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Defending and Protecting Medical Professionals

By the time government agents contact you, they have already gathered evidence and started to build a case against you.  They probably know more about your Medicare and Medicaid claims history than you do.  They may have an inside witness -- a disgruntled former employee, co-worker or patient -- who has given them documents and other information about you.

This is a very dangerous situation.  If you make an innocent mistake when answering their questions, or if you forget what happened with a particular patient two or three years ago, the government agents could accuse you of making false statements and obstructing their investigation.

Do not handle this on your own.  Get an experienced Medicaid fraud attorney on your side.  Call John Howley, Esq. at (212) 601-2728 or click here to arrange a free and confidential consultation.

Types of Medicare and Medicaid Fraud

Medical professionals and other healthcare providers may face civil and criminal liability for violating the complex rules and regulations governing Medicare and Medicaid claims.  Some of the more common charges include:
  • billing for services that were not provided
  • billing for services that were not medically necessary
  • upcoding claims to collect higher reimbursement rates
  • billing for services provided by unlicensed staff
  • offering or accepting kickbacks or sharing Medicaid reimbursements in return for patient referrals
  • submitting claims for ineligible Medicaid beneficiaries
  • double billing Medicaid and private insurance
The mere allegation of Medicaid fraud can stain your reputation as a professional.  And if you are found guilty, the consequences can be devastating.  You could be ordered to pay three times the amount that Medicaid paid, plus a penalty of $11,000 per false claim.  You could face exclusion from government healthcare programs and loss of your professional license.  You could be sentenced to up to five years in prison on each count.

Protecting Your Rights and Your Professional License

An experienced Medicaid fraud attorney can help you protect your rights, your license, and your livelihood.  The government may have made mistakes when analyzing your billing records, or they may be relying on a disgruntled former employee who lacks credibility and will fall apart on cross-examination.  There may be legitimate explanations or defenses for your billing practices. 

You need a seasoned defense lawyer who will investigate the charges against you, develop your defenses and evidence, negotiate with the government to avoid or reduce charges, and provide a vigorous defense at trial if necessary.

John Howley, Esq. has represented clients in government investigations and trials for more than 20 years.  He defends doctors, dentists, pharmacists, physical therapists, administrators, clinics, hospitals, nursing homes, home care providers, ambulance and ambulette business owners, and other healthcare providers.

Call his office at (212) 601-2728.  He will personally review your case and explain your options.

Free and Confidential Consultation

To arrange a free and confidential consultation, call John Howley, Esq. at (212) 601-2728.
John Howley, Esq.
The Howley Law Firm P.C.
350 Fifth Avenue, 59th Floor

New York, New York  10118
(212) 601-2728

About John Howley, Esq.
John Howley is an experienced trial lawyer with a track record of excellent results in difficult cases.  Read more....

Information for Medicaid Recipients and Beneficiaries

If you receive a letter asking you to meet with an investigator, this could be the first step in a criminal prosecution.  Read more....

Information for Medicaid Fraud Whistleblowers

The government pays whistleblowers a reward of up to 30% of the amount it recovers.  It is not unusual for these rewards to total hundreds of thousands of dollars. Read more....

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