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Over the past few decades, the federal government has increasingly focused on rooting out fraud and corruption in the healthcare sector that costs taxpayers billions of dollars each year.  State and federal False Claims Acts impose liability on individuals and companies who submit a claim for Medicaid or Medicare payment to the federal government that he, she, or it knows, or should know, is false.  Types of Medicaid and Medicare fraud include: billing Medicaid/Medicare for goods of services that are not medically necessary; billing Medicaid/Medicare in a manner that does not accurately represent goods of services provided, such as billing for services not rendered; “upcoding” (billing for more expensive procedures than what was actually performed); and violations of the Anti-Kickback Statute and the Stark law. 

Our attorneys have significant experience in Medicaid and Medicare fraud investigations, audits, and civil and criminal Medicaid and Medicare actions.