Physicians Must Always Be on Guard Against Claims of Federal Criminal Fraud

Federal Health Care Fraud


Things gained through unjust fraud are never secure.
— Sophocles

Health Care Fraud in Michigan Federal Courts

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The United States Attorney for the Eastern District of Michigan routinely prosecutes health care fraud cases. Per 18 USC § 1347, an individual who knowingly and willfully executes a scheme to defraud a health care benefit program can be prosecuted. Another way the Government will prosecute health care fraud is if the individual obtains by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any health care benefit program, in connection with the delivery of or payment for health care benefits, items, or services. If one is found guilty of federal health care fraud, they could face a prison sentence of up to ten years in prison.

There are many types of Federal Crimes that Medical Professionals May Face

Federal health care violations can include billing for services not performed, falsifying a diagnosis to justify billing for tests, surgeries or other procedures that aren't medically necessary, and misrepresenting procedures performed to obtain payment for services that are not covered. Doctors and their staffs have to be keenly aware of the federal health care fraud law in order to avoid a very scary legal situation.

We are Michigan Criminal Lawyers Who Represent Doctors in Federal Court

There are ways to fight these cases, and what is most important is hiring a law firm that has extensive federal court criminal experience in Michigan. Give us a call today and let’s talk about your options.