Switch to ADA Accessible Theme
Close Menu
The Law Offices of Stanley L. Friedman
White Collar Criminal Defense 310-598-2000

Navigating the Complexities of Medicare and Medicaid Fraud in California

Phrase MEDICARE FRAUD written on note book with stethoscope and a pen. Medical and health concept.

Medicare and Medicaid fraud are significant issues in California, involving the alleged misuse of government-funded healthcare programs through fraudulent claims or billing for services not rendered. This type of fraud not only leads to substantial financial losses for the government but also compromises the integrity of essential healthcare services intended for the most vulnerable populations. That said, many of the activities that wind up being charged as Medicare or Medicaid fraud may have started out as negligence or lax procedures, or even mistakes on the government’s part, but state and federal prosecutors may nevertheless ascribe evil intent to innocent mistakes and charge healthcare practices with intent to defraud.

The consequences of a Medicare or Medicaid fraud conviction are severe and can wind up costing practitioners their licenses, along with thousands of dollars in fines and even potential prison time. In California, The Law Offices of Stanley L. Friedman represents doctors, pharmacists, and other healthcare professionals who have been charged with these serious offenses, offering the services of a former federal prosecutor and board-certified specialist in criminal defense. Learn more below about navigating the complexities of Medicare and Medicaid (Medi-Cal) fraud in California, and contact The Law Offices of Stanley L. Friedman for help from an experienced and successful Los Angeles white-collar criminal defense lawyer.

Common Activities That Lead to Charges of Medicare and Medicaid Fraud

Charges of Medicare and Medicaid can result from billing practices and medical practices in many forms, forcing healthcare providers to constantly be on their toes, training and supervising their staff to avoid any mistakes or improprieties. Some of the most common bases for charges of Medicare and Medicaid fraud include:

  • Billing for services not provided: This involves healthcare providers submitting claims for medical services or treatments that were never provided to patients.

  • Upcoding services and procedures: Bills can wind up inflated by coding errors that result in billing for more expensive procedures or services than those actually performed.

  • Unnecessary services: Charging for medically unnecessary services when billed to Medicare or Medicaid is viewed as fraud on the government.

  • Kickbacks and referral fees: Several complex laws like the Anti-Kickback Statute and Stark Law severely restrict doctors’ ability to receive compensation for making referrals to other doctors or medical practices in which they have a financial interest.

Legal Implications in California

California law takes a stringent approach to Medicare and Medicaid fraud, with heavy penalties including substantial fines and potential imprisonment. The state works in conjunction with federal agencies to investigate, charge, and prosecute fraud cases aggressively. For healthcare providers, being implicated in fraud can lead to additional consequences such as losing professional licenses and exclusion from participating in federal healthcare programs.

The Role of a Specialized Defense Attorney

When facing allegations of Medicare and Medicaid fraud, the role of a specialized criminal defense attorney becomes crucial. Navigating the complexities of these cases requires a deep understanding of both state and federal healthcare laws as well as the intricate procedures of the healthcare system.

The Law Offices of Stanley L. Friedman are equipped with the expertise needed to handle these high-stakes cases. With a focus on healthcare and financial fraud, our team understands the nuances of defending against these charges and will work tirelessly to protect your rights and your professional future.

Effective defense strategies may include demonstrating the lack of fraudulent intent, errors due to complex billing systems, or disputing the factual basis of the charges. Each case requires a tailored approach that considers the specific circumstances and evidence presented.

Preventative Measures to Avoid Charges of Medicare or Medicaid Fraud

Healthcare providers can take several steps to prevent being implicated in fraudulent activities, such as implementing robust compliance programs, conducting regular audits, and ensuring that all billing practices adhere strictly to legal standards. Education and training for all staff on compliance and ethical practices are also critical.

Contact The Law Offices of Stanley L. Friedman in Los Angeles for Expert Medicare and Medicaid Fraud Defense Throughout California

The consequences of being charged with Medicare or Medicaid fraud are severe. Whether you are currently facing charges or concerned about compliance, it is essential to seek legal guidance promptly. The Law Offices of Stanley L. Friedman are here to help navigate the complexities of these cases, ensuring that you receive a defense that not only strives to protect your professional interests but also aggressively challenges the allegations against you.

For more information or to discuss your case, contact our Los Angeles office today by calling 310-598-2000 or filling out our online contact form. Our expertise in white-collar criminal defense, particularly in healthcare and financial fraud, positions us to provide the robust defense you need.

Facebook Twitter LinkedIn