Orlando, Florida Medical Fraud Defense Attorneys
Defending Practitioners in Medicaid/Medicare Fraud
A conviction or civil lawsuit for health care fraud can be financially disastrous, even career-ending. The Law Offices of Mark L. Horwitz, a Professional Association, has represented a broad range of health care providers facing criminal prosecution and civil litigation.
Mark L. Horwitz is a certified criminal trial specialist, with insights as both a former prosecutor and defense lawyer from over 30 years of criminal law practice. Our firm is located in Orlando, serving individuals and physician groups statewide in Florida and throughout the United States. We stand willing to represent medical professionals including:
- Doctors (e.g., family practitioners, orthopedic specialists, neurologists)
- Surgeons and anesthesiologists
- Radiologists and diagnostic labs
- Chiropractors
- Dentists
- Psychiatrists
- Nurses and other licensed medical professionals
Medical Fraud Defense
The rules for billing under Medicare and Medicaid are very specific and the process is arcane. We know that providers can easily trigger civil audits and criminal investigations through innocent mistakes in billing government programs or private insurance, and that investigators automatically suspect doctors even when the billing department of a large health organization made the errors.
Our chief objective is to pre-empt criminal charges against physicians by conducting our own investigation to prove there was no intent to defraud. If charges are brought, we aggressively counter the allegations before a jury or negotiate the most favorable plea agreement to (a) avoid prison and (b) avoid loss of medical license.
- In one case, we represented a doctor accused of unbundling CPT codes for breast X-rays to charge excessively for the diagnostic exams. We convinced prosecutors not to prosecute on these charges because the complexities of the Medicare billing made it impossible to prove that the doctor acted with criminal intent.
- In another case, a mobile lab that conducted blood draws was accused of exaggerating mileage to inflate Medicaid reimbursement claims. We negotiated a plea agreement that significantly reduced the client's potential exposure to criminal sanctions.
At the Law Offices of Mark L. Horwitz, a Professional Association, we understand what's at stake for providers, and we understand the Medicare/Medicaid system. Contact our medical fraud defense lawyers today at 407.401.7224 or 866.784.0023 to arrange a discreet consultation about your case, possible sanctions, and legal options.
