Florida Duplicate Claims Submissions Lawyer
Duplicate claims submissions refer to the practice of submitting multiple claims for the same medical service or procedure to private health insurance providers or to Medicare or Medicaid. While there are instances where submitting a corrected or resubmitted claim is necessary due to errors or denials, intentionally submitting duplicate claims with the aim of receiving multiple payments is considered fraudulent and illegal. In order to get a conviction, the prosecution would have to prove intent and several other elements of the crime. Meanwhile, you have the right to defend against the accusation with the aid of an experienced criminal defense attorney. The Baez Law Firm can help. Contact our Florida duplicate claims submissions lawyers today.
Legal Consequences of Duplicate Claims Submissions
The submission of duplicate claims is taken very seriously by federal and state authorities. The repercussions for engaging in this form of healthcare fraud can be severe and include:
- Criminal Charges: Healthcare providers found guilty of intentionally submitting duplicate claims can face criminal charges, including fines, restitution, and imprisonment if convicted.
- Civil Penalties: In addition to criminal penalties, civil lawsuits may be filed under the False Claims Act, leading to substantial monetary penalties and damages.
- Professional Sanctions: Convictions or allegations of duplicate claims submissions can result in the suspension or revocation of medical licenses and exclusion from participating in federal healthcare programs such as Medicare and Medicaid.
- Reputational Damage: The mere accusation of fraud can tarnish a healthcare provider’s reputation, leading to a loss of trust from patients and peers, which can have long-term career impacts.
Defending Against Duplicate Claims Allegations in Florida
If you or your practice is facing allegations of duplicate claims submissions in Florida, it is crucial to seek the guidance of a knowledgeable and experienced healthcare criminal defense attorney. A well-versed attorney can provide the defense strategies that make the most sense in your particular case, such as:
Detailed Claim Review
An experienced attorney will conduct a thorough review of the claims in question to identify any errors or inconsistencies. This review helps distinguish between intentional fraud and legitimate resubmissions due to clerical errors or misunderstandings.
Compliance and Training Analysis
Many allegations of duplicate claims submissions arise from unintentional mistakes due to a lack of understanding of complex billing regulations. Demonstrating a history of compliance training and efforts to adhere to billing guidelines can be a crucial defense strategy.
Documentation and Evidence
Proper documentation is essential in defending against these allegations. Your attorney will gather all relevant medical records, billing documents, and correspondence with insurance providers to build a strong defense case.
Expert Testimony
In complex healthcare fraud cases, expert testimony can play a vital role. An expert in medical billing practices can explain the nuances of the claims process and help establish that any duplicate claims were not made with fraudulent intent.
Why Choose The Baez Law Firm
Our Florida healthcare criminal defense law firm has extensive experience defending people charged with criminal offenses in state and federal Florida courts, making us an excellent choice for healthcare providers facing allegations of duplicate claims submissions and other forms of healthcare fraud. We understand the complexities of medical billing and the severe consequences that come with fraud accusations. Our dedicated team of attorneys will work tirelessly to protect your rights, your reputation, and your career.
Contact Us Today
If you are facing allegations of duplicate claims submissions in Florida or need assistance with any healthcare fraud-related issue, contact our office today for a confidential consultation by calling 800-588-BAEZ or filling out our online form. We are committed to providing you with the aggressive and knowledgeable defense you need to successfully resolve the charges against you.