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Wisconsin Medicare Fraud

Racine and Kenosha Federal Criminal Lawyer

If you have been accused of Medicare or Medicaid fraud, you are in serious legal trouble. The federal authorities are heavily involved in identifying those that are ripping off these agencies and holding them accountable in federal criminal court. Medicare fraud can include billing for services that were not medically necessary, charging excessively for services or supplies or misusing codes, upcoding or unbundling codes, or billing for supplies that were not provided to the patient.

The federal False Claims Act (FCA) is the law that comes into play if any person knowingly submits a false or fraudulent claim. The penalties imposed can include fines from $5,500 to $11,000 per claim, and up to three times the damages to the federal government that resulted from that claim. These penalties, as they are based on a per claim basis, can add up to hundreds of thousands of dollars or more and lead to years in federal prison. Are you charged with Medicare or Medicaid fraud? It is imperative that you have legal representation from a highly skilled federal criminal defense lawyer.

Federal Laws and Medicare or Medicaid Fraud

There are various federal statutes that can lead to criminal charges being filed in federal court for Medicare or Medicaid fraud, including the FCA as well as the Anti-Kickback Statute (AKS). It is a crime to willfully offer, pay, solicit or receive any remuneration (directly or indirectly) that rewards referrals of items or services that are paid by one of the federal health care programs. The penalties can include fines up to three times the amount of the kickback, and criminal penalties can mean fines and imprisonment in a federal correctional facility.

Medicaid fraud charges can be related to accusations of patient abuse and neglect in health care facilities. Medicaid Fraud Control Units (called MFCU) are located in both Wisconsin and Illinois, and are involved in identifying those that they believe are fraudulently collecting funds for services or equipment. The Office of the Inspector General, U.S. Department of Health and Human Services is the oversight agency for these cases, and charges are usually filed after an extensive investigation from the state MCFU. These cases involve a substantial amount of documentation and other evidence, all of which could have been misinterpreted by the authorities. It could not be more important that you get a qualified attorney with extensive knowledge and experience in federal criminal defense. The outcome of your case will in large part be the result of the actions taken by your lawyer.

Our Qualifications for Defending Against Medicare or Medicaid Fraud Charges

At Cafferty Law Offices, S.C., you will find a highly respected and accomplished federal criminal defense lawyer in Patrick K. Cafferty. He has achieved many honors and accolades, including being listed in Wisconsin Super Lawyers® from 2008 – 2014, having a 10.0 Superb rating on Avvo, and rated AV Preeminent® in criminal defense by Martindale-Hubbell®, as well as being listed in Best Lawyers. You can be confident that your case will be handled by a true legal professional. Call now.