No matter what type of charge you’re facing, whether it’s a charge of defrauding Medicare, Medicaid, Med-Cal, or even a private insurance company, you could be facing serious penalties. This is not a situation you should handle without a criminal defense attorney with experience in insurance fraud. We will fight aggressively for the best possible outcome for your case. Read on to learn more about the situation you’re in and then contact us at 714-760-4088 for a no-cost consultation.
There are several types of health insurance fraud
There are numerous types of insurance fraud. The one that most people think of is a person faking pain they’re in, or faking some type of medical issue so that they can gain benefits. However, the most common options are ones in which healthcare professional defraud insurance companies. One example is fraudulent billing, which involves a provider billing an insurance company for equipment, services, or treatments that the patient didn’t receive.
Upcoding is another example in which a persona changes a billing code that was correctly applied and replaces it with a more expensive code. It’s possible that this happens on accident once in a while but when it happens repeatedly, it can be a sign of medical billing fraud. The final example we’ll explain today is unbundling. In some cases it’s more affordable to bundle services together.
For example, by having a patient come back repeatedly for several tests instead of doing them all at once. Doing this on purpose with the intent of increasing the insurance reimbursements available would be considered billing fraud.
If you’ve been charged with billing fraud or insurance fraud then you need to call us right away
We know what prosecutors need to prove these allegations and we know the best way to respond to them. Of course it depends on the specifics of your case, but some options including arguing that there were indeed mistakes or inconsistencies but that they were accidents. If you didn’t have the intent to defraud the insurance company then we can argue that it was a mistake. Without intent, it’s not a crime. In other instances, we may simply show that there isn’t enough evidence against you to prove the prosecution’s claims without a reasonable doubt.
In the event that there is a wealth of evidence against you, it may seem as though it’s easier to simply plead guilty without talking to a criminal defense attorney. This is simply not true. We can negotiate aggressively with the prosecution to have the charges reduced. We have much experience finding creative sentences that could significantly reduce the long-term problems this issue could cause. In short, we can work to ensure you have the best possible outcome.
No matter how it feels today, you do have options. The first step toward understanding them is to contact Chambers Law Firm at 714-760-4088. We’ll start with a consultation during which we explain how we can help you move forward.
