult to properly bill for services. This is why so many offices turn to private companies to handle their coding and billing. However, even that does not guarantee you will not run into problems.

A Medicare billing audit can quickly turn into a criminal investigation if the auditor finds evidence of wrongdoing. At the Law Offices of Mark L. Horwitz, PA, we defend medical providers facing health care fraud charges in central Florida and nationwide. To speak to a member of our defense team, call our Orlando office at 407.401.7224 or toll-free at 866.784.0023.

Our Clients

Our health care fraud defense attorneys stand willing to represent the many different parties who get caught up in audits, investigations, criminal prosecution and civil litigation.

• Doctors and other medical providers, including chiropractors, nurses, diagnostic professionals, pharmacists, dentists
• Pharmaceutical and medical equipment providers, including online pharmacies and durable medical supplies
• Hospitals and their employees, including individual directors, managers, accounting staff
• Home health care companies and their staff

We get involved at the audit stage, helping clients explain billing discrepancies to fraud investigators. If we cannot prevent criminal indictments, we are prepared for vigorously defending clients in court.

Strong, Experienced Defense Against All Charges of Fraud

Our defense lawyers have defended clients facing charges of Medicare fraud, Medicaid fraud and private insurance fraud. Whether private or government insurance is involved, the charges of wrongdoing are often the same, involving allegations of:

• Providing unnecessary services
• Upcoding, unbundling, and other billing fraud
• Billing for services not provided 
• Prescription drug fraud
• Conspiracy and RICO cases in criminal and civil court
• Kickbacks 
• Obstruction of justice, such as destroying medical cords, billing information or financial documents

By intervening at the civil audit and investigation stage to show how ambiguous billing codes make honest mistakes highly likely and by raising other relevant defenses, it may be possible to prevent criminal charges from being filed.

Defense attorney Mark Horwitz personally handles every healthcare fraud case that goes to trial. He is a certified criminal trial specialist with more than 30 years of courtroom experience.

If you are under investigation for or have been charged with Medicaid and Medicare fraud, it's important to understand the possible penalties you face. You need serious defense. Call us at 407.401.7224 or toll-free at 866.784.0023. Or, contact our office online.