Health Care
Fraud
With three former federal prosecutors in our partnership,
our firm has had considerable success in representing
physicians and corporate health care clients in
investigations of alleged health care fraud.
Federal and state prosecutions for over-billing,
improper billing, "upcoding" in the Medicare/Medicaid
programs, and false claims for reimbursement are
the most common types of health care fraud now alleged
by the government.
Our successes in health care fraud include one
of the largest Medicare fraud prosecutions in history.
We successfully represented a health care consulting
company for a large hospital group. The hospital
group (not our client) pled guilty and paid millions
of dollars in civil fines and penalties. Our firm's
client, the health care consultant, was investigated
for allegations that it aided and abetted the hospital
group in violating various Medicare coding regulations.
Our firm successfully obtained a declination of
all federal charges for our client.
In other health care fraud investigations, our
firm has also successfully represented doctors,
executives, and others accused of anti-kickback violations,
false claims, and improper coding practices.
In health care fraud cases, an indictment and incarceration
can be serious threats for executives and other
health care professionals who are not properly represented.
For corporate clients, debarment and delisiting
in Medicare/Medicaid programs is also a serious
danger. If convicted of health care fraud, a corporation
or executive can be debarred from participating
in these programs, in addition to facing criminal
sanctions. Our firm has successfully represented
many corporate clients in major health care fraud
investigations.
Thus, Finch McCranie, LLP offers extensive "real
world" experience in dealing with the complicated
issues surrounding allegations of health care fraud.
Our firm uses our partners' experience as former
federal prosecutors to our clients' advantage.
