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Healthcare Fraud

Decades of Experience for Federal Healthcare Fraud Investigations in Raleigh, NC

In recent years, the Medicare Fraud Strike Force and other federal authorities have begun aggressively pursuing charges against individuals and organizations suspected of healthcare fraud. While being charged with a federal crime can lead to severe penalties, facing an investigation can have lasting consequences for practitioners and other healthcare providers as well. Our attorneys provide experienced representation for healthcare fraud investigations in North Carolina, and our goal in every case is to end our client’s investigation before it causes irreparable harm.

Cases We Handle

Our Raleigh, NC healthcare fraud defense practice includes representing physicians, medical facilities, pharmacies, medical equipment providers and others in the healthcare industry in the following types of matters:

Stark Law and Anti-Kickback Statute

The Stark Law prohibits physicians from providing referrals for “designated health services” to entities in which they hold a financial interest or otherwise have a financial relationship. Entities receiving improper referrals under the Stark Law can also face liability if they bill Medicare or Medicaid for the referred services. Under the Anti-Kickback Statute, healthcare providers can face penalties for paying (or receiving) fees and other forms of remuneration in exchange for Medicare and Medicaid referrals. Together, the Stark Law and Anti-Kickback Statute provide federal investigators and prosecutors with an effective tool kit for combating some of the most common forms of healthcare fraud.

Medicare and Medicaid Fraud

Along with the Stark Law and Anti-Kickback Statute, several other federal laws impose penalties for a wide range of practices constituting Medicare and Medicaid fraud. From billing Medicare for medically-unnecessary supplies to providing false certifications for home health services, virtually any practice that leads to an improper receipt of payment from Medicare or Medicaid can trigger an invasive and disruptive federal investigation.

False Claims Act

The False Claims Act is another of the federal government’s primary tools for combating Medicare and Medicaid fraud. Under the False Claims Act, any provider who submits a false or fraudulent claim for reimbursement can potentially face exorbitant financial liability – and potentially even time behind bars. Like other forms of Medicare and Medicaid fraud, violating the False Claims Act can also lead to disqualification from future participation in government healthcare benefit programs, and for physicians it can put their professional licenses at risk for suspension or revocation.

Focused and Strategic Defense Strategies for Healthcare Fraud Investigations

At Cheshire Parker Schneider, PLLC, we know what a healthcare fraud investigation can mean for your business or practice, and we are committed to helping our clients assert their rights in order to minimize their exposure. There are numerous potential defenses to allegations of healthcare fraud, and the key to building an effective defense strategy is to get started as soon as possible.

Get Started with a Confidential Consultation in Raleigh, NC

If you or your business is under investigation for healthcare fraud in North Carolina, contact the defense attorneys at Cheshire Parker Schneider, PLLC. To schedule a confidential consultation at our offices in Raleigh, please call (919) 833-3114 or submit our online consultation form now.


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Cheshire Parker Schneider, PLLC 133 Fayetteville Street Suite 200 Raleigh, NC 27601 | Phone: (919) 833-3114