Colorado Healthcare Fraud Defense Lawyer
United States citizens demand accountability from individuals, firms, and businesses who abuse government programs such as Medicare and Medicaid as well as those who attempt to defraud the federal government. Employees with federal agencies such as the Federal Bureau of Investigation (FBI), the United States Department of Justice (USDOJ), the Drug Enforcement Administration (DEA), are tasked with investigating and prosecuting those Colorado-based healthcare providers and individuals who are suspected of engaging in fraudulent activities.
Physicians, health providers, and others in the healthcare industry who operate in the Colorado area should take measures that will help protect you in the event a federal healthcare fraud investigation is initiated against you or your business. This includes ensuring that you have access to experienced and knowledgeable legal counsel.
Contact the Former U.S. Prosecutors of Oberheiden, P.C.
When you and/or your business is the target of a federal health fraud investigation, you need the advice and representation of Oberheiden, P.C.. Our firm is comprised of former DOJ and federal officials who are intimately familiar with federal health fraud investigations and audits. In fact, our firm and its personnel have participated in over 1,000 healthcare fraud investigations and audits. While we are proud of our firm’s past successes, we are not tied to them: we utilize our knowledge of what has worked for our clients in the past to develop new and innovative ways to better represent and defend you and your business.
Current Fraud Investigations in Colorado
The Drug Enforcement Administration, the Office of the Inspector General, and the Federal Bureau of Investigation are just some of the federal agencies that have conducted – and are presently conducting – investigations targeting Colorado health providers and related enterprises. Violations of the Anti-Kickback Statute (42 U.S.C. 1320a-7b), the Stark Law (42 U.S.C. 1395nn), the Controlled Substances Act (21 U.S.C. 841, 846), and other similar statutes can result in significant civil penalties and, in some cases, serious criminal consequences.
Audits & Compliance:
Medicare Audits & ZPIC Audits. Medicare Administrative Contractors (MACs) and Recovery Audit Contractors (RACs) are tasked with detecting payments made on claims that are either improper or outright fraudulent. They do this by analyzing data from claims submitted to Medicare and comparing the data contained in the claim to information and documentation supplied by the health provider. Furthermore, Zone Program Integrity Contractors (ZPICs) audits are also tasked with uncovering potentially fraudulent activity and referring such activity to the Department of Health and Human Services (HHS) and/or the Office of the Inspector General (OIG). These audits are supposed to be conducted by trained and objective professionals: however, mistakes in the manner in which these audits are conducted can happen. When they do, you and/or your business may face criminal charges from the United States Attorney’s Office. At Oberheiden, P.C., former DOJ prosecutors use the knowledge and training they obtained working for federal authorities to help clients complete these and other government audits quickly and with as little disruption to their businesses as possible.
Click here https://federal-lawyer.com/colorado/healthcare-fraud/
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