Medicare Fraud

Medicare Fraud

Medicare fraud has become a huge problem in hospitals, doctor’s offices and medical centers across the nation. Sometimes, whistleblowers get caught up in Medicare fraud cases too. If you’re a whistleblower or you’ve been charged with Medicare fraud, you need to speak with a criminal defense attorney who has Medicare fraud case experience as soon as possible. These cases can be lengthy, and investigations can be incredibly in depth and invasive. Your lawyer can be your advocate during this difficult time. Whether you’ve been charged with double billing or your office has been accused of taking kickbacks or some other type of Medicare fraud, the sooner you speak with a lawyer with white collar criminal defense experience, the better off you’ll be in the long run.

Healthcare Fraud

Medicare fraud is a special type of healthcare fraud. This type of fraud typically involves the federal government, so you’re looking at pretty stiff penalties, if convicted. Additionally, it’s not uncommon to have other charges associated with Medicare, Medicaid or other forms of healthcare fraud in these cases. It’s also possible to have healthcare fraud and Medicare fraud happening simultaneously. When the charges stack up, you’re also looking at extensive potential penalties if convicted. Listed below are a few different examples of Medicare fraud.

Examples of Medicare Fraud

  • Double billing
  • Phantom billing
  • Pharmaceutical fraud
  • Noncompliance with FDA regulations
  • Noncompliant documentation
  • False Medicare claims
  • Unlawful kickbacks
  • Upcoding and unbundling
  • Lack or medical necessity

Creative Billing and Medicare Fraud

So-called ‘creative billing’ is one of the largest problems associated with charges involving Medicare fraud. Double billing, upcoding and phantom billing are some of the most common forms of Medicare fraud. These types of ‘creative billing’ practices can land doctors, nurses, administrators and other healthcare professional in serious hot water. Not all cases of incorrect billing are fraud though, so it’s essential to have a lawyer who has Medicare or healthcare fraud experience on your side. If you’re under investigation for Medicare or healthcare fraud, it’s important to speak with a proven criminal defense attorney who has case experience with Medicare and healthcare fraud.

Complex Medicare Fraud Cases

Cases involving Medicare and Medicaid fraud can be extremely complex. The billing and coding paperwork alone can take months or longer for investigators to sift through. These cases involve a variety of federal regulations and laws as well, and you need an attorney who has case experience in healthcare fraud and Medicare fraud. Federal investigators can spend months and years building cases, and you need a team on your side too.

Felony Medicare Fraud in Jackson

Medicaid and Medicare fraud are both felony charges in Jackson and across the nation. Depending upon the charges associated with your case, you could be facing years in a federal prison facility, if convicted. Additionally, you could also be facing hefty fines and financial penalties. It’s also possible to lose professional licenses or the potential to earn in your chosen field after a Medicare fraud conviction.

What About Whistleblowers and Qui Tam?

In many cases involving Medicare fraud, there are whistleblowers involved. Being a whistleblower is extremely difficult. It’s not uncommon to get alienated and ostracized for blowing the whistle on fraud in the workplace. Additionally, rocking the boat can have a severe impact on your career, freedom and personal life. If you’re considering blowing the whistle on Medicare fraud, it’s a great idea to speak with a criminal defense attorney with proven white collar criminal defense case experience. You could be going up against multi-national corporations and very powerful business people. You don’t have to go through it alone. A lawyer can be your advocate and watch your back during a difficult time.

Time Sensitive Medicare Fraud Cases

Don’t wait until you’re facing charges to contact a criminal defense attorney. If you’re under suspicion or under investigation for Medicare fraud, you need to contact a lawyer immediately. These cases are time sensitive, and the federal government is going to have teams of investigators and lawyers on their side. Time is of the essence where Medicare and healthcare fraud are concerned.

When to Contact a Medicare Fraud Lawyer

Depending upon the circumstances of your unique situation, you could be facing 25 years in prison or longer if convicted of Medicare fraud or similar charges. Investigations involving Medicare fraud can be complex and lengthy, and the sooner you speak with a criminal defense attorney, the better. If you or somebody you love has been charged with Medicare fraud, contact the skilled criminal defense team at Coxwell & Associates, PLLC at (601) 265-7766 for an immediate case consultation.


  • $144 Million $144 Million
  • $120 Million $120 Million
  • $20.4 Million Fraud settlement that went to Mississippians
  • $2.3 Million Brain injury settlement
  • $2.1 Million Civil rights death
  • $1.6 Million Fraud settlement for Mississippians

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