How Does The Government Prove Intent In Healthcare Fraud?
Healthcare fraud is a specific intent crime, meaning the government cannot secure a conviction simply by proving that false claims were submitted. Prosecutors must demonstrate that the defendant knowingly and willfully acted to defraud — a standard that requires getting inside the mind of the accused. Here is how they do it. Intent Under 18 […]
Legal Defenses for Healthcare Fraud Charges
When federal or state prosecutors target healthcare providers, the charges are serious. But charges are not a conviction. Healthcare fraud prosecutions under statutes such as the False Claims Act, Anti-Kickback Statute, and Stark Law carry severe penalties. Providers can face prison terms up to 10 years per count, exclusion from Medicare and Medicaid, and the […]
The Complete Guide to Healthcare Fraud Defense
For those facing healthcare fraud allegations, this complete guide to healthcare fraud defense explains the laws, the evidence collection process and the available defense options .
Grand Jury Subpoenas in Healthcare Fraud Cases – What Medical Professionals Need to Know
Grand jury subpoenas are a court order compelling someone to testify or produce evidence for a grand jury investigation to determine if criminal charges are warranted.
This post explains how healthcare professionals should respond to a healthcare grand jury subpoena.
Why Healthcare Practice Owners and Providers Receive Target Letters and What to Do Next
Data shows the total new government and whistleblower healthcare fraud matters opened under the False Claims Act reached an all-time high of 1,402 in 2024. Healthcare practice owners across the United States are facing growing scrutiny from federal agencies like the Department of Justice (DOJ), the Office of Inspector General (OIG), and the FBI. A target letter is […]
What is an OIG Healthcare Fraud Investigation?
OIG (Office of Inspector General) investigations are independent inquiries conducted by oversight offices within government agencies to detect and prevent fraud, waste, abuse, and mismanagement. This guide is to help professionals facing an OIG investigation understand the next steps and the defense options.