Nursing Home Fraud Charges Cannot Be Taken Lightly
Health care fraud typically involves improper, inflated or otherwise unlawful medical billing. It results in billions of dollars in expenses every year for private insurers and the government, which funds nursing home care through Medicaid and Medicare.
Federal and state agencies investigate reports of nursing home fraud and aggressively pursue criminal convictions. Health care providers may be accused of billing for goods or services not provided, billing for unnecessary services, billing for fictional patients, inflating the cost of goods or services, or accepting kickbacks. The assertive approach by prosecutors and investigators often leads to them overstepping their legal rights or bringing unwarranted criminal charges against nursing home operators.
Experience That Makes A Difference
William Mauzy, Attorney at Law, represents nursing home operators and executives who face criminal charges for Medicare or Medicaid fraud or other related charges. Mr. Mauzy has more than 30 years of experience defending clients in complex white collar criminal cases. This includes the successful defense of clients against nursing home-related criminal charges:
- In State v. Pelovsky, the firm produced a not guilty verdict for charges of Medicaid fraud and health care fraud.
- In State v. Rafferty, the firm got charges against a nursing home administrator dismissed.
- In State v. Zeleznikar, the firm got charges of neglect against a Two Harbors nursing home administrator dismissed.
Nursing homes must also report any allegations of abuse or neglect to a facility administrator and to the Minnesota Department of Health. Failure to do so may result in criminal charges.
Aggressively Protecting Your Reputation
The mere accusation of health care fraud can damage the reputation of a nursing home or assisted living facility beyond repair. Professional licenses may be at risk. It is critical to get out in front of these cases by immediately enlisting representation from an experienced lawyer like Mr. Mauzy.
Penalties for conviction of health care fraud include prison time, substantial fines, restitution and the forfeiture of a professional license. Prosecutors must prove that any act of fraud was intentional. Without intent, there can be no fraud. Showing that billing mistakes were unintentional is a common and strong defense in these cases.