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Miami Healthcare Fraud Attorney

Florida is one of the top states for committing healthcare fraud, and as a result prosecutors and judges are cracking down hard on healthcare professionals in the state. State and federal charges can be brought for issues regarding Medicare and Medicaid fraud. With over twenty years of litigation experience, the Tony Moss Firm, L.L.C. successfully represents clients charged with serious felonies for healthcare fraud in the Miami, Fort Lauderdale, and greater Florida region. Let me help you fight for your rights and provide you with the legal representation that you need.

Florida and Federal Healthcare Fraud

Medicare and Medicaid are two government programs that provide healthcare insurance for people who can no longer afford the costs of medical care on their own. Medicare is strictly a federal program, but Medicaid is a joint program between the federal and state governments. As a result, state and federal charges can be brought against you in a healthcare fraud case. Examples of healthcare fraud include:

  • Billing for services not provided;
  • Billing Medicare/Medicaid and the recipient for the same services;
  • Self-referrals;
  • Administering unnecessary services;
  • Receiving kickbacks for certain drugs or treatments;
  • Providing false information in a Medicare/Medicaid application;
  • Forging a prescription;
  • Lending or reselling Medicare benefits to another party;
  • Using more than one Medicare card;

…and other medically-related activities that constitute fraud

Florida and Federal Healthcare Fraud Law

Under Florida law, healthcare fraud is governed by multiple statutes in the state law. Chapter 409 defines healthcare fraud as the “intentional deception or misrepresentation made by a person with the knowledge that the deception results in unauthorized benefit to herself or himself or another person.” Chapter 812 defines the penalties that can be imposed if found guilty of state healthcare fraud.

Under federal law, healthcare fraud is governed by multiple statutes and acts. The False Claims Act (31 U.S.C. §§ 3729–3733), Physician Self-Referral Law (42 U.S.C. § 1395nn), the Criminal Health Care Fraud Statute (18 U.S.C. §§ 1347, 1349), and The Anti-Kickback Statute (42 U.S.C. § 1320a–7b(b)) are just a few of the laws that the federal government can use to bring criminal charges for healthcare fraud.

State and federal charges bring heavy sanctions and penalties if you are found guilty of committing healthcare fraud. Some of the possible punishments for violating state and/or federal healthcare fraud laws include:

  • Between 1-20 years in federal prison;
  • Expulsion from the Medicare/Medicaid programs;
  • Loss of medical licenses;
  • Loss of staff privileges;
  • Fines of $10,000 to $50,000 per violation; and
  • Fines of three times the amount claimed for each fraudulent item or service.

Let a Healthcare Fraud Attorney Help

With the government’s aggressive approach to healthcare fraud in Florida it is more important than ever to have an experienced healthcare fraud attorney by your side. If you or someone that you know has been accused of committing state or federal healthcare fraud in the Miami, Fort Lauderdale, or greater Florida area, let the Tony Moss Firm, L.L.C. help. Call or contact the firm today for a free and confidential consultation on your case. Because fairness and justice are essential human values, I promise to be a zealous advocate for your case and get you the justice that you deserve.

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