Healthcare fraud can take many forms and can be perpetrated by practitioners as well as by patients. Common forms of healthcare fraud include inflated billing to private insurance companies, Medicare, and Medicaid, for supplies or services which were unnecessary or never provided, improperly distributing prescription drugs, and using another person’s insurance information. Performing unlicensed medical procedures or providing fraudulent health insurance plans may also constitute healthcare fraud.

Healthcare fraud is investigated by several government agencies, including the Health Care Fraud Prevention and Enforcement Team, which is a joint effort between the Department of Health and Human Services and the Department of Justice, as well as the Public-Private Partnership to Prevent Healthcare Fraud and specially trained teams of volunteers.

A number of federal healthcare statutes, including the Affordable Care Act, the False Claims Act, the Social Security Act, the Federal Healthcare Anti-Kickback Act, and the Health Insurance Portability and Accountability Act, provide significant civil and criminal penalties for healthcare fraud. The Affordable Care Act, signed into law by President Obama in 2010, steeply increased the federal penalties for criminal healthcare fraud. Healthcare fraud may also be charged as a more general federal criminal offense, such as obstruction of a federal audit, mail fraud, wire fraud, conspiracy, and false statements.

Given the high stakes involved, it is imperative that individuals facing criminal healthcare fraud charges choose an attorney with the knowledge and experience necessary to defend such a case.

I have extensive experience not only as a Federal Criminal Defense Attorney in New Jersey and New York but I also have extensive experience in personal injury law, having obtained major settlements for clients. My experience in personal injury cases gives me great knowledge of how health care facilities operate, advertise and bill for services. This gives me great advantage when defending a Federal Health Care Fraud case. I know the language of health care, better for you when preparing for a defense.

If you have questions or concerns about a criminal healthcare fraud matter in New Jersey or New York I invite you to contact me directly to discuss it at 201-935-3005 You will discuss your concerns with me personally—never an associate or a paralegal. In addition, you should know that your contact with me, and with my firm, is privileged under the law, regardless of whether or not you decide to retain my firm to represent you.