Medicare Fraud Defense Lawyer in New York City
Representing Patients & Providers
Medicare is a federal health insurance program for Americans who are 65 or older and younger citizens with disabilities or end-stage renal disease. You are only eligible for Medicare benefits if you meet the requirements. Some people, however, commit fraud to take advantage of the Medicare system and obtain benefits to which they are not entitled. This is called Medicare fraud.
Attorney Mark A. Bederow is experienced in handling cases involving high-profile criminal matters. He has particular proficiency handling cases involving white-collar crime charges, such as Medicare fraud. Mr. Bederow's skill in this area is the result of extensive legal experience through his current position as a criminal defense lawyer and his former position as a prosecutor for the Manhattan District Attorney's Office.
The Investigation Process
State and federal government agencies have increased the resources available to investigate Medicare fraud. Investigating authorities will arrive at the location where they expect the fraud to have occurred, or where records of the fraud are kept, and leave with anything they believe is relevant. This includes medical records, files, and computers.
Knowing how to respond to a Medicare fraud investigation or defend against an allegation is daunting without a lawyer's guidance. At the Law Office of Mark A. Bederow, P.C., we have defended home health care providers, hospitals, private nurses, and doctors facing Medicare fraud allegations, as well as individuals who have allowed someone else to use their Medicare card.
What are Examples of Medicare fraud?
Actions that involve wrongfully accessing payments from the Medicare system often constitute fraud.
Some common examples of Medicare fraud include:
- Billing Medicare for services that were not rendered
- Overbilling for services
- Manipulating billing codes
- Billing for services that aren’t necessary
- Patient kickbacks
- Inflating bills with unnecessary services
- Unbundling services
It is illegal for healthcare organizations to charge for a service multiple times if the service only occurred once. It is also illegal to charge for services that never were performed. Manipulating codes is a crime that happens when a healthcare organization attempts to receive a higher reimbursement from Medicare by altering the diagnosis or treatment code.
A healthcare provider cannot receive payment for referring a patient to purchase items that are paid under federally-funded programs. It is also unlawful for healthcare organizations to bill for services that are deemed medically unnecessary.
Government agencies have begun aggressively pursuing entities they suspect of perpetrating Medicare fraud. Their investigative methods can be disruptive personally and to businesses.
If you are under investigation or facing charges for Medicare fraud in New York City, the Law Office of Mark A. Bederow, P.C. is here to help. Mr. Bederow can guide you through the investigation and develop a defensive plan.
Schedule a confidential consultation today by calling (212) 256-9491.