Florida False and Fraudulent Claims Lawyer

Healthcare providers in Florida operate under strict regulations designed to prevent fraud and ensure the integrity of healthcare services. However, the complexity of these regulations can sometimes lead to misunderstandings or mistakes that result in allegations of false or fraudulent claims. These accusations can have severe consequences, including hefty fines, loss of professional licenses, and even imprisonment. Contact our Florida false and fraudulent claims lawyers to prepare a strategic and effective defense against such charges.

The Baez Law Firm will help you understand your rights and what you can expect when you are involved in a prosecution for false and fraudulent claims. We advise you on the proper steps to take as we advocate for you in dealing with government agencies, state or federal prosecutors, and in court before a judge or jury. You can count on our team’s exceptional levels of skill and experience in and out of the courtroom to work toward a positive outcome in your case.

What Constitutes a False or Fraudulent Claim?

A false or fraudulent claim in the healthcare context typically involves knowingly submitting incorrect or misleading information to obtain payment from government healthcare programs like Medicare or Medicaid. Common examples include:

• Upcoding: Billing for more expensive services than those actually provided.
• Unbundling: Separating services that should be billed together to increase reimbursement.
• Billing for Services Not Rendered: Submitting a claim for services, medications, or equipment that were never provided to the patient.
• Providing Unnecessary Medical Services: Making a false diagnosis or prescribing medically unnecessary drugs or treatment to generate claims for reimbursement from Medicare or Medicaid
• False Certification: Providing false information regarding the necessity or nature of services rendered.

Legal Consequences of Fraudulent Claims

The consequences of being found guilty of submitting false or fraudulent claims are severe. Under the False Claims Act (FCA), penalties can include fines ranging from $11,665 to $23,331 per false claim. Additionally, the government or a whistleblower acting on the government’s behalf can seek up to three times the amount of damages incurred due to the false claim. Of course, depending on the severity and nature of the fraud, individuals and entities can face criminal prosecution, which may result in imprisonment.

Defending Against False Claims Allegations in Florida

If you are a healthcare provider facing allegations of submitting false or fraudulent claims in Florida, it is crucial to act quickly and seek experienced legal representation. A skilled Florida healthcare criminal defense lawyer can help you navigate the complexities of these cases and build a robust defense strategy. Key defense strategies in this area often include the following:

• Lack of Intent: Demonstrating that there was no intentional wrongdoing or knowledge of submitting false claims.
• Documentation and Record-Keeping: Providing comprehensive and accurate documentation to support the validity of the claims submitted.
• Challenging the Evidence: Scrutinizing the evidence presented by the prosecution for inaccuracies or procedural errors.
• Negotiation and Settlement: In some cases, negotiating a settlement or reduced charges may be the best course of action to mitigate potential penalties.

How The Baez Law Firm Can Help

Navigating a false claims allegation without professional legal guidance can be overwhelming and detrimental to your case. At The Baez Law Firm, our experienced Florida healthcare criminal defense lawyers understand the nuances of healthcare law and both the state and federal criminal legal systems and can provide the necessary support to protect your rights and career. Our team is by your side from the initial investigation and throughout any court proceedings. We will review all aspects of the allegations against you, including evidence and potential weaknesses in the prosecution’s case. From there, we will tailor a defense strategy specific to your situation, leveraging our knowledge of healthcare laws, regulations and legal precedents.

When appropriate, we engage with prosecutors to seek favorable outcomes, such as reduced charges or alternative resolutions. If going to trial is in your best interest, The Baez Law Firm shines as your advocate in court, presenting a compelling case to defend against the allegations.

Contact Us for Quality Defense Against False Claim Charges in Florida

If you are facing allegations of submitting false or fraudulent healthcare claims in Florida, contact our experienced legal team for a free consultation. We are dedicated to providing comprehensive legal representation to protect your rights, reputation, and livelihood. Our expertise in healthcare criminal defense ensures that you receive the best possible defense against these serious charges.

To schedule your consultation, call us at 800-588-BAEZ or fill out our online contact form. Let us provide the expert defense you need to navigate this challenging time.