Washington DC Healthcare Fraud Defense Lawyer, Cares Act & Federal Medicare Fraud Attorneys
Washington DC Healthcare Fraud Defense Lawyers – We Have Former DOJ Attorneys and Former Prosecutors On Our National Team. We Have Top Federal Attorneys for Civil Fraud and Criminal Fraud Cases – Are You Under investigation for healthcare fraud in Washington DC ? We Help You to Reduce The Chances of Long Jail Sentences and Expensive False Claims Fines
Being the target of a healthcare fraud investigation is not just stressful—it’s potentially career-ending.
Whether you’re a physician, a medical billing executive, or the owner of a home health company in Washington DC, a federal agency accusing you of fraud puts your practice, finances, and freedom at risk.
If you’ve received a subpoena, civil investigative demand (CID), or target letter, or if agents from the DOJ, HHS-OIG, or FBI have visited your facility, you must act quickly. You need a seasoned Washington DC healthcare fraud defense lawyer who understands how these investigations unfold and how to aggressively fight back
But here’s what most healthcare professionals don’t know: being under investigation does NOT mean you’ll be charged, and it definitely doesn’t mean you’ll be convicted.
At Watson &. Associates, LLC, our team of federal government fraud defense attorneys help Washington DC healthcare providers minimize or avoid jail, defend their licenses, and walk away from devastating accusations. We know how to intercept the government’s case early—and in many instances, we aim to shut down entirely before it reaches court.
We respond fast. Once we receive your basic information from your first call, you’ll speak with a real federal healthcare fraud defense lawyer about the status and details of your case, and not an assistant or intake coordinator.
Washington, DC and Nationwide Federal False Claims Act Fraud Defense Team
Firm’s Lead Federal Criminal Defense Lawyers & Fraud Attorney Maryland
Speak to National Practice Leader and Retired Air Force Veteran, Theodore Watson (Over 23 Years of Federal Practice) – Admitted to the Supreme Court of the United States.
- He oversees False Claims Act defense attorneys and qui tam defense lawyers and federal fraud attorneys.
Speak Directly to Theodore Watson. Top Federal False Claims Act defense attorney for small businesses and large corporations nationwide.
For legal support in healthcare fraud defense throughout the U.S., and government contract fraud criminal defense, contact Theodore Watson at 1.866.601.5518. We are committed to serving your legal needs in Maryland.
Robert “Bob” Ayers – Of Counsel (Primary Fraud Attorney, Washington DC Area)
Carolyn L. Oliver – Counsel (Former DOJ Attorney)
Of Counsel to Watson & Associates, LLC: Carolyn L. Oliver brings over 40 years of distinguished legal experience to Watson & Associates’ Federal White Collar Defense and Investigations practice. As a former DOJ Prosecutor and Assistant United States Attorney in the Major Frauds Section of the U.S. Attorney’s Office for the Southern District of California, Oliver provides clients with representation from a federal white collar criminal defense attorney who has prosecuted the very types of cases she now defends. Her extensive federal prosecution background, combined with her proven track record in complex criminal defense, positions her as a formidable advocate for corporations, CEOs, and individuals facing high-stakes federal investigations.
Carolyn is a recognized leader in criminal defense, known for her fierce courtroom advocacy and unwavering commitment to justice. She has successfully defended countless clients, earning a reputation for results-driven strategies and compassionate client care. As Of Counsel to Watson & Associates’ Federal White Collar Defense and Investigations practice, Oliver focuses her practice on representing companies and individuals in federal criminal and civil investigations and prosecutions by government enforcement agencies, as well as complex federal litigation. She also advises companies on high-profile, complex, and sensitive internal investigations. Read more…
Chris Mancini – Counsel (Former DOJ Attorney)
Chris Mancini, Counsel, brings 45 years of legal experience to Watson & Associates, to support the firm’s federal white collar criminal defense attorney services, including eight years as an Assistant U.S. Attorney (Former DOJ Prosecutor) in the Southern District of Florida (DOJ), where he served as Deputy Chief of both the Criminal Division and Civil Division.
Chris Mancini specializes in navigating the complexities of the federal court system, providing legal advice, investigating cases, and building strong defense strategies to protect the firm’s clients’ rights and achieve the best possible outcome.
Mancini assists the Watson team with federal civil and criminal matters throughout the United States. His background as a former DOJ attorney and prosecutor aligns with the firm’s emphasis on attorneys with federal agency experience. Mancini’s understanding of federal law enforcement agencies and white collar defense enhances the firm’s capabilities in representing clients facing federal investigations and prosecutions. Mr. Mancini maintains an unblemished 45-year track record of successfully advising and representing corporate and individual clients. His combination of federal prosecution experience and defense practice provides clients with representation from an attorney who understands both sides of federal criminal cases.
If you have been indicted for a federal white collar crime, you should hire experienced white collar crime lawyers to protect your rights and fight back. Read more.
James M. Allen Counsel (Defense Attorney)
James M. Allen, Of Counsel to Watson & Associates, LLC, is a committed federal white collar criminal defense attorney with experience handling a range of complex matters at the trial and post-conviction levels.
His background includes defending clients in both state and federal forums, with a growing emphasis on federal white collar criminal defense.
As a white collar crime attorney, he maintains a strong professional interest in matters involving procurement fraud, SBA investigations, and regulatory enforcement, and is well-versed in the legal frameworks and defense strategies that shape those cases. James brings a measured, thoughtful approach to every case, prioritizing clarity, strategic planning, and strong client communication.
Wise D. Allen Counsel (Defense Lawyer)
Wise D. Allen, Esquire , Counsel, is a former Veteran Lieutenant Commander Judge Advocate for the United States Military. He also has extensive knowledge and experience in resolving corporate defense and litigation in vast international and national legal issues.
He brings a wealth of successful experience to government contractors seeking defense counsel in the various areas of procurement fraud, international contracting, False Claims Act defense, and more.
Mr. Allen’s federal litigation experience as a former appellate attorney representing the United States and federal attorney for defendants in trials that led to his clients receiving overwhelmingly favorable outcomes in contested issues and obtaining non-contested resolutions. Read more..
For a FREE Initial Consultation, call 1.866.601.6618 and speak to Mr. Watson. When you’re under federal investigation for healthcare fraud, time is not on your side.
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.
What Is Healthcare Fraud?
Healthcare fraud involves deliberately misleading a healthcare benefit program to obtain money or services under false pretenses. This could mean submitting false claims, misrepresenting services, or manipulating billing codes—actions that can trigger serious federal investigations.
One of the most critical elements in any healthcare fraud case is intent. The government must typically show that the accused knowingly and willfully engaged in deception. However, in many cases, what the government sees as fraud may actually stem from complex billing systems, clerical errors, or a misunderstanding of coding protocols.
Just because a billing mistake occurred does not automatically mean fraud took place. Errors happen, and navigating insurance and federal healthcare regulations is anything but simple. Prosecutors, however, may still bring charges, often leaning heavily on those very errors to build their case.
Top Washington Cares Act fraud lawyer: If you or your organization is under investigation, it’s essential to work with defense attorneys who understand both the technical and legal nuances of the healthcare system. A strong legal strategy can make the difference between clarifying an honest mistake—and defending your career, business, or license in federal court.
- The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) Office of Inspector General (OIG) have increased their efforts to investigate and charge healthcare professionals Who have been allegedly violated in healthcare laws.
- Why is it that So Many Companies are Settling Cases ?
Remember: Being investigated is not the same as being guilty. Our job as Washington DC healthcare fraud defense lawyers is to make sure it stays that way.
If you’ve received a subpoena, target letter, or other notice from federal authorities, it’s crucial to consult a healthcare enforcement action lawyer who understands how to navigate the system. As a healthcare professional, you’ve spent years building your career. Now, that future may seem uncertain.
Accusations of healthcare fraud don’t just threaten your business—they put your license, your freedom, and your livelihood on the line. At Watson & Associates, LLC, our team of experienced anti-kickback defense attorneys and healthcare fraud defense lawyers helps providers and businesses navigate the complexities of federal investigations.
Important Questions About Federal False Claims Act Healthcare Fraud Cases in Washington DC
1. Can I go to prison for federal healthcare fraud?
Answer:
Yes — federal healthcare fraud is a serious felony offense. A conviction in federal court can result in 10 years per count, or even more if the government proves patient harm, billing fraud over $1 million, or a conspiracy involving multiple providers. Washington DC federal courts are known for aggressive prosecution and sentencing in these cases.
2. What’s the difference between civil and criminal healthcare fraud?
Answer:
In civil cases, the government seeks financial penalties, exclusion from Medicare/Medicaid, or licensing consequences. In criminal cases, you are facing felony charges, prison time, and a permanent criminal record. In Washington DC, many civil audits escalate into criminal investigations — so early legal intervention is crucial.
3. Who investigates federal False Claims Act healthcare fraud in Washington DC?
Answer:
Federal cases are usually led by the Department of Justice (DOJ) and the HHS Office of Inspector General (OIG). In Washington DC, these agencies often work with the FBI, CMS, and local U.S. Attorney’s Offices to investigate billing irregularities, kickbacks, and violations of federal statutes like the False Claims Act and Anti-Kickback Statute.
4. I received a target letter or subpoena — what should I do?
Answer:
A target letter means the government believes you committed a federal crime and may soon indict you. A subpoena demands records or testimony. Do not speak to investigators or comply without legal counsel. A skilled federal defense attorney can intervene early — and in some cases, stop charges before they’re filed.
5. Can my license be suspended even if I haven’t been convicted?
Answer:
Yes. Federal investigations can trigger administrative actions against your license even without a conviction. A pending indictment or formal charge can lead to temporary or permanent suspension from Medicaid/Medicare programs or your state licensing board. We defend both your legal freedom and your professional credentials.
6. How can I tell if I’m the target of a federal case or just a witness?
Answer:
If federal agents have contacted you, requested documents, or sent a subpoena, you may be a target, subject, or witness — and this status can change quickly. Do not assume you’re safe. Only a federal defense attorney can find out your legal status and protect you from making costly mistakes.
7. Do I need a lawyer who specifically handles federal healthcare fraud cases?
Answer:
Yes — federal cases are not the same as state cases. The rules, evidence standards, agencies, and sentencing guidelines are more complex. Many attorneys don’t understand the False Claims Act, Stark Law, or Anti-Kickback Statute. We do. Our firm handles complex federal healthcare fraud defense across Washington DC and nationwide.
Most healthcare professionals wait too long—don’t give the government a head start.
What Makes Healthcare Fraud Cases So Dangerous?
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They’re prosecuted federally (U.S. Attorney, DOJ, HHS-OIG)
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Penalties are severe – prison, treble damages, asset seizure
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Investigations often involve sealed indictments and raids
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Most lawyers don’t have the federal experience to win
Federal Healthcare Fraud Allegations in Washington DC: What You Need to Know
If you’re involved in healthcare or medicare fraud—whether as a provider, doctor, 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 Washington DC 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 Washington DC Healthcare Fraud Lawyers – Aggressive False Claims Act Legal Representation for Providers, Businesses, and Administrators Throughout Washington DC.
HERE IS WHAT YOU NEED TO KNOW IF YOU ARE INVESTIGATED OR INDICTED FOR HEALTHCARE FRAUD
Call 1.866.601.6618 if you are seeking to retain a federal medicare fraud lawyer and Speak to Mr. Watson
What is the Government’s Burden of Proof in a Criminal False Claims Act Healthcare Fraud Case?
Our federal healthcare fraud attorneys have defended clients in DOJ, HHS, and OIG cases. 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 attorney, Watson & Associates, LLC only Takes On Cases That Our False Claims Act Health care Fraud Attorneys Believe that They Can Help.
GET YOUR EMERGENCY LEGAL ASSESSMENT
Kickbacks vs. Self-Referrals: What Healthcare Professionals Must Know
Understanding the Anti-Kickback Statute (AKS) and Stark Law is critical if you or your healthcare organization interacts with Medicare or Medicaid. Both laws aim to prevent financial conflicts that influence patient care—but they differ significantly in scope, penalties, and how they’re enforced. If you’re under investigation, a healthcare fraud defense lawyer can help you navigate the complex distinctions between the two.
Stark Law – A Civil Violation
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What It Prohibits: Physicians referring Medicare or Medicaid patients for designated health services (DHS) to an entity with which they or their family have a financial relationship—unless a legal exception applies.
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Penalties:
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Denial or refund of payments for improper referrals
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Civil fines up to $15,000 per prohibited service
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Treble damages (3x the amount received)
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Up to $100,000 for schemes designed to evade the law
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Potential exclusion from government healthcare programs
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Unlike the AKS, Stark Law does not require proof of intent. That means even unintentional violations can trigger severe financial consequences.
If you are facing allegations related to kickbacks or self-referrals, the difference between criminal and civil exposure can mean everything. Engaging a seasoned federal healthcare fraud lawyer early can be the key to protecting your practice, reputation, and future.
Upcoding and Unbundling in Healthcare Fraud Cases in Washington DC
Among the most scrutinized billing practices in federal investigations are upcoding and unbundling—two forms of healthcare fraud that can expose providers to serious legal and financial consequences.
These practices involve inflating or manipulating billing codes to secure higher reimbursement from Medicare, Medicaid, or private insurers. While sometimes misunderstood as mere administrative errors, federal agencies increasingly view these actions as deliberate attempts to defraud public health programs.
If your practice or institution has been accused of these billing irregularities, consulting with a skilled Washington DC healthcare fraud defense attorney or medical fraud lawyer is essential.
Upcoding occurs when a provider submits billing codes for a service that is more severe or complex than what was performed.
For instance, a physician might report a comprehensive office visit when the interaction was limited in scope, or list a high-level procedure code for what was a routine intervention.
This misrepresentation can lead to significant overpayments from federal programs, and, when detected, can trigger audits, subpoenas, and even criminal charges.
An experienced healthcare fraud lawyer or healthcare enforcement action defense attorney understands how to differentiate between intentional fraud and innocent miscoding and can craft a strong strategy to protect your license and your business.
Defending Your Case Can Be Simpler Than Many May Think
Did You Knowingly Intend to Defraud the Government Under 18 USC 1347? If Not, We Can Help
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.
Call 1.866.601.6618 and Speak to Mr. Watson
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 Washington DC federal health care fraud attorneys 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 Washington DC or Facing Criminal Charges in. Healthcare Fraud Case? 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 Washington DC False Claims Act Lawyers and Medicare fraud defense counsel primarily focus 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.
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, Washington DC healthcare fraud lawyers and False Claims Act healthcare enforcement action defense attorney and Washington 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
18 USC 1347 Washington DC. 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 Washington DC health care fraud attorneys understand the complexities of defending against such allegations. With an aggressive approach to False Claims Act healthcare fraud cases in Washington DC, we are dedicated to protecting our clients in Washington DCand across the nation.
Have your constitutional rights been violated when federal investigators execute a search warrant? Call our federal constitutional lawyers at 1.866.601.5518. Federal investigations move fast – every day counts.
Medicare Fraud Defense & Washington DC. 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 lawyers often employ legal defense strategies that challenge the government’s narrative, particularly 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 Washington DC medical fraud defense 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 Washington DC.
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. Federal investigations move fast – every day counts. Speak directly to Theodore Watson,Washington DC Medicare and health care fraud attorney.
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.
Washington DC Overbilling Fraud Lawyer
Defending Washington DC Physicians Accused of Overbilling and Healthcare Fraud
If you’re a healthcare provider in Washington DC, navigating the administrative side of your medical practice can be just as demanding as providing care. Unfortunately, billing mistakes—even when unintentional—can attract the attention of federal and state enforcement agencies. Overbilling allegations often lead to investigations by the DOJ, OIG, CMS, or Washington DC Health and Human Services, putting your license, practice, and freedom at risk. In these high-stakes situations, it’s critical to have a trusted Washington DC medicare overbilling fraud lawyer by your side to guide you through the legal process.
At Watson & Associates, LLC, we defend doctors, clinics, and healthcare organizations throughout Washington DC who are accused of Medicare or Medicaid fraud, improper billing practices, or violations of the False Claims Act. Our team understands how easily errors in coding, duplicate charges, or flawed billing systems can be misinterpreted as criminal acts. We work quickly to intervene, gather evidence, and present a clear, accurate picture of your billing activities to federal prosecutors or regulatory agencies. Whether you’re facing an audit, civil liability, or criminal charges, a skilled Washington DC overbilling fraud lawyer can help protect your rights and secure the best possible outcome.
When your career is on the line, choosing the right defense attorney can make all the difference. Our firm takes a proactive, personalized approach to every case, combining legal experience with deep knowledge of healthcare regulations. If you’re under investigation or fear that billing practices in your office may be questioned, contact Watson & Associates, LLC today to speak with a dedicated Washington DC overbilling fraud lawyer and start building your defense before it’s too late
Washington DC Pharmaceutical Fraud Defense Lawyers
At Watson & Associates, LLC, our Washington DC pharmaceutical fraud defense 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.
Washington DC Medical Fraud Lawyers & Medicare Billing Fraud Law Firm –
Who Can Face Medicare Fraud Charges in Washington DC Looking to hire a medical billing fraud law firm in Washington DC? 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 Washington DC 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 Washington DC healthcare fraud defense 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.
What Are the Penalties of Federal Healthcare Fraud in Washington DC?
Federal Healthcare fraud allegations, if proven by the prosecution, can lead to liability and penalties in civil or criminal charges and penalties. Consequences to healthcare fraud in a Washington DC may include civil repayment and non-payment of future claims.
Consequences to False Claims Act healthcare fraud in Washington DC 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 Washington DC, call Watson & Associates law firm today to speak to experienced Washington DC medicare 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 Washington DC?
How to fight federal health care fraud allegations in Washington DC. – this is what we do: Washington DC medicare fraud lawyers, 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
Who Are Our Clients
The Watson & Associates, LLC Law Firm Provides Nationwide Criminal Defense Attorneys and Washington DC medicare 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 Washington DC Medical Fraud & Medicare Fraud Lawyers
Our Washington DC Healthcare Fraud lawyers, medicare fraud attorneys and criminal defense lawyers 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
District of Columbia Medicare 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 Washington DC. 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 Washington DC 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.
Practice Lead
Call our Washington DC healthcare fraud lawyer and Washington DC medicare fraud defense lawyer today for a Free Initial Consultation at 1.866.601.5518.
Call and Speak With Our Lead Practice Attorney: Theodore P Watson, US Supreme Court Licensed Attorney
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Get a Risk-Free Consultation from Our Washington DC Medicare Fraud Defense Attorneys
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 Medicare False Claims Act cases in Washington DC? Our medicare fraud defense attorneys can help. We consistently develop a nationwide team of medical billing fraud attorneys to help clients avoid criminal liability.
Why Choose Our Washington DC 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 Washington DC Civil Investigative Demand Lawyer or (CID) medical fraud criminal defense attorney to help sift through the documents or testimony that can incriminate you is essential.
Our federal Washington DC healthcare fraud lawyers help you minimize your exposure to criminal or civil liability cases involving medical billing fraud defense in Washington DC, violations of the Anti-Kickback Statute, the False Claims Act, and Stark Law.
GET YOUR FREE WHITE COLLAR CRIME DEFENSE CHECKLIST HERE
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 & Washington DC Healthcare Fraud Lawyer
Washington DC 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 Washington DC healthcare fraud defense lawyer 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
Washington DC Medical Billing Fraud Attorney and Healthcare Overpayment Defense Attorney
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 Washington DC 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 Washington DC 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 Washington DC HealthCare and Medicare Fraud Lawyers for Immediate Help
Protect Your Future with Watson & Associates’ 18 USC 1347 False Claims Act and Washington DC medicare fraud defense attorneys: If you’re seeking dedicated Washington DC healthcare fraud defense 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 False 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.