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Health Care Fraud

Health care fraud can be difficult to establish. While accounting or billing errors may be discovered, prosecutors must establish intent to commit fraud in order to prove a crime has been committed. At the law office of Rothman & Associates, our attorneys represent doctors, nurses, hospitals, and corporate health care organizations in health care fraud cases. Working with a team of investigators, accountants, and forensic specialists, we meticulously analyze the government's case against our client, identifying unsubstantiated conclusions, the mishandling of evidence, and questionable testimony on the part of Qui Tam whistleblowers. Even when financial inconsistencies are in evidence, proving they represent a pattern of intent to defraud the government is never simple.

If you have been charged with committing health care fraud, contact the criminal defense lawyers at Rothman & Associates today before you speak with government investigators or law enforcement officers. We will evaluate your case and determine the best legal options available to you.

Health Care Fraud and Criminal Charges

The law office of Rothman & Associates defends clients charged with committing the following kinds of health care fraud:

  • Medicaid fraud
  • Medicare fraud
  • Social Security fraud
  • Insurance fraud
  • Over billing
  • Improper billing
  • False medical claims
  • Improper coding practices
  • Claims adjudication fraud
  • Accepting kickbacks

Why It's Important Not to talk to Investigators

Federal investigators are unlikely to tell you everything they know when they talk with you. You may be the target of an investigation or only a suspect. If you say something that contradicts what someone else has told them - not only could you be charged with a crime - but what you say could be used against you later at trial. Even if you are innocent or have very little knowledge of accounting and billing inconsistencies, selective testimony and evidence may convince investigators and prosecutors of your guilt.

Qui Tam Whistleblowers - An Incentive to Convict

Under the Qui tam provision of the False Claims Act a private individual, or whistleblower, with knowledge of fraud committed against the U.S. federal government may bring a lawsuit on behalf of the United States. The whistleblower need not have been personally harmed by the conduct. They only need to allege that the defendant knowingly submitted false or fraudulent claims to the United States.

Under the Qui tam provision of the False Claims Act, whistleblowers receive a percentage of any losses recovered by the federal government in fraud cases. As a result, qui tam whistleblowers have a financial incentive to help the government's case as much as possible. At Rothman & Associates, we question the validity of their allegations by identifying questionable motives, testimony, and evidence provided by Qui tam whistleblowers.

We're Here to Protect and Fight for Your Rights

As criminal defense attorneys, we realize how easy it is for a prosecutor to indict someone before a grand jury. Hiring a qualified defense attorney and getting active, pre-emptive legal representation before things get out of hand is essential in health care fraud cases. Our attorneys offer solid advice and strong grand jury representation to health care providers. We take steps throughout the entire process to force prosecutors to earn the introduction of evidence, testimony, and charges against our client.

To schedule a confidential consultation to discuss the specifics of your case and how we can help you, contact the health care fraud attorneys at the law office of Rothman & Associates today.

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David Rothman is AV rated under the Martindale-Hubbell Peer Review Rating process.* Associate Jeanne Melendez has likewise devoted her career to criminal law.

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Rothman & Associates, P.A.
Office Location

Rothman & Associates, P.A.
Southeast Financial Center
Suite 2770
200 S. Biscayne Blvd.
Miami, Florida 33131

305-358-9000
Fax: 305-374-5747
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*AV, BV, and CV are registered certification marks of Reed Elsevier Properties Inc., used in accordance with the Martindale-Hubbell certification procedures, standards, and policies.

Martindale-Hubbell is the facilitator of a peer review rating process. Ratings reflect the confidential opinions of members of the bar and the judiciary. Martindale-Hubbell ratings fall into two categories - legal ability and general ethical standards.

Exclusively Criminal Defense for Over 25 Years

Rothman & Associates, located in Miami, Florida, represents clients throughout the Middle and Southern federal districts of Florida, including the communities of Miami, Ft. Lauderdale, Miami Beach, West Palm Beach, and Hollywood, as well as in Broward County, Miami-Dade County, Palm Beach County, FL and throughout the United States.

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