Health Care Fraud Defense Lawyer in Lafayette, Louisiana

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Experienced Health Care Fraud Defense in Lafayette, Louisiana

Health care fraud encompasses a range of illegal activities involving false claims or dishonest practices in the medical field. This includes overbilling, submitting false insurance claims, and kickback schemes. Such charges can result in serious legal consequences, including significant fines, imprisonment, and damage to professional reputations. Navigating these complex allegations requires a skilled attorney. Kevin Stockstill at Stockstill Defense Firm offers dedicated representation to defend against health care fraud charges, working to protect clients’ rights and minimize penalties.

Types of Health Care Fraud Charges

Billing Fraud

Includes overbilling, upcoding, and billing for services not rendered. These charges can involve significant financial penalties and jail time.

False Claims Act Violations

Involves submitting fraudulent claims to government programs like Medicare or Medicaid. Penalties can include fines and exclusion from federal programs.

Kickback Violations

Paying or receiving kickbacks for referrals or services can result in criminal charges, especially under laws like the Anti-Kickback Statute.

Prescription Fraud

This involves improper prescribing or filling of medications, including pain medications, and can lead to severe criminal charges.

Medicare and Medicaid Fraud

Misuse of these government programs, such as inflating costs or billing for unnecessary services, can bring both state and federal charges.

Patient Record Falsification

Altering or creating false medical records can be a serious offense with long-lasting consequences for medical professionals.

Understanding the Legal Process for Health Care Fraud

  • Investigation by Federal and State Agencies: Agencies like the Department of Justice (DOJ), Health and Human Services (HHS), and state Medicaid Fraud Control Units often investigate these cases.
  • Subpoenas and Document Requests: During investigations, authorities may issue subpoenas for financial records, patient files, or billing practices. It’s critical to have legal counsel during this phase.
  • Notice of Charges: Once charges are filed, defendants are formally notified of the allegations against them. A strong defense starts immediately.
  • Court Proceedings: Includes pre-trial hearings, plea negotiations, and potentially going to trial to challenge the evidence and present defenses.
  • Potential Outcomes: Outcomes can range from fines, restitution, and probation to imprisonment. An experienced lawyer can work toward reducing charges or negotiating a favorable resolution.

Defense Strategies for Health Care Fraud

  • Proving Lack of Intent: Demonstrating that errors were unintentional or due to misunderstandings can reduce the severity of charges.
  • Compliance with Regulations: Showing that the defendant adhered to complex regulations can be a strong line of defense
  • Negotiating Settlements: In some cases, reaching a settlement with the prosecution can avoid lengthy trials and reduce penalties.
  • Challenging the Evidence: Questioning the accuracy of billing records, the validity of claims, and the methods used in investigations can be key.
  • Documentation Defense: Detailed records and proper documentation of billing practices can help establish that no fraudulent activities occurred.

Why Choose Kevin Stockstill at Stockstill Defense Firm for Health Care Fraud Defense?

  • Extensive Experience in Health Care Law: Kevin Stockstill has a deep understanding of the regulatory landscape, including both federal and state health care laws.

  • Client-Centered Representation: From initial consultation through resolution, Kevin provides clear communication and strong advocacy to protect clients’ rights and interest

  • Personalized Approach to Defense: Kevin Stockstill focuses on understanding the unique details of each case and crafting a defense strategy tailored to the client’s situation.
  • Proven Record in Negotiations: He has successfully negotiated with regulatory bodies and prosecutors, often achieving reduced penalties or case dismissals.

Frequently Asked Questions (FAQs)

What should I do if I am under investigation for health care fraud?

Contact an attorney immediately to ensure your rights are protected and to receive guidance during the investigation.
Yes, depending on the nature and severity of the charges, prison sentences are possible, especially for large-scale fraud.
Investigations often involve reviewing billing records, patient data, and financial transactions by federal or state agencies.
You have the right to legal representation and to challenge improper searches or evidence gathering.
Yes, in many cases, plea agreements or settlements can be negotiated to avoid a trial.
Penalties can include fines, restitution, exclusion from federal programs, and incarceration.
Schedule a Consultation for Health Care Fraud Defense
Facing health care fraud charges in Lafayette, Louisiana? Contact Kevin Stockstill at Stockstill Defense Firm for a confidential consultation. Call (337) 262-0203 or use our online booking form to schedule your appointment. Immediate action is essential to building a strong defense and protecting your professional future.

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