Are you a Miami medical professional or healthcare business facing healthcare fraud allegations/.
Our Miami healthcare fraud defense lawyers represent healthcare professionals across the South District’s federal courts. We provide robust legal representation to medical providers in Miami-Dade, Broward, Palm Beach, and throughout the Greater Miami region.
Our healthcare fraud defense services include:
Proactively book your free, confidential consultation online or call (404) 806-7997 to explore your legal options.
Miami lawyer hours: 24/7.
When federal investigators initiate a case against you, your professional reputation and decades of work are at stake. Our firm is dedicated to protecting your Florida healthcare business and reputation, harnessing our decades-long background in federal defense.
Call Lowther | Walker at 1-(404) 806-7997 to speak with an experienced healthcare fraud defense lawyer.
The healthcare defense specialists at Lowther | Walker bring years of extensive courtroom experience throughout Florida’s federal court system. Our practice encompasses both active defense against federal healthcare charges and appeals of existing fraud convictions. Our established relationships and negotiation expertise with key agencies including the FBI, HHS-OIG, FDA, and Department of Justice consistently helps our clients minimize penalties and secure favorable outcomes
We recognize that clients typically reach out during moments of extreme vulnerability. When federal authorities place you under investigation for healthcare fraud allegations in Florida, concerns about your clinical practice, professional credentials, and future livelihood become overwhelming. Regardless of the evidence assembled against you, strategic defense pathways exist that could lead to complete dismissal. Our healthcare fraud specialists remain available around-the-clock for immediate legal consultation when you need it most.
Our specialized knowledge of Florida’s federal court systems, combined with our record of ground-breaking victories in major healthcare fraud cases nationwide provides our clients formidable defense.
Whether you’re the target in a current healthcare fraud investigation or a Miami doctor facing a Medicare audit, you can turn to Lowther | Walker to help immediately intercede on your behalf and respond to investigators. Our experience in healthcare fraud defense includes ensuring the dropping of all charges in complex fraud cases and helping reduce potential criminal penalties in cases with overwhelming evidence.
If you’re deciding between several firms to represent you, consider the following reasons for selecting Lowther | Walker:
Lowther | Walker has established its reputation through consistently superior outcomes in healthcare fraud litigation. Our signature accomplishment includes successfully defending against what prosecutors described as the largest healthcare fraud prosecution in DOJ history.
When selecting healthcare fraud defense representation, examine our case results to understand why Lowther | Walker consistently delivers exceptional outcomes for healthcare professionals.
Our healthcare fraud defense practice encompasses representation during every phase of potential proceedings.
Whether you require immediate consultation during preliminary investigation, strategic guidance during grand jury proceedings, or aggressive trial representation, Lowther | Walker delivers targeted defense strategies precisely calibrated to your specific circumstances.
Lowther | Walker brings proven healthcare fraud defense to Miami cases. From representing individual practitioners facing Medicare fraud allegations to defending multi-physician practices against systematic billing fraud claims, our firm’s reputation for effective healthcare defense extends across Florida’s Southern District. We have experience serving communities across Miami, including Miami Beach, Miami Dade County, and doctors to the north of the city in Aventura,
When legal questions demand immediate answers, our healthcare fraud team remain continuously available. We provide complimentary initial consultations to evaluate your situation, assess potential vulnerabilities, and outline strategic defense options.
Client’s allegedly participating in a “telemedicine” kickback scheme
Health Care Fraud, Aggravated Identity Theft, and False Statements
Fraudulently billed insurance companies, and federal health care benefit programs
In June 2024. Homeland Security Tampa and other federal agencies investigated then charged nine Floridians with alleged schemes to defraud federal healthcare programs for the elderly and disabled. U.S. Attorney Roger B. Handberg announced the charges, brought forth in Florida’s middle district.
On April, 10, 2025, a Florida pharmacy agreed to pay a $1 million settlement to resolve False Claims Act violations. The violation relate to Medicare Part D and the federal program requiring healthcare providers to submit prior authorization requests to insurers.
In January 2024, a Miami Shores resident was sentenced to eight years and four months in prison for their role in a $93 million healthcare fraud scheme. The scheme involved a conspiracy to defraud Medicare and a second person, residing in Hialeah was sentenced to five years and 10 months in prison..
You may be charged under both federal laws (18 U.S.C. § 1347, False Claims Act) and Florida-specific statutes (Florida Statute § 817.234 – False and Fraudulent Insurance Claims, Florida Statute § 409.920 – Medicaid Provider Fraud). Florida has particularly aggressive healthcare fraud prosecution units, including dedicated Medicaid Fraud Control Units that coordinate with federal authorities.
Florida’s Patient Brokering Act (Florida Statute § 817.505) is broader than federal laws and prohibits almost any form of remuneration for patient referrals, particularly in addiction treatment. Unlike federal anti-kickback laws, Florida’s statute doesn’t require proof of intent and carries penalties up to $500,000 and 15 years imprisonment for each violation.
Florida’s Southern District has a reputation for harsh sentencing in healthcare fraud cases. For fraud exceeding $1.5 million, sentences typically range from 41-51 months under federal guidelines, but Florida prosecutors often seek sentence enhancements based on “sophisticated means” or “position of trust” factors.
Florida’s Medicaid Fraud Control Unit collaborates with the FBI and OIG using data analytics to identify billing anomalies, with a focus on home health, durable medical equipment, and addiction treatment facilities. Since 2018, Florida has increased the use of undercover operations in South Florida healthcare facilities.
Florida’s Department of Health can issue an Emergency Suspension Order (ESO) of your professional license even before conviction if they determine you pose an “immediate danger to public health.” This is more common in Florida than many other states and doesn’t require completion of criminal proceedings.
Florida’s E-FORCSE system tracks controlled substance prescriptions and is actively used by investigators to identify unusual prescribing patterns. Florida has stricter monitoring requirements than many states, and investigators can access this data without a warrant when building fraud cases.
Under Florida’s Information Protection Act (FIPA), improper handling of patient information during your defense can create additional liability. If records are seized, you must document the chain of custody to demonstrate continued FIPA compliance, which is more stringent than federal HIPAA requirements.
Florida’s Southern District courts move healthcare fraud cases relatively quickly, with the time from indictment to trial averaging 8-12 months, faster than many other jurisdictions. The Middle District has established a specialized Healthcare Fraud Task Force that expedites case processing.
Florida requires telehealth providers to register with the state. Unregistered practice or billing irregularities for telehealth services receive heightened scrutiny, with Florida’s telehealth compliance guidelines being more detailed than federal regulations.
Florida employs the Florida Contraband Forfeiture Act alongside federal forfeiture laws, allowing for seizure of assets before conviction. Florida prosecutors routinely freeze both personal and business accounts early in healthcare fraud investigations, often within days of search warrants being executed.
Florida courts give particular weight to compliance programs that include regular independent audits, documented training, and specific “Florida compliance addendums” addressing state-specific billing requirements. Florida judges increasingly expect to see evidence of active compliance monitoring that exceeds basic Medicare requirements.
