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Phoenix, AZ Healthcare Fraud Attorneys

Last Modified: February 21, 2017 at 10:37 pm

Healthcare fraud has become a new target of federal prosecutors with the passing of the health care bill last year and the heightened media attention the healthcare industry has received.  At Dwane Cates Law Group, PLLC, our Phoenix healthcare fraud attorneys are handling more and more of these cases each and every year.  It is a serious offense to be charged with and many times it is due to a simple misunderstanding or a technical billing error.  However small the error may seem to you, it more than likely attracted the attention of federal investigators who honed in on your practice.  Being charged with healthcare fraud is a nerve-wracking experience due to the dire consequences that not only mean the possibility of losing your medical license, but also up to ten years in federal prison.

Types of Healthcare Fraud

Healthcare fraud by doctors and health care professions can occur in a number of ways, often unintentionally due to new terminology and coding systems which are often confusing.  Healthcare fraud typically occurs when doctors or other health professionals lie to insurance companies about specific medical procedures in order to receive more money from the company.  Healthcare fraud is now a federal criminal offense due to the Health Insurance Portability and Accountability Act of 1996, punishable by up to 10 years.

Healthcare fraud includes:

  • Medicare fraud (such as billing for services not rendered or products not delivered)
  • False claims and reports
  • Misdiagnosis to justify a treatment
  • Cost report fraud
  • Kickback violations (for patient referrals)
  • Duplicate billing
  • Waiving of deductibles and/or co-payments.
  • Over-utilization of services.

There have been many instances of healthcare fraud in the news recently, including a case in Texas in which a doctor caused more than $19.4 million in medical claims to the Medicare and Texas Medicaid Programs.

Healthcare Fraud Defense

Healthcare fraud often occurs after a mistake is made in billing or through sloppy records.  While these mistakes should not happen in the healthcare industry, they should not be grounds for you to lose your medical license or go to jail.  The fact that the federal government has become more aware of fraud among governmental programs has spurred prosecutors to investigate more claims.  Do not let one mistake in the office cost you years of penalties.

Dwane Cates | Phoenix, Arizona Healthcare Fraud Attorney

Dwane Cates is an experienced Phoenix healthcare fraud attorney who is well-recognized within the legal community for his thoughtful insight into current legal issues.  He has defended numerous clients accused of white collar crimes such as healthcare fraud and bank fraud.  He understands that a conviction means more than jail time, but can drastically impact any future you may have.  A conviction will sever forever the opportunity to practice medicine or work in the healthcare industry and can also lead to the inability to secure any type of work.

Do not trust your future to an inexperienced attorney.  Contact our law offices today to set up your initial free consultation with Dwane Cates where he will walk through your case and determine the best route to take.