HealthCare Fraud Overview

Florida Medicaid and Medicare Fraud Defense Lawyers

Certified Criminal Trial Specialist • Statewide Florida and Nationwide

Medicaid and Medicare fraud can be a trap for doctors and other medical professionals. These laws are complicated and make it very difficult to properly bill for services. The law requires you to bill through a convoluted bureaucracy, with CPT and ICD-9 codes changing annually. A civil audit may quickly turn into a criminal investigation. For swift, capable response in your health care fraud defense, call the Law Offices of Mark L. Horwitz, a Professional Association at 407.401.7224 or 866.784.0023.

We have represented medical providers in Orlando and Central Florida, the Tampa Bay area, and our defense team has represented clients in several jurisdictions across the United States.

Our Legal Representation of those Charged with Fraud

Medicare Fraud - We answer allegations of false claims, upcoding, retaining overpayments, kickbacks, or billing for medical services not provided, with an emphasis on pre-empting criminal charges.

Medicaid Fraud - We get involved at the audit stage, helping clients explain billing discrepancies to State Medicaid fraud investigators. If we cannot prevent criminal indictments, we are prepared for trial or plea agreements.

Private Insurance Fraud - Insurance companies will refer suspected fraud for criminal prosecution, and pursue treble damages in civil lawsuits under RICO. We handle both civil litigation and criminal defense.

Conspiracy to Provide Unnecessary Services - Our office defends doctors and other healthcare professionals accused of conspiring to provide unnecessary services. In many cases, these kinds of investigations are undertaken because investigators don't understand the medical or billing issues involved.

Upcoding, Unbundling, and Other Over-Billing - We work with healthcare billing experts and medical professionals in defending doctors, clinics, and other healthcare providers in cases involving billing fraud. Our attorneys have an excellent understanding of CPT codes and the issues involved in determining how to appropriate bill a patient. We have the knowledge needed to counter and challenge misinterpretations on the part of investigators who fail to understand the difficulties involved in determining the right CPT code in special or unusual cases.

Referral Kickbacks - Our attorneys defend doctors and clinics accused of participating in referral kickbacks involving medical procedures, prescription medication, medical equipment, and medical specialist services.

Obstruction of Justice in Healthcare - Destroying office records, billing information, and financial documents can result in an obstruction of justice charge. Our attorneys work closely with clients during an investigation to ensure they properly cooperate with authorities while avoiding any actions or statements that could incriminate them.

Our Clients

The health care fraud defense attorneys of the Law Offices of Mark L. Horwitz, a Professional Association, will represent the many different parties who get caught up in audits, investigations, prosecutions, and civil litigation:

Service providers - We represent doctors, chiropractors, diagnostic professionals, and dentists, who may face prison, heavy fines, and sanctions against their license to practice medicine.

Pharmaceutical and medical equipment providers - Federal authorities are increasingly investigating pharmacists and online pharmacies for fraud, as well as suppliers of wheelchairs and other durable medical supplies.

Hospitals and their employees - We have represented individual directors, managers, accounting employees, and staff physicians of major healthcare corporations charged with fraud or conspiracy.

Our attorneys can discuss the likely penalties for conviction in your case. We strive to avoid prison. In fact, we have had notable success in preventing criminal charges by intervening at the civil audit and investigation stage to show how ambiguous billing codes and complex procedures made honest mistakes highly likely. We have prevented many charges over the years and have years of experience in trial - Mark Horwitz is a certified criminal trial specialist.

If you are under investigation or charged with Medicaid and Medicare fraud, speak to an attorney at the Law Offices of Mark L. Horwitz, a Professional Association, by calling 407.401.7224 or 866.784.0023 or submit any questions through our online contact form.