Medicaid Fraud

Medicaid Fraud Defense Lawyers

Defending Providers in Florida and Nationwide

Every state has its own agency governing Medicaid, and each state has a corresponding criminal investigation arm. Many Medicaid fraud cases originate through statistical studies of billing procedures that trigger a civil audit, with devastating consequences for providers who have done nothing illegal.

An innocent error in billing or a pattern of suspicious bills can quickly lead to criminal investigation by a host of state or federal agencies. If you or your company has been questioned or indicted, contact the Medicaid fraud defense attorneys of the Law Offices of Mark L. Horwitz, a Professional Association. Based in Orlando, Florida, we have successfully represented medical providers, hospital officers and employees, on-line pharmacies, and medical supply companies in matters statewide and throughout the United States. Call 407.401.7224 or 866.784.0023 to arrange a confidential consultation with our experienced trial lawyers. We will represent clients throughout Florida and the United States.

Medicaid Fraud

Mr. Horwitz is a board-certified criminal trial specialist by the state of Florida and has practiced law since 1972. When he was an assistant U.S. Attorney, he prosecuted Medicaid fraud cases. Our Medicaid fraud defense lawyers are extensively familiar with Medicaid's complex billing procedures, and have established time and again that honest mistakes by providers or misunderstanding by investigators — not criminal intent — were the root of apparent fraud. We routinely handle all allegations:

• Falsifying medical services that were provided
• Billing for medical services that were not provided
• Overcharging for medical services and retaining overpayments
• Falsifying private insurance claims
• Kickbacks for patient referrals
• Upcoding and other forms of billing fraud

Early Intervention to Avoid Charges

Charges often start with Medicaid fraud investigation units in each state scouting for red flags in CPT and ICD-9 coding on Medicaid reimbursements. Suspicious billing is then referred to the state Attorney General's office for an official civil audit. In other cases, the hint of fraud is uncovered by a federal agency or a private insurance company, with the help of industry associations dedicated to fraud investigation.

The Law Offices of Mark L. Horwitz, a Professional Association, tries to get involved early to prevent criminal charges by demonstrating a justifiable reason for the billing practices. Our chief goal is to spare clients the embarrassment and cost of Medicaid fraud defense. If an indictment cannot be averted, we prepare a formidable defense for trial or work with prosecutors to minimize prison time and other penalties.