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Experienced Medicaid And Medicare Fraud Lawyers In Frankfort

Last updated on September 6, 2024

Medicaid and Medicare fraud are serious federal crimes that carry severe penalties. Such actions are unethical and illegal, potentially resulting in devastating consequences for the accused.

True Guarnieri Ayer, LLP, provides high-quality legal representation for clients in Frankfort and the surrounding Kentucky areas. As a boutique law firm, you do not have to search far to get favorable results for cases like white collar crimes. With over 130 years of combined experience in representing clients in criminal and civil litigation, if charged with Medicaid fraud, we can help.

What Constitutes Medicaid Or Medicare Fraud?

Medicaid and Medicare fraud is the intentional deception or misrepresentation made by an individual, organization or health care provider to gain unauthorized benefits, payments or services from the Medicaid program. Some common examples include:

  • Billing for services not provided: Charging for unperformed medical services or equipment that was never actually delivered.
  • Double billing: Submitting multiple claims for the same service.
  • Unnecessary services: Ordering tests, procedures or equipment that are not medically necessary for the patient.
  • Kickbacks: Offering, soliciting or accepting payment in exchange for patient referrals or other health care services.
  • Falsifying records: Altering or fabricating medical records to support fraudulent claims.

These actions defraud the government and undermine the health care system’s integrity.

What Are The Penalties If Convicted Of Health Care Fraud?

A Medicaid or Medicare fraud conviction can result in:

  • Jail time: Individuals convicted of health care fraud can face up to 10 years in federal prison for each offense. If the fraud results in serious bodily injury, the sentence can increase to 20 years, and in cases of death, life imprisonment is possible.
  • Fines: Fines for health care fraud can be substantial, reaching up to $250,000 for individuals and $500,000 for organizations per violation.
  • Restitution: Convicted individuals may be required to pay back the full amount of money fraudulently obtained, which can amount to millions of dollars.
  • Loss of license: Health care professionals may lose their licenses, effectively ending their careers.

Anyone involved in these practices, from health care providers to billing clerks, can be held accountable under federal law.

Protect Your Future

Facing Medicaid or Medicare fraud charges is daunting, but you don’t have to navigate this challenge alone. At True Guarnieri Ayer, LLP, our team of Frankfort attorneys is ready to fight for your rights, providing suitable criminal law defense. Call 502-783-7662 or complete our contact form to get started.