Medicaid fraud is one of the most common forms of health care fraud. The Texas Attorney General defines Medicaid and health care fraud as “a deliberate deception or misrepresentation of services that results in unauthorized reimbursement.”
Any health care practitioner who bills Medicaid is subject to charges of Medicaid fraud, including doctors, pharmacists, laboratories and more. Since the program is a joint program, an offense may be either a state or federal offense, or both, depending on the statute or statutes that were allegedly violated.
A few examples of Medicaid fraud are:
The penalties for Medicaid fraud in state or federal court are steep. If convicted, you will likely:
In all cases, whether you are convicted of a misdemeanor or felony for Medicaid fraud, or have civil penalties imposed, you will be suspended from participation in the Medicaid program for a minimum of five years and may be excluded forever.
You should not speak to a Medicaid fraud investigator without your attorney present. You have the right to remain silent and anything you say will be used against you. Your answers to questions are often manipulated and twisted. Defenses you may have include:
You may think that you do not need an attorney since you did not do anything wrong. That thought can end up with you being convicted of a crime for which you have a defense.
Whether you are under investigation or have been charged in state or federal court with Medicaid fraud, choosing a defense attorney is likely the most important decision you can make for your future. You need Michael J. Wynne on your side.
Attorney Wynne is a Harvard Law School graduate who specializes in white collar criminal defense, including health care and Medicaid fraud. His experience working as a state and federal prosecutor gives him an advantage in knowing what to expect from the other side.
Mr. Wynne offers a free 30-minute case evaluation. Contact him as soon as possible at 713.260. 2621 so together you can begin preparing your defense.