Insurance companies are working with prosecutors to set up and arrest medical professionals on various pre-planned counts of insurance fraud, medical fraud and related charges. The White Collar crime sections of the insurance companies utilize a three step process.
First they investigate. Depositions in car accident cases focus on the medical provider and his/her finances and not the patient injuries. (This is a sure sign they are looking at you.) Next comes the economic attack. Delays in payments, challenges to the necessity of treatment - anything to slow down your cash flow. Recently what you might call a billing disagreement is being charged as billing fraud.
Chiropractors are increasingly targeted for "work conditioning" fraud as investigative units allege that a lack of significant exercise equipment and poor supervision of the actual exercising by patients equals fraud.
The use of medical lasers by physicians is also an area of intense scrutiny.
The White Collar units then decide whether to go for the criminal charges.
Patients with peculiar complaints and inconsistent histories "drop in" without appointments.
IRS or state tax agencies are contacted.
A sales presentation book is prepared, except what the White Collar unit is selling is you. It is shopped around to the state insurance commissioner, tax authorities, medical boards and prosecutorial agencies.
A separate (but related) avenue are medical fraud lawsuits by citizen watchdogs who sue on behalf of the government and collect a % of the recovery.
"But I haven't done anything wrong !" We often hear this from our medical provider clients. We know. We understand. What you have done wrong is to violate some secret insurance company database created profile that presumes guilt. Even if you are not guilty they don't care. The insurance companies follow the "blue sky" theory. Cause someone to be arrested and other practitioners will run scared. They run from the rain to the blue skies. Even if you eventually win, the insurance companies always win because they make money by sending your friends and associates scurrying in fear.
We have successfully defended many of these cases and we are presently litigating five of them in the United States District Court. We use a variety of strategies depending upon the situation, but we are always proactive. If charges are filed, we have a team of experienced legal and medical professionals to defend you.
If you think that you are the subject of this type of investigation you should contact our office without delay. We can do a basic assessment for a reasonable fee. If you are under attack, we can help you prepare your defense.
Call for an appointment before they knock at your door at 7:00 am
Criminal Defense Specialist certified by the State of California handling criminal charges against professionals including .... White Collar Criminal Defense Medical Fraud Medical-Legal Financial Crimes Business Crimes White Collar Defense Stock Fraud Defense Money Laundering Finance Fraud Medical Billing Crimes Civil/Criminal Business Cases Accounting Fraud RICO Conspiracy Wrongful Death Serious Felonies Homicide Murder Death Penalty Medical licensing Theft Embezzlement Tax Evasion Financial Irregularities CPT Code Billing Fraud Insurance Fraud Business & Professions Code 550 Defense Business & Professions Code 650 Defense Stock Fraud Business lawsuits with criminal aspects Other White Collar Criminal Defense Cases - Financial Business related cases wire fraud mail fraud business fraud customs violations - This office does not represent defendants in sex cases, child molest or crimes against the security of the United States, white collar criminal defense. This office has legal teams providing white collar crimes defense with an emphasis on San Francisco, Oakland, Contra Costa County, Stockton, Los Angeles and the San Francisco Bay Area. The office handles federal cases in most jurisdictions and we associate with attorneys licensed in New York and Hawaii. Horowitz law firm, white collar criminal defense lawyers with offices in Lafayette, California; Stockton, California; serving the state of California and working with associate attorneys in many other states including New York, Hawaii and Nevada. Mailing address: 3650 Mt. Diablo Blvd. Suite 225, Lafayette, California 94549
Medical Fraud - Criminal Defense Lawyers (925) 283-1863