Chattanooga Law Firm Represents Defendants in Healthcare Fraud Cases
Criminal defense lawyer handles cases involving alleged medical claim misrepresentation
If you have been accused of or are under investigation for healthcare-related crimes, it is important that you choose an attorney with the specific knowledge required to properly protect your rights. At Moore & Associates, P.C. in Chattanooga, I defend clients throughout Tennessee and Georgia against charges of all types of healthcare fraud, including Medicare and Medicaid fraud. As a criminal defense lawyer with almost thirty years of experience representing healthcare practitioners and other individuals charged with fraud, I am deeply familiar with the state and federal regulations that govern this area of law. With my insightful guidance and assertive defense strategy, I will strive to reach the optimal resolution to your matter.
Insightful attorney builds solid defenses against healthcare fraud charges
A practitioner, provider or patient commits healthcare fraud by knowingly using deception or misrepresentations in the context of medical services to make a profit or derive an unjustified benefit through a healthcare program. This notably includes Medicare fraud, Medicaid fraud and other types of insurance fraud. Common examples include billing for services not rendered, providing medically unnecessary treatments, filing duplicate claims for a single service and accepting bribes or kickbacks in exchange for patient referrals.
To be convicted of fraud, a person must have acted knowingly and with the intent of financial gain. The defense of mistake is available if the accused party provided the false information unknowingly. Drawing upon my intimate knowledge of various types of healthcare fraud, I investigate my clients’ cases thoroughly and look for key pieces of evidence, such as diligent compliance procedures and anti-fraud measures, that can be used to support an effective defense.
Skillful trial lawyer seeks reduced charges for defendants
In addition to state healthcare laws, healthcare fraud is governed by a complex system of federal rules that prohibit activities such as:
- Healthcare fraud — Under the federal healthcare fraud statute, it is illegal to knowingly defraud a healthcare program or insurance company using false pretenses. Depending on the value of the case, a conviction could lead to fines and a prison sentence of up to ten years.
- False claims — The False Claims Act (FCA) imposes civil and criminal liability on anyone who knowingly files a false claim with a government program. In the healthcare context, this law targets Medicare and Medicaid fraud, with criminal violations punishable by steep fines and prison sentences ranging from five years to a lifetime.
- Kickbacks — The Anti-Kickback Statute penalizes the practice of offering or accepting money in exchange for business referrals, with violations leading to sentences of up to five years in prison.
Healthcare employees and patients are largely encouraged under the law to act as whistleblowers, but this heightened scrutiny can sometimes lead to costly investigations and legal repercussions for even minor errors. As a skilled trial advocate and criminal defense attorney, I will work efficiently to prepare you for any court proceedings and establish the strongest possible arguments in favor of reducing, dismissing or defeating your charges.
Schedule a free consultation with a Chattanooga healthcare fraud attorney
At Moore & Associates, P.C. in Chattanooga, I dedicate my services to defending medical professionals and other clients throughout Tennessee and Georgia against charges of healthcare fraud. To learn more about what I can do for you, call 423-888-8508 or contact me online for a free consultation.