If you need a healthcare fraud defense attorney, contact the aggressive and knowledgeable legal team at Ashley D. Adams, PLC. We have been focused on this complex area of the law for many years and we are well equipped to defend your rights in an increasingly hostile environment. Healthcare fraud is drawing increased scrutiny from the federal government and prosecutors are becoming extremely aggressive. Recent statistics show that federal healthcare fraud cases have risen by 71 percent from five years ago. To put an end to this increase, the government is trying to crack down. A conviction for healthcare fraud can bring severe penalties, including substantial fines and lengthy periods of incarceration. Professionals may also lose their right to practice in the medical industry.
If you are under investigation or have been charged with healthcare fraud, attorney Ashley D. Adams can provide you with solid, effective representation. As a former prosecutor with the United States Attorney’s Office, Ashley D. Adams has been involved in numerous healthcare fraud cases and brings a wealth of experience and skill to your defense. Call us today for a free case evaluation: 480-219-1366.
WHAT IS HEALTHCARE FRAUD?
Healthcare fraud is a type of white-collar crime that involves the filing of fraudulent healthcare claims in order to make a profit. It consists of intentional deception or misrepresentation of healthcare transactions by a provider (such as a doctor or therapist), employer group, or insured member for the purpose of attaining financial gain or receiving unauthorized benefits. Although healthcare fraud is rampant, what were once regarded as simple billing errors are now routinely prosecuted as fraud. The problem is particularly acute I states like Arizona where a large number of retirees reside. As efforts to detect and prosecute health care fraud have grown more aggressive, you need an experienced and skilled attorney like Ashley D. Adams to protect your rights.
TYPES OF HEALTHCARE FRAUD
Fraudulent health care schemes can come in many forms. They can be generally divided as follows:
Provider Healthcare Fraud
billing for services not provided (including submission of fake bills)
misrepresentation of dates, description of services, or identities of members or providers
billing non-covered services as covered services
modifying medical records
intentional incorrect reporting of diagnosis or procedures to maximize payment
prescribing unnecessary tests, treatment or services
misrepresenting oneself as a licensed healthcare provider
kickbacks in return for referring patients
services provided by untrained or unlicensed personnel
failure to supervise unlicensed personnel
distributing non-approved devices or drugs
waiving member co-pays
medical equipment fraud
“rolling lab” schemes (unnecessary and sometimes fake tests given to people at health clubs, retirement homes or shopping malls and billed to insurance companies or Medicare)
Insured Member Healthcare Fraud
providing false information when applying for programs or services
using someone else’s coverage or Medicare insurance card to obtain services
filing claims for services, treatment, or medication not received
forging or altering documents
using transportation benefits for non-medical related purposes
Employer Healthcare Fraud
enrolling ineligible employees for healthcare coverage
falsifying hire or termination dates to expand dates of coverage
establishing fake health insurance companies or employee benefit plans
misrepresentation of an employer group in order to secure healthcare coverage
CONTACT HEALTHCARE FRAUD ATTORNEY ASHLEY D. ADAMS, SERVING CLIENT IN ARIZONA AND NATIONWIDE
If you are being investigated or have been charged with healthcare fraud, contact a Phoenix fraud attorney at the Law Offices of Ashley D. Adams PLC before you speak with government investigators or law enforcement officers. Ashley D. Adams has the experience and knowledge necessary to evaluate your case and determine your best legal options. We can effectively and aggressively defend individuals and corporations charged with a variety of white-collar crimes, including healthcare fraud. With our deep understanding of prosecution strategies, we can thoroughly prepare your defense. We offer the skilled representation to protect your personal and professional freedom.
Contact Adams & Associates
At Ashley D. Adams, PLC, we have a well-established track record of success that can make a difference, whether in defending charges of white collar crime, health care fraud, financial fraud, general fraud charges, other criminal or civil matters, or representing our clients during a government investigation.
Ashley D. Adams, Principal
+1 (602) 524.3801
Adams & Associates, PLC
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