Hospice Fraud Attorneys
Hospices that bill Medicare for their patient’s treatment are subject to myriad laws, rules, regulations, policies, and procedures regarding receipt of payment for medical services from the federal government. With the near-insurmountable amount of red tape involved with Medicare, it is easy for hospices to run afoul of the law.
In addition, the Department of Justice (DOJ), the Office of Inspector General of the Department of Health and Human Services (OIG), and the U.S. Attorney’s Office are all stepping up their enforcement efforts with regard to fraudulent Medicare billing and other health care law violations. As a result, many hospices are finding themselves facing inquiries and investigations in situations where they haven’t actually done anything wrong.
Experienced Representation for Accusations of Hospice Fraud
At Oberheiden, P.C., our nationwide Federal Defense Group represents hospices accused of Medicare fraud and other criminal violations across the country. Our hospice fraud attorneys have successfully defended numerous clients against complex federal charges involving billing fraud, Medicare fraud, kickbacks, False Claims Act violations, and other illegalities frequently alleged against hospices. If you or your business is under investigation or facing serious criminal allegations, our team of experienced attorneys will work diligently to preserve your freedom and enforce your legal rights.
Is Your Hospice Facing Criminal Charges?
As a hospice owner, you understandably devote your time and attention to serving the needs of your patients. Treating the chronically and terminally ill is a valiant and necessary pursuit, though also a burden that few are willing to bear. Of course, funding is critical, and for most hospices, the money they need to care for their patients comes from the federal government.
But, as you know all too well, accepting money from the government (generally through Medicare or Medicaid) comes with some significant strings attached. Medicare compliance is an industry all on its own, and many hospices struggle to find the time and money necessary to make sure that they do everything they are supposed to. Unfortunately, when mistakes are made, the consequences can be severe.
Along with honest mistakes, in some cases, hospice operators and their employees may do things they shouldn’t in order to make ends meet. Most often, this involves accepting kickbacks or engaging in some form of Medicare fraud.
No matter what happened, now that your hospice is under investigation or facing criminal charges, you need to seek experienced legal representation. Don’t delay, call your hospice fraud attorneys today.
Common Forms of Hospice Fraud
As former federal prosecutors and attorneys with vast experience defending medical practitioners and companies in the healthcare industry, when it comes to allegations of hospice fraud we’ve seen and heard it all. Some of the most common allegations pursued by the DOJ, OIG, and federal prosecutors include:
- Accepting kickbacks (either monetary or in-kind) for patient referrals or use of medical products and supplies
- Backdating patient admission forms and falsifying other patient records
- Billing Medicare or Medicaid for services rendered to patients who do not qualify for reimbursement
- Billing Medicare or Medicaid for services that either were not provided or were not medically necessary
- Billing Medicare or Medicaid for unapproved off-label uses of prescription drugs
- Creating false documentation to support reimbursement rates or claims of medical necessity
- Dispensing prescription medications when not medically necessary
- Paying kickbacks to nurse homes and other care providers
- Unbundling services in order to bill at overall higher reimbursement rates
- Upcoding (billing at a higher reimbursement rate than is justified by the care provided)
In many cases, employees take illegal action without their employer’s knowledge or consent. If this is the case, our hospice fraud lawyers can work with you to determine exactly what happened and develop an appropriate plan for dealing with the situation at hand.
You Need to Seek Legal Representation As Soon As Possible
Regardless of the illegalities of which you have been accused, we cannot stress enough that you need to speak with an attorney as soon as possible. By the time you find out that you are being investigated or charged, the government has already begun building its case against you. The sooner you act, the better your chances of obtaining a favorable result before your case goes to trial.
Speak with a Knowledgeable Hospice Fraud Lawyer at Oberheiden, P.C. Today
Attorney Nick Oberheiden and the team of hospice fraud attorneys at Oberheiden, P.C. have decades of experience representing clients in federal criminal courts nationwide. To discuss your situation with one of our attorneys, call 866-603-4540 or request your free case evaluation online today.