Healthcare Fraud Defense Lawyers in Los Angeles
Healthcare fraud can come in different forms, but any accusation can have long-term consequences. Anyone who is involved in the healthcare industry can be charged with fraud, including providers, suppliers, insurance brokers, and patients. Defending yourself against this offense is virtually impossible without an experienced Los Angeles defense attorney to fight for your rights within the legal system.
If you suspect you might be facing a charge soon, you need a knowledgeable Los Angeles federal crime attorney. Police officers, insurance companies, and hospitals are all looking out for their own interests rather than yours, which is why your own legal team is so important. Call Werksman Jackson & Quinn LLP at (213) 688-0460 to talk about your situation in a free consultation.
Just about anyone who is involved in the healthcare industry at some level can be charged with fraud. Some examples include:
- Medical providers: A medical provider can be charged with submitting bills for services that were not actually performed. Similarly, a provider can be accused of providing a service that was not necessary and billing for it. Providers can also be charged with healthcare fraud for claiming a more expensive service than was actually performed.
- Healthcare suppliers: A healthcare supplier can be charged with fraud for billing for more expensive equipment than was actually provided. If a patient returns equipment, but the supplier still bills an insurer or Medicare for it, that can also be grounds for a fraud charge.
- Insurance brokers: If an insurance broker enrolls a person in a plan, including Medicare, without that person’s consent, that can be grounds for a fraud charge. There are also clear rules in California that must be followed for offering Medicare and drug plans; violating those rules can be grounds for a healthcare fraud charge.
- Pharmacists: A pharmacist who dispenses expired drugs and charges an insurance company or Medicare can be charged with fraud. Similarly, a fraud charge can be brought against a pharmacist who is accused of billing for more pills than were actually distributed to a patient.
- Patients: Patients can be charged with healthcare fraud for letting someone else use their insurance or Medicare card for a procedure or medical supplies. If a patient sells his or her health insurance or Medicare information to someone else, or provides the information to another person in exchange for gifts, this can also be charged as healthcare fraud.
If you work in the healthcare industry and you believe the business you work for is engaged in or encouraging healthcare fraud, you have a legal responsibility to report it to the proper authorities. Doing so, however, can open you up to retaliation by your employer, and others within the company might frame you for fraud that occurred. It is vital that you protect yourself before making any such report to law enforcement. Whistleblowers are often intimidated and retaliated against, and a lawyer can help you get through the process and protect your rights. In some cases, you may be able to file a civil lawsuit against the company that has committed fraud.
If you have been charged with healthcare fraud in Los Angeles, you need immediate protection from the legal system. Call Werksman Jackson & Quinn LLP at (213) 688-0460 to discuss your situation.
Recent Case Results
- Complete Dismissal of Molestation Charges
Attorney Mark Werksman’s 29 year old client was falsely accused of molesting two neighborhood children and was subsequently charged with felony child molestation, with a significant prison sentence hanging over his head should he be convicted. Instead, at the preliminary hearing Werksman was able to convince the court to grant his client a complete dismissal of any charges.
- Decision Set Aside
Client, a college student in a faulty Title IX case, was awarded $130,000 in attorney fees.
- Probation with No Jail Time for Drug Money Laundering Charge
Wilmington man accused in New York federal court of laundering drug money through the sale of laptop computers. Mark was able to get the case transferred to federal court in Los Angeles, where he convinced the United States Attorney to reduce the charges. His client was sentenced to probation with no jail time on a misdemeanor conviction.