Located Inside Carnegie Hall Tower
Aggressive & Effective Defense 

New York City Medicare Fraud Defense Attorney

Representing Patients & Health Care Providers in NY

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 criminal 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 NY criminal defense lawyer and his former position as a prosecutor for the Manhattan District Attorney's Office.

Contact our New York City Medicare fraud attorney at (212) 256-9491 for a free consultation today.

The Investigation Process For Medicare Fraud

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 Medicare 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 Medicare 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
  • Self-referrals
  • Patient kickbacks
  • Inflating bills with unnecessary services
  • Unbundling services

It is illegal for health care 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 federal crime that happens when a health care organization attempts to receive a higher reimbursement from Medicare by altering the diagnosis or treatment code.

A health care provider cannot receive payment for referring a patient to purchase items that are paid under federally-funded programs. It is also unlawful for health care organizations to bill for services that are deemed medically unnecessary.

Federal and government agencies have begun aggressively pursuing entities they suspect of perpetrating Medicare fraud. Their investigative methods can be disruptive personally and to businesses.

For Medicare Fraud Defense Representation, Turn To Criminal Defense Attorney Mark A. Bederow

If you are under criminal investigation or facing charges for Medicare fraud or other terms of 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 criminal investigation and develop a defensive plan.

Schedule a confidential consultation today by calling (212) 256-9491.


  • “Mark Bederow came to the rescue on the worst day of my life. He represented me after a manic episode in 2016 during which I'd been violent. (At the time I was untreated and unmedicated for bipolar 1. ...”

    - A.D.
  • “As a retired attorney I only have good things to say about this criminal law specialist. Unfortunately for those of us who live in Florida he works in New York State”

    - A.Z.
  • “Mark was a pleasure to work with. He answered my calls and questions very promptly, and provided expert legal knowledge to help me get my son's case dismissed. Would highly recommend Mark.”

    - C.E.
  • “Mark is fantastic. He's as honest as you can get, and his knowledge and confidence is unparalleled. I trust him implicitly when it comes to making legal decisions. He's a pleasure to work with.”

    - M.H.
  • “We have dealt with many lawyers in the past several years and 99% of them want the most amount of money to do the least amount of work. Mark Bederow is not your typical lawyer. He’s the only lawyer ...”

    - A.F.

What Sets Us Apart?

  • Outstanding Case Results
  • Former Manhattan Prosecutor
  • Nationally Recognized
  • Over 20 Years of Experience

Facing Criminal Charges? Contact A Former New York Prosecutor

  • Please enter your first name.
  • Please enter your last name.
  • Please enter your phone number.
    This isn't a valid phone number.
  • Please enter your email address.
    This isn't a valid email address.
  • Please make a selection.
  • Please enter a message.