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Health Care Fraud Investigations

Health care fraud investigations place your business and professional reputation in immediate jeopardy. Our federal health care fraud defense lawyers represent health care professionals and corporations in fraud investigations throughout the U.S.

Protect your livelihood, your rights, and your reputation. Select Lowther | Walker for aggressive legal representation during health care fraud investigations. Call 404-496-4052 to request a confidential health care fraud investigation consultation

Lowther | Walker: Health Care Fraud Investigation Defense

From the moment you select Lowther | Walker as your health care fraud lawyer, each action we take will help get you closer to proving your innocence. Lowther | Walker provides:

Robust Representation in Communications with Fraud Investigators

Each word in every document submitted to investigators in your case will be under intense scrutiny. Lowther | Walker articulates your defense with precision in all communication with the FBI, the DOJ, the FDA, and investigators at the OCI.

Advisory Services for Investigator Requests

Your entire team may be subject to FDA and DOJ requests. We're your health care law compliance experts, helping you and your staff avoid missteps in responding to investigators.

Internal Audits

Uncovering flaws in your internal processes can help your organization stay ahead of investigators. Lowther | Walker completes comprehensive internal audits, reviewing your systems, identifying shortfalls, and pinpointing areas of potential legal exposure.

Tailored Defense

You face FDA and DOJ investigators with a large budget and considerable investigatory resources at their disposal. We implement custom-tailored strategies built specifically for your organization and the potential fraud charges you face. We put the full breadth of our expertise and experience behind your defense, identifying weak areas of the prosecution’s strategy and ruthlessly attacking their case as your legal advocates.

OCI, FBI, and DOJ Health Care Fraud Investigations

If you’re under investigation for health care fraud involving FDA-regulated drugs and medical devices, you will have contact with investigators at the OCI. Meanwhile, the FBI and the DOJ’s health care fraud unit primarily investigate billing fraud and other health care-related financial fraud crimes. When under health care fraud investigation, you will face investigators from one or more of these four federal agencies. 

The OCI (Office of Criminal Investigations) is the investigation arm of the FDA. The OCI regularly charges and prosecutes physicians and health care organizations, and their regulatory scope and budget have grown considerably in recent years. 

Lowther | Walker’s health care investigation defense lawyers have proven experience communicating with the OCI during fraud investigations. We respond vigorously to prosecutorial positions and help health care providers maintain their innocence throughout OCI, FBI, and DOJ investigations. 

If you are a medical provider, pharmacist, medical equipment supplier, or have any other role within the medical industry and have been notified of legal proceedings, contact Lowther | Walker immediately

Whether you’re beginning a health care audit or you’re the known target of an ongoing health care fraud investigation, our seasoned defense lawyers can help reduce your exposure to criminal and civil charges. 

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Healthcare Fraud Offenses

When you’re the target of a health care fraud investigation, you’ll immediately require guidance on the law, the potential charges investigators might bring against you, and the many strategies for your defense. 

Violations of the following may result in health care fraud investigations and charges:

The Federal Health Care Fraud Statute (18 U.S.C. Section 1347)

The Federal Health Care Fraud Statute is one of the tools the OCI often deploys during their investigations. The charges prosecutors file under the statute include “knowingly and willfully executing or attempting to execute a scheme to defraud any health care benefit program” and “Obtaining by false means (or fraud) any of the money or property owned by or under the custody of any health care benefit program”. 

This broad definition of fraud may encompass many health care team activities, and, as such, charges brought under this statute require the guidance of an experienced fraud defense team for meticulous analysis. 

Stop prosecutors in their tracks with health care fraud defense from Lowther | Walker. We’ll analyze the investigations’ claims under the Health Care Fraud Statute in fine detail, seizing on prosecutorial flaws to prove your innocence under the law.

The False Claims Act (31 U.S.C. Sections 3729 - 3733)

The False Claims Act prohibits health care professionals and contractors from “knowingly submitting or causing the submission of a false or fraudulent claim with the intent to procure payment from the government”. Offenses under the False Claims Act may result in civil and criminal penalties. Your professional reputation, your firm's standing in the industry, and your freedom depend on your ability to mount an effective defense.

Your Lowther | Walker FCA defense lawyer can help build a robust defense strategy, which may include a lack of knowledge of the FCA and its broad subcategories. 

The Anti-Kickback Statute (42 U.S.C. Section 1320a-7b)

The Anti-Kickback Statute prohibits the “knowing and willful payment of remuneration to induce or reward patient referrals or the generation of business involving items or services payable by Federal health care programs”. Potential defenses of Anti-Kickback Statute charges include proving the safe harbor provision protects the business relationships in question. 

Lowther | Walker holds substantial experience in Anti-Kickback Statute defense in cases involving health care goods and services. We’ll proactively defend your case in negotiations with federal prosecutors and help reduce potential penalties.

Fight Health Care Fraud Investigations with Lowther | Walker

Lowther | Walker are tried, tested, and proven health care fraud defense lawyers. Our expertise spans the fraud investigation stages, from health care audits to sentencing appeals. While our track record of fraud defense includes decades of forthright advocacy for health care professionals and corporations. 

Our team’s prodigious health care defense background includes successful defense in the largest health fraud case the DOJ has ever prosecuted. Within the case, (United States v. J.P., et al.), our client and nine others were charged with health care fraud, wire fraud, and money laundering. After a six-week trial including over 500 exhibits, the court declared a mistrial. When the government brought the case to the courts a second time, our client was declared not guilty on all counts.

The sooner you act, the better your future. Contact Lowther | Walker online or call 404-496-4052 for an urgent response to your federal health care fraud case.

Experienced. Aggressive. Successful. Nationwide.
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