Texas Healthcare Fraud Lawyers – Defense
Facing allegations of healthcare fraud in Texas can be daunting. Our team of experienced Texas healthcare fraud lawyers is here to guide you through every step.
Looking to Increase Your Chances of Getting Your Federal False Claims Act and HealthCare Fraud Investigation Cases Closed or Dismissed?
Watson & Associates, LLC Offers Nationwide Top Medical Billing Fraud Attorneys and Federal Texas Health Care Fraud Lawyer & 18 USC 1347 Defense.
If you did NOT intend to defraud the government, we can help.
Federal Healthcare Fraud Allegations in Texas: What You Need to Know
If you’re involved in healthcare—whether as a provider, administrator, or business owner—you know how heavily regulated the system is. Even when you’re doing your best to follow the rules, federal investigations can still happen. And when they do, they escalate fast.
Being contacted by federal agents or receiving a subpoena related to Medicare, Medicaid, Tricare, or Department of Labor (DOL) billing isn’t something to take lightly. These cases can lead to serious consequences—financial penalties, damaged reputations, even criminal charges. That’s why understanding what you’re up against is one of the most important steps you can take right now.
Federal healthcare fraud allegations can come in many forms. Sometimes it’s accusations of overbilling or double billing. Other times, it’s related to billing for services not rendered, or alleged violations involving referrals or “kickbacks.” You might not have all the details yet—but investigators already have a head start.
At Watson & Associates, LLC, our Texas healthcare fraud lawyers work with clients across the healthcare spectrum to help them understand what’s happening and what to expect. Before you make any decisions or respond to investigators, it’s critical to get a clear picture of what the government believes occurred.
Eastern Texas Healthcare Fraud Lawyers – Aggressive False Claims Act Legal Representation for Providers, Businesses, and Administrators Throughout Texas.
Defending Your Case Can Be Simpler Than Many May Think
Did You Knowingly Intend to Defraud the Government Under 18 USC 1347?
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.
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Types of Federal 18 USC 1347 Cases Our Texas Healthcare Fraud Layers Handle
Government Investigations | False Claims Act Healthcare Fraud Defense Strategies | Subpoenas & Civil Investigative Demands (CIDs) | FBI, HHS, Office of the Inspector General (OIG) and DOJ Investigations | Indictments | Medical Frauds and Fraudulent Medical Billing Fraud Attorneys | Healthcare Enforcement Action Attorneys | Federal Criminal Defense & Trials | Corporate Compliance | Internal Investigations | Health Care Fraud Criminal Investigations Defense
We Build a Legal Defense Team That Treats Every Case as Though it Were Going Before a Jury. We Know How the Feds Come After You. We Fight Back. When You delay getting your legal defense in place, you give the federal attorneys a leg up. Chances are that they have been investigating your case for months or even years. Their job is to prosecute you and send you to jail. Our Federal False Claims Act and Texas federal healthcare fraud lawyers are here to aggressively defend your case. Protect Your Freedom and Legal Rights. We’re Here to Help.
Are You Facing HealthCare Fraud Charges? Learn How to Protect Yourself Here
Facing a False Claims Act Investigation in Texas or Facing Criminal Charges? Here’s What You Need to Know
After getting legal counsel on your team, your stress level will become less, knowing that you have an aggressive team on your side: When you are accused of defrauding the federal government through false claims, it’s essential to act quickly and strategically. One of your top concerns is likely to be how this will impact your reputation and financial stability. Our federal Texas False Claims Act Lawyer specializes in helping clients navigate the complex legal landscape of federal investigations under 18 USC 1347, working to protect their livelihoods and secure favorable outcomes.
See our healthcare fraud alert.
Uncertainty
When you stall and wait, government attorneys have already been on your case for years or months. Your life can become a nightmare without getting the legal help you need. One of the most significant pain points for those facing a False Claims Act investigation is the overwhelming uncertainty. You might wonder, “Will I lose my business? Will I face jail time?“ These are critical concerns, but rest assured that not every investigation leads to criminal charges or extreme penalties. Our team of 18 USC 1347 Qui Tam Defense Attorneys is adept at building robust defenses, from questioning the intent behind the alleged false claims to challenging the government’s evidence. We provide comprehensive representation for all types of Federal Fraud cases, including Medicare and Medicaid fraud, procurement fraud, and allegations related to the Trade Agreements Act or Buy American Act.
What is Health Care Fraud?
False Claims Act Healthcare fraud under 18 USC 1347 typically involves a scheme to defraud the federal healthcare program. The federal 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. To convict a person or business of healthcare fraud, the federal prosecutor must prove that a fraudulent claim was knowingly and intentionally submitted.
Were you raided with a search warrant – was it valid? Find out more.
When it comes to fraud waste and abuse in healthcare, the key to defending a health care fraud case is to show a lack of intent. This is usually the government’s biggest hurdle in a criminal case and something that our firm’s federal Anti-Kickback statute law firm, Texas healthcare fraud lawyers and False Claims Act healthcare enforcement action defense attorney and Texas cares act fraud lawyer can help.
- bribery,
- kickbacks,
- Upcoding
- Falsifying invoices
- Billing for services not provided
- Receiving kickbacks
- gratuities, and
- conflicts of interest
- Performing unnecessary procedures and surgeries
Common Healthcare Fraud Charges Under Federal Law
Several federal statutes govern healthcare fraud and are frequently used in criminal and civil cases including:
The False Claims Act (31 USC 3729–3733): This law allows the federal government to pursue you or your company if you knowingly submit false or fraudulent claims to government healthcare programs.
Civil and Criminal False Claims Act Penalties can include treble damages and civil fines exceeding $25,000 per claim.*
Anti-Kickback Statute (42 USC 320a-7b). This federal criminal statute prohibits offering, paying, soliciting, or receiving anything of value to induce or reward referrals or generate federal healthcare program business. Criminal convictions can result in felony charges, exclusion from federal programs, and up to 10 years in prison.
Stark Law (42 U.S.C. § 1395nn). This is a strict liability statute that prohibits physicians from referring patients for certain designated services payable by Medicare or Medicaid if the physician has a financial relationship with the entity. Penalties include fines and exclusion.
Healthcare Fraud (18 USC 1347) A criminal statute that makes it illegal to knowingly execute a scheme to defraud any healthcare benefit program. It carries up to 10 years in prison, or 20 years if it results in serious bodily injury.
Conspiracy (18 USC 371). Frequently added to fraud indictments, conspiracy charges involve two or more persons working together to commit healthcare fraud.
Wire Fraud (18 USC1343). Use of email, telephone, or internet to commit fraud can trigger additional felony charges.A single healthcare fraud investigation can implicate multiple statutes, significantly raising the stakes for a defendant.
18 USC 1347 Texas False Claims Act Health Care Fraud Attorneys – Aggressively Defend Your Case
We look at the facts and do not pass judgment. We want to see if the facts of your case can get a result based on the facts and or law: Healthcare fraud accusations can jeopardize your career, business, freedom, and livelihood. At Watson & Associates, LLC, our 18 USC 1347 Federal medical fraud lawyers and Texas health care fraud attorneys understand the complexities of defending against such allegations. With an aggressive approach to False Claims Act healthcare fraud cases in Texas , we are dedicated to protecting our clients in Texas and across the nation.
Texas Medical Fraud Lawyers
What Must Prosecutors Prove in a Criminal Case?
Federal False Claims Act healthcare fraud cases require the prosecution to meet a high burden of proof, demonstrating that you are guilty beyond a reasonable doubt and establishing criminal intent. Watson’s medical fraud defense attorney’s legal defense strategies often challenge the government’s narrative, especially when billing inaccuracies are used as evidence of fraudulent intent.
What are Common Causes of Billing Errors?
Most healthcare billing errors stem from organizational or human mistakes, not criminal intent. Common factors include:
- Unqualified or inadequately trained staff
- Errors from delegating responsibilities
- Issues arising from outsourcing administrative tasks
- Lack of proper oversight or supervision
- Rapid changes in healthcare billing laws and regulations
While these issues may necessitate operational changes, they do not equate to criminal misconduct. At Watson & Associates, LLC our goal as federal medical fraud lawyers and healthcare fraud legal counsel for 18 USC 1347 criminal cases, is to show at trial that these errors are administrative in nature, securing favorable outcomes for clients throughout Texas.
Take control of your legal defense today. Contact our medical fraud defense attorneys to discuss your case and begin building a strategy tailored to your needs. Call 1.866.601.5518. Speak directly to Texas healthcare fraud attorney Theodore Watson.
Under the Inspector General Act of 1978, the U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG) is responsible for conducting criminal investigations into fraud, waste, and abuse involving HHS programs, including HHS contracts.
18 USC 1347 Texas Healthcare Fraud Lawyers
Most 18 USC 1347 Texas healthcare fraud cases allege that a medical provider or a healthcare business (lab, pharmacy, hospital, home health agency) has submitted fraudulent billing claims to Medicare, Medicaid, Tricare, or a commercial insurance company.
Please note that true billing mistakes lack the intent that the government seeks to prove. Watson & Associates, LLC Texas healthcare fraud lawyers know that federal prosecutors make mistakes. As a result, our legal team puts forth a rigorous legal defense in both civil and criminal cases. Please call us at 1.866.601.5518.
Texas Pharmaceutical Fraud Lawyers
At Watson & Associates, LLC, our Texas pharmaceutical fraud lawyers provide aggressive legal defense for companies, healthcare providers, and executives facing federal investigations and criminal charges. Whether you’re being targeted for off-label marketing, kickback schemes, fraudulent billing, or violations of the False Claims Act, our team understands how to navigate the complex web of pharmaceutical regulations and government enforcement actions.
With decades of combined experience in healthcare fraud defense, we represent clients during DOJ and OIG investigations, audits, and federal court proceedings. If you’re under scrutiny or have been charged with pharmaceutical fraud, contact our law firm today to protect your rights and business.
Medicare Fraud Lawyers & Medical Billing Fraud Law Firm – Who Can Face Medicare Fraud Charges in Texas?
Both beneficiaries and Medicare providers can face charges of insurance fraud. Whether you are a medical care provider such as a physician, nurse, or medical billing employee; or you are a patient charged with fraud, you should retain a Texas healthcare insurance fraud and medicare fraud lawyer immediately.
Some of the common reasons a provider can federal medical billing fraud charges:
- Overbilling of Services – Medicare providers who have not performed services and have billed for them could face criminal charges of fraud. These charges are very serious as they could ultimately result in the provider being banned from receiving any type of payment from these programs. False diagnosis is also another common way providers have defrauded Medicaid and Medicare.
- Violation of Stark and Anti-Kickback Laws – medicare providers are prohibited from referring patients to other providers in return for any type of financial gain. This includes referrals for any type of services including laboratory work, physical therapy, second opinions, etc. All types of providers and medical billing companies are bound by these rules. At Watson & Associates, LLC our federal medicare fraud lawyer and Texas healthcare fraud lawyers are here to help you to defend your case.
- Up Billing Patients – when a hospital, physician’s office or a billing company improperly codes procedures or they bill services individually when they are offered as a “bundle”. All submissions for reimbursement must be properly coded and if a pattern of abuse is discovered the medicare provider could face federal criminal fraud charges.
Texas FBI Healthcare Fraud Defense Attorneys
If you are facing an FBI investigation, indicted or facing federal charges for healthcare fraud, you should seek legal counsel from an experienced FBI healthcare fraud lawyer. If your company or home was raided by the FBI and search warrants were involved our criminal defense attorney can help.
Eastern Texas Healthcare fraud defense lawyers – What is Medical Billing Fraud?
Medical fraud, also known as healthcare fraud, is when a healthcare provider or patient intentionally deceives the healthcare system to receive illegal benefits or payments, such as by billing for medical services that have not been provided, falsifying diagnoses, or submitting bills with inflated charges for procedures.
This is considered fraudulent medical billing fraud that is essentially stealing money from insurance companies or government programs like Medicare and Medicaid. If you are investigated for medical fraud, call our 18 USC 1347 Texas medical billing Eastern Texas healthcare fraud defense lawyers at 1.866.601.5518.
What Are the Penalties of Federal Healthcare Fraud in Texas?
Federal Healthcare fraud allegations, if proven by the prosecution, can lead to liability and penalties in civil or criminal charges and penalties. Civil penalties in a Texas healthcare fraud case may include civil repayment and non-payment of future claims.
Consequences to False Claims Act healthcare fraud in Texas can include criminal prosecution, federal jail time, and fines that cost you hundreds of thousands of dollars. Criminal penalties for healthcare fraud in a federal case can lead to:
- Up to 10 years for each count of healthcare fraud
- Up to 20 years for each count of fraud that resulted in serious bodily injury
- Life sentence if the healthcare fraud resulted in death
If you’re being investigated for healthcare fraud in Texas, call Watson & Associates law firm today to speak to experienced Texas healthcare fraud lawyers from our law firm to find out your options and how we can help you defend your charges. to learn about your options.
Tip: The knowledge that the fraudulent conduct is illegal, much less knowledge of the specific provision of federal law that prohibits health care fraud, is not required for a conviction under these sections.
If the defendant knows that the statements or representations they made to obtain money or services through a federal healthcare benefit program are fraudulent, that is enough to convict regardless of whether the defendant understood that their conduct was illegal.
How Do You Defend Against a Federal HealthCare Fraud Case in Texas?
How to fight federal health care fraud allegations in Western and Eastern Texas. – this is what we do: How can we defend against false claims? To successfully prevail or win a medical fraud case, you first have to consider the best legal defenses. There are several potential legal defenses to federal healthcare fraud charges, including :
- Lack of Intent or Mistake
- Insufficient Evidence
- Compliance Program
- Consent
To avoid the harsh consequences to healthcare fraud, get defense attorneys who will work directly with the government attorneys to get the most viable resolution. An honest mistake does not mean you intend to defraud the government.
Get a thorough investigation of the facts and promptly develop a legal defense against healthcare fraud. Whether you’re being investigated or have already been indicted, the pressure is intense. This is where Watson & Associates Texas health care fraud attorneys and 18 USC 1347 False Claims Act attorneys and criminal defense lawyers and healthcare fraud claim defense attorneys come in.
Don’t wait until it’s too late. With your career, reputation, and future on the line, having a skilled legal team at your side is critical. Reach out to us today, and let us help you build the most vigorous defense possible.
Who Are Our Clients
The Watson & Associates, LLC Law Firm Provides Nationwide Criminal Defense Attorneys and Texas healthcare fraud lawyers for Health Care Providers, Hospitals, Pharmaceutical Companies, Licensed Pharmacists and Pharmacies, Manufacturers, and More.
IMMEDIATELY REDUCE THE CHANCE OF JAIL TIME OR HUGE FINES - DOWNLOAD FREE HEALTH CARE FRAUD DEFENSE CHECKLISTServices Offered by Our Texas Healthcare Medical Fraud Lawyers
Our Texas Health care Fraud attorneys, medical fraud lawyers and criminal defense attorneys represent clients in a variety of Fraud Cases. Suspected health insurance fraud and abuse in healthcare include, but are not limited to:
- Medical Billing for unnecessary medical services
- Billing for services not provided
- False Claims Act healthcare billing more than one contract for the same work under 18 USC 1347
- Upcoding claims – submitting claims that are higher than the level of service provided for higher reimbursement
- Unlicensed medical services and medical insurance fraud
- Medical fraud and false certifications under 18 USC 1347
- Medical billing fraud defense or expenses not incurred as part of the contract
- Falsifying data
- Bribery, kickbacks, gratuities, and conflicts of interest
- Duplicate claims of fraud in the healthcare industry
- Misrepresenting diagnosis or procedure to capitalize on maximum profits
Avoid Common Mistakes During HealthCare Fraud Investigations & Common Mistakes to Avoid
False Claims Act Healthcare fraud investigations get started in some very disturbing but legal ways. For example, expect that in large medical fraud cases, the government will storm in and seize your computers, laptops, desktops, and mobile devices (all hopefully through a valid search warrant). Cases involving health care fraud have significant paper trails. The government then copies all of the information and then goes through your files to look for information to prove their case.
Tip: Never think that if you speak the truth, everything will be fine (this does not mean to tell lies). Health care frauds agents are not your friends and want to get you to confess to something you may or may not have done. Healthcare investigators may try to twist your words because oftentimes, the interviews are not recorded. Maintaining your silence is the preferred response.
Tip: Similarly, another mistake you want to avoid is convincing yourself that because you have nothing to hide, you should disclose information. This can become the kiss of death. The best thing people can do is to be quiet and call a medical billing fraud attorney.
San Antonio & Dallas HealthCare Fraud Defense Attorneys
Under Investigation Or Just Indicted? Call Our Office Today.
FBI and HHS and DOJ federal investigators have increased healthcare fraud investigations and indictments of companies in San Antonia and Dallas, Texas. When you are facing charges for mistakes in billing, or simply do not have a clear understanding of the law, our law office can help you with federal healthcare fraud legal defense.
At the law office of Watson & Associates, LLC we work with Texas and Dallas health care fraud attorneys medical billing experts, and medical professionals on our team to aggressively defend clients charged with fraud. We can represent doctors, manufacturers, pharmacies, and more. Please call us today at 1.866.601.5518.
Statewide Federal Texas Healthcare Fraud Attorneys & Medical Fraud Lawyers
Watson’s Texas Healthcare Fraud lawyers and False Claims Act criminal defense attorneys Serve Houston, San Antonio healthcare fraud defense attorney, Dallas healthcare fraud defense attorney, Austin healthcare fraud defense lawyer, fort worth healthcare fraud attorney, El Paso, Arlington/grand prairie healthcare fraud attorney, Corpus Christi, Plano healthcare fraud lawyer, Laredo, Lubbock, Garland, Irving, Amarillo, Grand Prairie, Brownsville healthcare fraud attorney, McKinney, Frisco, Pasadena, Mesquite, Killeen healthcare fraud investigation lawyers, McAllen, Carrollton, Midland, Waco, Denton, Abilene, Odessa medical billing fraud law firm, Beaumont False CLaims Act healthcare medical fraud lawyers, Round Rock, Eastern Texas healthcare fraud attorneys,The Woodlands medical fraud defense attorney, Richardson, Pearland healthcare overpayment defense lawyer, College Station, Wichita Falls, Lewisville, Tyler, San Angelo, League City, Allen, Sugar Land, Edinburg, Mission, Longview, Bryan, Pharr, Baytown, Missouri City medical fraud lawyers , Temple, Flower Mound, New Braunfels, North Richland Hills, federal healthcare fraud defense attorneys, Conroe, Victoria, Cedar Park, Harlingen, Atascocita, Mansfield, Georgetown, San Marcos, Rowlett, Pflugerville, Port Arthur, Spring, Euless, DeSoto, Grapevine medical billing fraud law firm, Galveston, and many more.
Practice Lead
Call our Texas healthcare fraud defense attorneys and federal Texas healthcare fraud lawyer today for a Free Initial Consultation at 1.866.601.5518. Dallas, Forth Worth, San Antonio. Call and Speak With Our Lead Practice Attorney: Theodore P Watson, US Supreme Court Licensed Attorney
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GETTING YOUR INVESTIGATION AND OR / CASE UNDER CONTROL IS CRITICAL – THE LONGER YOU WAIT TO ACT, THE LESS NEGOTIATION POWER YOU HAVE AND THE MORE LEVERAGE FEDERAL PROSECUTORS HAVE
Are you wondering how to defend against False Claims Act health care fraud in Texas? Our healthcare fraud attorneys can help. We consistently develop a nationwide team of medical billing fraud attorneys to help clients avoid criminal liability.
Why Choose Our Texas Healthcare Fraud Lawyers for Your Defense?
Have You Been Served With a Civil Investigative Demand (CID) for HealthCare Fraud?
Federal law enforcement agencies use different approaches to investigate healthcare fraud or health insurance fraud. Typically, prosecutors will allege False Claims Act Health Care Fraud violations under 18 USC 1347 and will issue you a Civil Investigative Demand (CID), or a subpoena in a criminal case.
The CID is used up front to force you to provide a multitude of documents to the government. However, having a federal Texas Civil Investigative Demand Lawyer or (CID) medical fraud defense attorney to help sift through the documents or testimony that can incriminate you is essential.
Our federal Dallas and Houston Texas healthcare fraud lawyers help you minimize your exposure to criminal or civil liability cases involving medical billing fraud defense in eastern Texas, violations of the Anti-Kickback Statute, the False Claims Act, and Stark Law.
At Watson & Associates, LLC, our Texas False Claims Act lawyers and criminal healthcare fraud attorneys represent and defend companies and individuals nationwide under 18 USC 1347. As healthcare overpayment defense lawyers. in Texas, we aim to dispel any weaknesses in the government’s case, from health care fraud investigations to indictments and trials.
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Another aspect of health care fraud that triggers False Claims Act defense lawyers to aggressively defend civil and criminal cases is the unlawful distribution of Adderall pills. Federal prosecutors will often claim that you initiated a scheme to distribute Adderall and other stimulants over the Internet and that you prescribed Adderall, fentanyl, and other stimulants to individuals suffering from drug addiction.
18 US Code 287 Medicare Fraud Investigation & Texas Healthcare Enforcement Action Defense Lawyer
Texas Healthcare fraud lawyer for individuals or companies investigated or charged with Federal False Claims Act violations: False Claims Act Medicare professionals can often face false claims investigations for healthcare fraud charges for phantom medical billing fraud, and up-coding.
Receiving a subpoena and civil investigative demand can create stress and confusion in Medicare fraud defense cases. Our Dallas Texas Medicare fraud defense attorneys and healthcare enforcement action defense lawyers can help with conspiracy defense, wire fraud defenses and other criminal charges.
Under 18 US Code 287, where many False Claims Act medicare fraud defense cases arise, you cannot make inaccurate or fraudulent claims against the United States or any of its agencies. This includes making false statements to the Medicaid and Medicare programs. You should also be aware of 18 US Code § 1001 which makes it unlawful to provide materially false or fraudulent statements or documents concerning any matter within the jurisdiction of the federal government. If you are
Texas Medical Billing Fraud Attorney and Overbilling Defense Lawyers
Some of the more common forms of medical billing fraud occur when there is upcoding, unbundling, and billing for services that were not provided.
There are many other types of healthcare fraud schemes. At Watson & Associates, LLC our medical billing fraud defense lawyers and Texas healthcare fraud attorneys will work with you or your organization, bring in the experts to analyze, and plan for your legal defense.
If you are subjected to a Qui Tam or Whistleblower case for medical billing fraud our 18 US Code 287 false claims investigation lawyers are ready to provide immediate help.
Speak with Lead Texas healthcare overpayment defense attorney, Theodore P. Watson today for immediate help. Call 1.866.601.5518.
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Contact Our Federal False Claims Act Texas HealthCare Fraud Lawyers for Immediate Help
Protect Your Future with Watson & Associates’ 18 USC 1347 False Claims Act and Texas healthcare fraud lawyers: If you’re seeking dedicated Texas healthcare fraud lawyers to defend your rights, contact us today for a consultation.
For a confidential, no-cost initial consultation with one of our federal defense lawyers and healthcare overpayment defense attorney, contact the best criminal defense Fakse Claims Act lawyers and medicare fraud, healthcare medical billing fraud defense attorneys at Watson & Associates. Call 1-866-601-5518 and Speak directly. to Theodore Watson.