Healthcare Crimes
Including Federal and State
With 37 years of experience under his belt, Manuel Gonzalez has become an expert at representing those charged with healthcare crimes. Manny understands the complexity of this industry and its interaction between federal laws, state laws, different governmental agencies or entities, and private businesses. Therefore, he is able to advocate for anyone, from individuals to businesses including pharmacies and assisted living facilities, and more. Healthcare crimes are complicated cases that are prosecuted by federal and state authorities thus having the right attorney who can handle the case properly from start to finish like Manny is the right choice for you.
HEALTHCARE CRIMES
Including Federal and State
With 37 years of experience under his belt, Manuel Gonzalez has become an expert at representing those charged with healthcare crimes. Manny understands the complexity of this industry and its interaction between federal laws, state laws, different governmental agencies or entities, and private businesses. Therefore, he is able to advocate for anyone, from individuals to businesses including pharmacies and assisted living facilities, and more. Healthcare crimes are complicated cases that are prosecuted by federal and state authorities thus having the right attorney who can handle the case properly from start to finish like Manny is the right choice for you.
Healthcare crimes areas of expertise include but are not limited to:
- Healthcare Fraud – Healthcare fraud affects anyone from individuals to businesses and can be committed by different entities such as health care providers or patients. Healthcare frauds include double billing, ghost billing, upcoding, unbundling, billing health services without a license, forging signed prescriptions, selling your own prescription medication, amongst others.
- Mail and Wire Fraud – Mail and Wire Fraud involve a scheme to defraud an entity of money, property, or services by using false statements and/or promises. The use of mail or wire to complete the fraud must occur at any point in the transaction for a sufficient charge.
- Medicare and Medicaid Fraud – When illegal practices are committed in an attempt to acquire high payouts from government-funded healthcare programs, usually Medicare or Medicaid, is when the prosecution charges individuals or entities with either Medicare or Medicaid fraud or both. Billing for services that were not provided, unbundling, or performing/billing for unnecessary services are all examples of Medicare and Medicaid fraud.
- Kickbacks – Kickbacks are considered a type of bribery of which it is said that such bribery can interfere with making unbiased decisions. Compensation that is either given or received in the form of money, credit, or a gift, amongst other methods can be considered a kickback when that compensation is constituting a gain on either side.
- Durable Medical Equipment Fraud – When providers bill the insurance company for equipment such as wheelchairs or walkers, for example, without the equipment being necessary for the patient is considered DME fraud by the federal government. Kickbacks may also be present when handling Durable Medical Equipment Fraud.
- Home Health Fraud – Home health fraud has been a program that has long been seen as one that is extremely vulnerable to abuse. Many claims and prosecution derive from odd billing patterns, compliance issues, and fraudulent payments for home health services. Patients must qualify to receive home health care such as needing skilled nursing at the home for certain incapacities, but many entities use this for financial gain where sometimes the patient(s) do not need the services. Examples include upcoding for services, home visits by medical staff that are not truly necessary, billing for equipment that is not necessary, or even using fake signatures on medical forms, amongst other methods.
Healthcare crimes areas of expertise include but are not limited to:
- Healthcare Fraud – Healthcare fraud affects anyone from individuals to businesses and can be committed by different entities such as health care providers or patients. Healthcare frauds include double billing, ghost billing, upcoding, unbundling, billing health services without a license, forging signed prescriptions, selling your own prescription medication, amongst others.
- Mail and Wire Fraud – Mail and Wire Fraud involve a scheme to defraud an entity of money, property, or services by using false statements and/or promises. The use of mail or wire to complete the fraud must occur at any point in the transaction for a sufficient charge.
- Medicare and Medicaid Fraud – When illegal practices are committed in an attempt to acquire high payouts from government-funded healthcare programs, usually Medicare or Medicaid, is when the prosecution charges individuals or entities with either Medicare or Medicaid fraud or both. Billing for services that were not provided, unbundling, or performing/billing for unnecessary services are all examples of Medicare and Medicaid fraud.
- Kickbacks – Kickbacks are considered a type of bribery of which it is said that such bribery can interfere with making unbiased decisions. Compensation that is either given or received in the form of money, credit, or a gift, amongst other methods can be considered a kickback when that compensation is constituting a gain on either side.