Medicare Fraud Lawyer
Medicare Fraud Lawyer – Protect Your Career, Reputation, and Freedom
Facing allegations of Medicare fraud is one of the most stressful situations a healthcare provider can encounter. Whether you’re a physician, pharmacist, nurse, or medical business owner, an investigation or criminal charge can jeopardize everything you’ve worked for — your career, your practice, and even your personal freedom.
If you did NOT intend to defraud the government, we can help.
Federal prosecutors aggressively pursue healthcare providers suspected of Medicare fraud, often pushing for severe penalties that include heavy fines, exclusion from government healthcare programs, and even prison time. In these high-stakes cases, your top priority is to secure experienced legal representation that can protect your future.
Defending Your Case Can Be Simpler Than Many May Think
Did You Knowingly Intend to Defraud the Government?
The government will normally Use the Supreme Court Case of Universal Health Servs.. lnc. v. United States ex rel. Escobar,579 U.S. 176, 180 (2016) to support its allegations of you violating the False Claims Act. Litigation against the federal government in both criminal and civil False Claims Act cases can be very expensive and difficult. The government uses Universal Health Servs.. lnc. v. United States ex rel. Escobar to leverage its allegations that under 3 l U.S.C. § 3729, it has met the FCA’s scienter (knowledge) requirement to argue that by merely submitting or signing a document you automatically show a “reckless disregard of the truth or falsity of the information.
At Watson & Associates, LLC our Federal False Claims Act defense attorneys understand that the prosecution MUST prove that you knowingly intended to commit fraud, and that the scienter element of the False Claims Act is one of the most difficult for the government’s prosecutor to prove. We aggressively represent you and focus on deconstructing the government’s case against you. Call our office immediately to secure aggressive legal representation and defense.
Call 1.866.601.6618 and Speak to Mr. Watson
The One Thing You Want Right Now: Legal Protection
When healthcare providers seek a Medicare fraud lawyer, they’re not just looking for legal advice — they want protection. Protection from losing their medical license, protection from financial ruin, and protection from losing their freedom.
A skilled Medicare fraud attorney understands how these investigations unfold and knows how to build a strategic defense that challenges the government’s case. The right legal team will take immediate steps to identify weaknesses in the prosecution’s claims, expose errors in their investigation, and present evidence that tells your side of the story.
By taking action early, you gain a better chance of preventing charges, reducing penalties, or even having the case dismissed. The longer you wait, the more control prosecutors have over the outcome — and the harder it becomes to defend yourself.
Are You Facing HealthCare Fraud Charges? Learn How to Protect Yourself Here
Why Medicare Fraud Investigations Are So Dangerous
Medicare billing regulations are highly complex, and even small errors can trigger accusations of fraud. What may seem like a harmless documentation mistake or unintentional coding error can quickly escalate into serious allegations.
Federal agencies such as the Department of Justice (DOJ), Office of Inspector General (OIG), and the Centers for Medicare & Medicaid Services (CMS) are relentless in pursuing healthcare fraud cases. Investigators often build their case quietly, gathering evidence for months before notifying you. By the time you become aware of the investigation, the government may already believe they have enough proof to support criminal charges.
Healthcare providers often make costly mistakes when they try to handle the situation themselves. Common missteps include:
- Speaking to investigators without legal counsel, mistakenly believing they can “clear things up.”
- Providing records without understanding their rights, inadvertently strengthens the government’s case.
- Assuming that compliance efforts will automatically protect them, even when errors are misinterpreted as intentional fraud.
Once you’re targeted in a Medicare fraud investigation, every decision you make matters. Without an experienced Medicare fraud defense attorney, you risk giving prosecutors the evidence they need to build a stronger case against you.
How an Experienced Medicare Fraud Lawyer Can Help
Defending against Medicare fraud requires more than just legal knowledge — it demands a strategic, proactive approach that challenges the prosecution’s narrative. A strong defense often involves building a team of experts who can dissect the government’s claims and provide alternative explanations for billing discrepancies.
Key elements of an effective Medicare fraud defense include:
- Challenging Billing Data Analysis: Federal investigators often rely on data analysts to identify suspicious billing patterns. However, these interpretations are frequently flawed or based on incomplete information. An experienced defense team will consult independent billing experts who can uncover errors in the government’s analysis.
- Demonstrating Lack of Intent: In many Medicare fraud cases, providers are accused of knowingly submitting false claims. Proving that mistakes were unintentional — and that no deliberate fraud occurred — is often key to reducing or dismissing charges.
- Exposing Investigation Errors: Federal agents must follow strict procedures when gathering evidence. Any violations of your rights or mishandling of evidence can weaken the government’s case.
- Presenting Compliance Efforts: Demonstrating that your practice actively followed Medicare billing rules — even if mistakes occurred — can significantly reduce your risk of harsh penalties.
Understanding the Federal Criminal Process and What’s at Stake
If your case escalates to federal criminal charges, the consequences become even more severe. Federal prosecutors are focused on securing convictions — and they often pursue maximum penalties to set an example for others in the healthcare industry.
A conviction for Medicare fraud can result in:
- Prison time — Even first-time offenders can face significant jail sentences.
- Massive fines — Providers may be forced to pay back claimed overpayments, plus additional financial penalties.
- Loss of your medical license — Even a fraud allegation can trigger disciplinary action from your state’s medical board.
- Exclusion from Medicare and Medicaid programs — Losing access to these programs can cripple your practice financially.
Most importantly, your personal freedom is at risk. Without the resources to fight back and avoid fines or jailt time, you could face life-altering consequences that impact your career, family, and future.
What is the Government’s Burden of Proof in a Criminal HealthCare Fraud Case?
False Claims Act Healthcare fraud under 18 USC 1347 typically involves a scheme to defraud the federal healthcare program. The government’s case may tend to argue false or fraudulent representations in exchange for money – health insurance fraud through payment of invoices or something of value.
The prosecutor has to prove every element of the case”beyond a reasonable doubt.” This is a very high legal standard. The key to defending a False Claims Act healthcare fraud case is to show a lack of intent. This is usually the government’s biggest hurdle in a criminal case and something that the federal Anti-Kickback statute and medical billing fraud law firm, and a criminal healthcare fraud enforcement action defense lawyer at our firm can help.
- bribery,
- kickbacks,
- gratuities, and
- conflicts of interest
- Ghost Patients
- Inflating Cost Reports
- Billing for Services Not Rendered
18 USC 1347. makes it a federal crime to defraud any health care benefit program or obtain, by fraudulent means, any money or benefit from a health care program.
If you are thinking about hiring a health care fraud lawyer, Watson & Associates, LLC only Takes On Cases That Our False Claims Act Healthcare Fraud Lawyers Believe that They Can Help.
Is It Worth Opening Yourself to Jail Time or Paying $1.9 Million to Settle Allegations of Medical Billing Fraud? Our federal healthcare fraud defense lawyers can Help. See this Case.
Practice Lead
Speak to Theodore Watson.TOP Lead Attorney- Also Admitted to the Supreme Court of the United States: Free Attorney Consultation: Top healthcare Medicare fraud defense lawyer for small businesses and large corporations nationwide. Call our qui tam defense lawyers and federal healthcare fraud attorneys today for a Free Initial Consultation at 1.866.601.5518.
Nationwide Healthcare Fraud Defense Lawyers, Healthcare Enforcement Action Defense Attorneys, Medicare Fraud Criminal Defense Lawyers
Hiring a medicare healthcare fraud attorney? Our federal False Claims Act HealthCare Fraud lawyers, medical fraud, and healthcare overpayment criminal defense attorneys can provide legal defense in most states including Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Kansas, Louisiana, Maine, Maryland federal medicare fraud defense lawyers, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire healthcare enforcement action defense attorney, New Mexico, New York, North Carolina, medical fraud lawyers in Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, U.S. Virgin Islands, Utah, Vermont, Virginia, Washington, Washington, DC, West Virginia, Wisconsin, and Wyoming.
Taking Action Now Can Save Your Future
The key to protecting yourself is to act quickly. The earlier you involve a knowledgeable Medicare fraud attorney, the better your chances of avoiding severe penalties. A skilled lawyer can step in immediately to challenge weak evidence, correct misinterpretations, and ensure that your side of the story is heard.
By building a solid defense team that includes experienced attorneys and industry experts, you can strengthen your position and improve your chances of achieving a favorable outcome. When your career, reputation, and freedom are on the line, having the right legal team could make all the difference.
Get the Legal Help You Need Today
If you are facing a Medicare fraud investigation or have been charged with Medicare fraud, your future is at serious risk. Federal prosecutors are determined to convict — and without an experienced defense team, you could lose the career and life you’ve worked so hard to build.
Don’t wait until it’s too late. Contact Watson & Associates, LLC today or call at 1.866.601.5518 and ask to speak directly with our Practice Group Lead, Theodore Watson, who is licensed to practice before the Supreme Court of the United States. With our experience and strategic defense strategies, we are prepared to fight for your future.
Your freedom, reputation, and career are too important to risk. Call now at 1.866.601.5518 — we’re ready to represent you.