How We Defend Providers
Billing Disputes Are Not Crimes
Healthcare fraud prosecutions – 18 U.S.C. § 1347, the Anti-Kickback Statute, and the False Claims Act – frequently criminalize what is really a coding disagreement, a compliance failure, or a medical judgment call. The government’s case depends on proving you intended to defraud, not merely that a claim was later disallowed.
We defend audits, civil investigative demands, and criminal investigations for providers across Florida and Michigan – engaging billing experts, challenging extrapolated loss figures, and separating clinical judgment from criminal intent before charging decisions are made.