The Ultimate Miami Medicare Fraud Defense: Attorney Dennis Gonzalez Jr.
Secure the Best Defense for Your Medicare Fraud Charge with Miami Criminal Defense Attorney Dennis Gonzalez Jr.
Medicare is a national insurance program administered by the U.S. federal government, providing health insurance for Americans aged 65 and older, as well as younger Americans with disabilities. Medicare fraud occurs when an individual or corporation seeks to collect Medicare healthcare reimbursement under false pretenses, taking advantage of the system to collect funds illegally.
Miami Criminal Defense Attorney Dennis Gonzalez Jr. has earned a well-deserved reputation for meticulous legal preparation and a tenacious fighting spirit.
Miami Criminal Defense Lawyer Dennis Gonzalez Jr. is renowned for offering top-notch legal representation to those accused of crimes in South Florida. Our legal team, well-versed in both Florida and Federal Criminal Punishment Codes, possesses the expertise and experience that can make the difference between freedom and incarceration. If you are facing Medicare Fraud Charges, we will tenaciously defend you and work relentlessly to safeguard your rights.
Call Us At 305-209-0384 For A FREE Consultation!
Miami Criminal Defense Attorney Dennis Gonzalez Jr. has earned a well-deserved reputation for meticulous legal preparation and a tenacious fighting spirit.
Miami Criminal Defense Lawyer Dennis Gonzalez Jr. is renowned for offering top-notch legal representation to those accused of crimes in South Florida. Our legal team, well-versed in both Florida and Federal Criminal Punishment Codes, possesses the expertise and experience that can make the difference between freedom and incarceration. If you are facing Medicare Fraud Charges, we will tenaciously defend you and work relentlessly to safeguard your rights.
Call Us At 305-209-0384 For A FREE Consultation!
Common Medicare fraud schemes include:
If you find yourself facing criminal charges for Medicare fraud, don't hesitate to enlist the expertise of Miami Criminal Defense Attorney Dennis Gonzalez Jr. Call (305) 209-0384 for a free case evaluation and let him help you craft an effective defense strategy to protect your rights.
- Phantom billing
- Billing for products/services never provided
- Patient billing, where patients exchange their patient numbers for kickbacks
- Upcoding and unbundling, inflating bills with codes for expensive, unneeded procedures
If you find yourself facing criminal charges for Medicare fraud, don't hesitate to enlist the expertise of Miami Criminal Defense Attorney Dennis Gonzalez Jr. Call (305) 209-0384 for a free case evaluation and let him help you craft an effective defense strategy to protect your rights.
10 Common Scenarios: When Innocent Medical Practices Face Unwarranted Medicare Fraud Allegations
- Clerical errors: Mistakes in billing, coding, or documentation can lead to unintentional inaccuracies that may be mistaken for Medicare fraud. These errors can include inputting incorrect patient information, service codes, or dates.
- Unintentional overbilling: Medical providers may inadvertently overbill for services due to a misunderstanding of Medicare billing guidelines or complexity in the billing process. This can be misconstrued as an attempt to defraud the system.
- Accidental duplicate billing: Submitting multiple claims for the same service, either due to administrative oversight or technical issues, can be misinterpreted as a deliberate effort to obtain additional reimbursement.
- Misinterpretation of medical necessity: Providers may recommend and bill for services they genuinely believe are medically necessary for their patients. However, if Medicare auditors or investigators disagree with the provider's assessment, they may view these services as unnecessary and potentially fraudulent.
- Lack of proper documentation: Providers may fail to adequately document their services or maintain proper records due to time constraints, staff turnover, or other challenges. This can raise suspicion among investigators, as proper documentation is crucial to demonstrate the legitimacy of billed services.
- Subcontractor or employee misconduct: Medical providers may be held responsible for the actions of their subcontractors or employees who engage in fraudulent activities without the knowledge or consent of the provider.
- Complex billing and coding systems: The intricate nature of medical billing and coding can sometimes lead to inadvertent errors or noncompliance with Medicare guidelines. This can result in billing discrepancies that may be perceived as fraud.
- Unintentional noncompliance with Medicare regulations: Providers may unknowingly fail to comply with specific Medicare regulations, such as those related to referrals, anti-kickback laws, or the Stark Law. This noncompliance may be misconstrued as an intentional attempt to defraud the system.
- Merely following outdated practices: Providers may continue to follow outdated billing practices or rely on old information, unaware that Medicare guidelines have changed. This can result in billing discrepancies and potential allegations of fraud.
- Miscommunication among staff: In large healthcare organizations or practices, miscommunication among staff members can lead to billing errors or misunderstandings regarding services provided. These issues can be mistaken for intentional fraud if not promptly identified and resolved.
Medicare Fraud Penalties and Consequences
Under Section 1128A of the Social Security Act [U.S.C §1320a-7a(a)], healthcare professionals and entities are prohibited from presenting claims for services that they knew or should have known were not provided as claimed. This includes those who engage in a pattern of presenting items or services based on codes that result in higher payments than the actual services provided.
Healthcare professionals and entities cannot present false or fraudulent claims or file claims for medically unnecessary services. Violators face severe penalties, such as civil fines of up to $10,000 for each item or service or up to $50,000 for each false record or misrepresentation of material fact.
The American Medical Association states that individuals convicted of a program-related crime or a felony offense related to healthcare fraud must be excluded from Medicare for a minimum of five years. This exclusion period increases to 10 years for those with a prior conviction and becomes permanent for individuals with two prior convictions. However, exclusion for misdemeanor healthcare fraud offenses is discretionary.
Choose Miami Criminal Defense Attorney Dennis Gonzalez Jr. for Your Medicare Fraud Defense
Under Section 1128A of the Social Security Act [U.S.C §1320a-7a(a)], healthcare professionals and entities are prohibited from presenting claims for services that they knew or should have known were not provided as claimed. This includes those who engage in a pattern of presenting items or services based on codes that result in higher payments than the actual services provided.
Healthcare professionals and entities cannot present false or fraudulent claims or file claims for medically unnecessary services. Violators face severe penalties, such as civil fines of up to $10,000 for each item or service or up to $50,000 for each false record or misrepresentation of material fact.
The American Medical Association states that individuals convicted of a program-related crime or a felony offense related to healthcare fraud must be excluded from Medicare for a minimum of five years. This exclusion period increases to 10 years for those with a prior conviction and becomes permanent for individuals with two prior convictions. However, exclusion for misdemeanor healthcare fraud offenses is discretionary.
Choose Miami Criminal Defense Attorney Dennis Gonzalez Jr. for Your Medicare Fraud Defense
If you are a physician or healthcare professional facing Medicare fraud charges, you need the best possible defense to protect your reputation and ability to file Medicare claims. Miami Criminal Defense Attorney Dennis Gonzalez Jr., with his extensive experience in handling healthcare fraud cases, will fight aggressively to defend your rights.
Don't wait—call (305) 209-0384 to secure the legal representation you need from Miami Criminal Defense Attorney Dennis Gonzalez Jr. today.
To request a call back from Miami Criminal Defense Attorney Dennis Gonzalez Jr., contact us online. We offer free consultations.
Hire an Experienced Miami Criminal Defense Attorney
Medicare Fraud charges are a serious matter which is why you need a dedicated Miami Criminal Defense Attorney like Dennis Gonzalez Jr. on your side, ready to challenge the prosecution. With over 11 years of experience handling cases on both sides of the courtroom, Attorney Dennis Gonzalez Jr. can anticipate the Government's moves and develop a strong legal strategy to counter them. Having obtained victories for past clients, he will work tirelessly to do the same for you.
To request a call back from Miami Criminal Defense Attorney Dennis Gonzalez Jr., contact us online. We offer free consultations.
Hire an Experienced Miami Criminal Defense Attorney
Medicare Fraud charges are a serious matter which is why you need a dedicated Miami Criminal Defense Attorney like Dennis Gonzalez Jr. on your side, ready to challenge the prosecution. With over 11 years of experience handling cases on both sides of the courtroom, Attorney Dennis Gonzalez Jr. can anticipate the Government's moves and develop a strong legal strategy to counter them. Having obtained victories for past clients, he will work tirelessly to do the same for you.
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