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Coxwell & Associates Healthcare Fraud


Healthcare fraud is a type of financial crime that involves the medical industry. Healthcare fraud can be perpetrated by a variety of different healthcare providers, including doctors and nurses. In some cases, patients can also perpetrate healthcare fraud. Whether you’ve been accused of Medicare fraud, Medicaid fraud or some other type of healthcare or insurance fraud. Any type of healthcare fraud is a felony offense. If convicted, you could be facing up to 10 years in a federal correctional facility, or longer. Depending upon the unique circumstances of your case, you could also be facing extensive fines. Worst of all, losing a professional or medical license is also a possibility if convicted of healthcare fraud.

Types of Healthcare Fraud 

  • Medicare 
  • Medicaid 
  • Tricare 
  • Private Insurance Fraud

Patients Involved in Healthcare Fraud

It’s also possible for patients to be involved in healthcare fraud. This is typically where we see cases involving insurance forms or other types of fraudulent paperwork issues. If you’re being accused of Medicaid, Medicare or some other type of healthcare fraud, you need to get with an attorney as soon as possible to get the ball rolling on your defense. Early intervention is key for the best possible outcome.

Healthcare Providers Accused of Fraud

Most often, healthcare providers are those accused in cases of healthcare fraud. This can happen to doctors, nurses, physician’s assistants and just about any medical professional. Typically, some type of information will come to light about the fraud or potential fraud during an audit or similar type of review. This is where a simple billing or ordering error can really land you in hot water. If an audit or review reveals some type of fraudulent or fraud-like activity going on at your practice, you need to speak with a lawyer immediately. Don’t wait until you get charged with a crime or arrested. Your business, your livelihood, your practice and your freedom are all on the line. The sooner you speak with a criminal defense attorney the better.

Early Intervention

The best thing you can do for your case is to contact a lawyer who has healthcare fraud experience as soon as possible. You could be facing years or decades behind bars, if convicted. Don’t think that speaking with a lawyer will make you look guilty. You have the right to an attorney, and you should most definitely exercise it. The sooner your lawyer is on the case, the better out come you will have. If you’re under investigation for healthcare fraud, you need to retain the services of a lawyer immediately. Your lawyer can stay on top of any official investigative details that come to light and be your advocate as you go through this difficult time.

Forms of Healthcare Fraud

  • Double Billing
  • Providing Unnecessary Treatment
  • Billing for Services Not Rendered
  • Mischarging
  • Billing for Equipment and Services Never Purchased
  • Unbundling
  • Upcoding
  • Phantom Billing
  • Falsifying Services Provided
  • Bribery and Kickbacks

The Complexities of a Healthcare Fraud Case

Healthcare fraud cases are incredibly complex. The paperwork involved is much more extensive than in other fraud cases. Anybody who has ever worked in a medical office can attest to that fact. You need somebody who understands the unique circumstances of a healthcare fraud case on your side. When you’re looking for an attorney, make sure your prospective law firm has criminal defense experience with white collar crime with a specific interest in healthcare fraud. These cases are too complicated to trust to chance. If convicted, you could be facing a loss of professional and medical licenses, years behind bars in a federal correctional facility and tens or hundreds of thousands of dollars in fines.

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When to Call a Healthcare Fraud Lawyer in Jackson

After any kind of arrest involving fraud, financial crimes or white collar crimes, it’s imperative to speak with a criminal defense attorney who has financial crimes case experience about your options. Even though Wall Street bankers seem to get off with a slap on the wrist, you definitely won’t get the same preferential treatment by the criminal justice system. The federal government is looking to throw the book at financial crimes offenders, whether the fraud scheme was successful or not. If you or a loved one has been arrested and charged with healthcare fraud in the Jackson Metro Area or in any of the nearby communities. 

Contact the proven team at Coxwell & Associates, PLLC at (601) 948-1600 for an immediate case consultation.

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