MEDICARE FRAUD

Medicare fraud is the most common of all health care fraud prosecutions. Because it is so common, prosecutors and law enforcement officials aggressively pursue dramatic punishments against those charged with the crime. They want to discourage others from participating in Medicare fraud. This means you need an aggressive and knowledgeable attorney to defend your rights.

Medicare fraud involves the investigation and prosecution of individuals and organizations who are accused of defrauding public health care systems such as Medicare and Medicaid. If you are being investigated or have been accused of Medicare fraud, it is essential that you hire a qualified medical fraud attorney right away. At the Law Offices of Adams & Associates, PLC, our Phoenix medical fraud attorney has the experience and skills to provide you with a strong defense. We will work diligently and aggressively to ensure that your rights are protected.

WHAT IS MEDICARE FRAUD?

Medicare fraud is a white collar crime that is committed when a person or organization defrauds the Medicare system in order to obtain funds or services. Usually Medicare is billed for services that were never provided or received. There are many types of Medicare fraud (see examples below), but they all have the same goal: the illegal billing and receipt of Medicare benefits. Often honest mistakes are involved, however the government carefully monitors Medicare billing and too many errors may lead to fraud charges. In these cases the government must prove that the “errors” were made intentionally.

WHAT ARE COMMON TYPES OF MEDICARE FRAUD?

Medicare fraud is usually committed by individuals seeking to obtain benefits to which they are not entitled, or by companies, such as health care providers, who over-bill or render unnecessary services. Some of the more common types of Medicare fraud include the following:

  • recipients providing false information on applications, lying about injuries or age, or utilizing other people’s names and social security numbers to obtain benefits

  • false billing

  • over billing

  • billing for phantom patients

  • billing multiple times for the same procedure

  • billing for services not rendered

  • upcoding (billing for a higher reimbursable service than performed)

  • performing unnecessary services (procedures that are not medically necessary)

  • kickbacks for member referrals or waiving member co-pays

  • falsifying medical records

  • use of unlicensed staff

  • prescription or sales of unproven remedies

Whatever the circumstances of your legal challenges, Phoenix Medicare Fraud Attorney Ashley D. Adams has the experience and the resources to protect your rights. Conviction of Medicare fraud can result in harsh penalties, such as fines and imprisonment. It also causes significant damage to a person’s personal and professional reputation. The best way of avoiding stiff penalties and negative stereotyping is by retaining the services of a qualified Medicare fraud attorney.

At the Law Offices of Adams & Associates, PLC, our Phoenix medicare fraud attorney can fight the criminal charges against you no matter how aggressive prosecutors may be. Ashley D. Adams focuses on handing complex white collar criminal cases such as Medicare fraud. As a former health care prosecutor with the United States Attorney’s Office, Ashley D. Adams understands the tactics and procedures the government will use to obtain a conviction. With this experience and knowledge, a solid defense can be prepared on your behalf.

CONTACT

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
aadams@azwhitecollarcrime.com

Adams & Associates, PLC

7502 E. Monterey Way
Scottsdale, AZ 85251
Phone: 480.219.1366
Cell: 602.524.3801
Fax: 480.219.1451

 

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