Medicare Fraud

Experienced Medicare Fraud Defense

Orlando, Florida Certified Criminal Trial Specialist

The complexities of the Medicare bureaucracy make it difficult to bill properly and easy to run afoul of fraud laws. An honest mistake in billing can trigger a civil audit and can quickly turn into a criminal investigation nightmare.

If you are caught in this trap, contact the Law Offices of Mark L. Horwitz, a Professional Association, immediately to discuss your case. We will defend hospitals, doctors, employees, and other individuals throughout Florida and nationwide, in audits and on criminal charges. Call 407.401.7224 or 866.784.0023 to speak with an experienced Medicare fraud defense lawyer.

Medicare Fraud

When he served as an Assistant U.S. Attorney, Horwitz prosecuted Medicaid fraud cases including a mail fraud case against a durable medical supply company for falsely billing products not provided.  Our criminal defense attorneys represent hospital employees and officers being investigated for Medicare Part A fraud for hospital and outpatient services or Medicare Part B fraud regarding physician services, prescriptions, or medical supplies. Our defense lawyers have handled every type of allegation:

• Billing for services not provided
• Billing for medically unnecessary services
• False statements about services provided
• Upcoding or wrong codes
• Combining services / unbundling
• Referral kickbacks in violation of "safe harbor" provisions
• Retaining capitation reimbursements

We understand the convoluted Medicare billing system and how innocent, but mistaken, billing practices lead to the assumption of fraud. State and federal agencies monitor CPT and ICD-9 codes for patterns outside the norm — excessive billing or codes that don't match the reported services. A routine audit can easily become a full-scale criminal investigation by the FBI or state authorities.

If you are under investigation for billing irregularities, or are charged with Medicaid fraud or Medicare fraud, it is critical to speak to one of our experienced Medicare fraud defense attorneys about your case. Call 407.401.7224 or 866.784.0023 or contact us online. We work to prevent charges through early intervention or to protect clients from the worst consequences of indictment.