Experienced Representation For False Claims Accusations
The False Claims Act (FCA) is a federal law that allows the government to hold health care providers accountable for fraudulent claims. These claims can range from misrepresenting services provided to falsifying a diagnosis. Those found guilty of false claims can face penalties of $10,000 for each false claim as well as three times the actual damage suffered by the federal government. If you or your business is under investigation, it is critical that you contact a knowledgeable attorney who can protect your rights.
At Rivas Goldstein, LLP, our experienced health care law attorneys help health care providers and professionals protect their rights and finances from false claim accusations. We have considerable experience with government investigations, including those involving the FBI, the Office of the Inspector General (OIG), the Medicaid Fraud Control Unit or Zone Program Integrity Contractors (ZPIC) such as SafeGuard Services. Our law firm will take immediate action to help you build a defense and ensure that your business remains operational during the investigation. You can call our New York City office now at 646-859-3790 for a phone consultation.
Understanding False Claims
The FCA gives federal agencies and contractors wide-ranging powers to investigate and prosecute false claims. Investigators can disrupt business operations by seizing vital documents and carrying out extensive audits. Our lawyers open the lines of communication with federal investigators and work to allow health care businesses to continue to provide services. We also create robust defense strategies that ensure our clients’ businesses get the best possible outcomes.
A few examples of violations of the FCA include:
- Misrepresenting services, dates and the provider of said services
- Unbundling services
- Billing for services that were not medically necessary
- Creating false patient records or falsifying existing records
- False or fraudulent medical professional certifications
In addition to protecting clients from false claim accusations and investigations, we also help clients prevent investigations in the first place. We audit existing businesses and ensure that they are meeting all legal requirements. If we find a violation of the law, we help health care companies align with all regulations.
Closely related to the FCA are the Anti-Kickback statute and Stark Law. These laws are intended to prevent unlawful kickbacks or referrals between medical providers, but there are several exceptions. Our lawyers can investigate the kickback claims brought by federal investigators and protect the rights of your health care business.
Learn More By Contacting A Lawyer
If you are facing an accusation of false claims, it is essential that you contact our New York City office as soon as possible. Call us now at 646-859-3790 or send us an email to schedule your consultation. We help clients in New York and New Jersey.