Health Care and Medical Insurance Fraud Defense
Pennsylvania, New Jersey and Delaware
The primary federal health care fraud statute is found in Section 1347, under Title 18 of the United States Code. However, when the Health Insurance Portability and Accountability Act of 1996 (HIPAA) created a new federal offense, and provided additional funding for the FBI to target health care fraud crimes — medical insurance fraud prosecutions dramatically increased.
If you aware of an official investigation or have already been indicted for a medical insurance fraud crime — your case is most likely a high priority item for the agency or prosecutor involved with it.
Attorney Mark S. Greenberg, will give your case the high priority it deserves. Mr. Greenberg concentrates his practice on federal criminal defense and limits the number of cases he handles in order to provide each client and every case the proper attention. To arrange for an initial, professional consultation — contact us online or call us directly at 877-297-6972 or 267-439-4879.
Deciphering the Paper Trail
As with most federal fraud cases, allegations involving health care or medical insurance fraud are very paper-intensive. In other words, the government’s evidence is primarily composed of paper documents. Some of the more common allegations in these cases include:
- Overbilling or double billing
- Billing for services not rendered
- Upcoding (providing one service but billing for another, more expensive one)
- Providing unnecessary medical services
- Misrepresenting the nature of the services, the dates provided or the identities of either the provider or receiver of those services
What federal agencies and prosecutors often fail to take into account is that billing protocols for programs such as Medicare and Medicaid are extremely complicated, that health care is a very stressful and often understaffed industry and that not every mistake is part of some larger scheme to defraud. We do understand and will pour over the details of the government’s case to find the gaps and inconsistencies in their theory of the case.
There Is Always a Defense – Find Yours Here
To learn more about medical insurance fraud charges, your rights and how we can help — contact us online or call federal criminal defense lawyer Mark S. Greenberg directly at either 877-297-6972 or 267-439-4879. Our offices are located in Center City, Philadelphia, but we are available to meet with you at more convenient locations as well.
