Healthcare Fraud

Protect Your Legal Rights With Phillip A. Linder

Fraud is defined as a deliberately dishonest act that allows someone to receive benefits they’re not entitled to. In terms of healthcare, this can include:

Misrepresenting services
Billing for services that haven’t been provided
Recommending and billing for services that aren’t medically necessary
Billing more for a service than it actually costs (upcoding)

Charges of healthcare fraud can result in significant prison time and a criminal record that will follow you around for the rest of your life. Thankfully, our attorney Phillip A. Linder can provide the knowledgeable, experienced counsel you need to protect your rights and win your case.

Mr. Linder is Board Certified as a Criminal Trial Specialist by the Texas Board of Legal Specialization. He has experience with a wide range of fraud cases, both as a prosecutor and as a defender, so he knows exactly how to build an effective legal strategy for your case. When you choose the law firm of Phillip A. Linder, you can rest assured that your future is in trustworthy hands.

Fighting Healthcare Fraud Cases

In order to be charged with any type of fraud, the prosecution has to show that you had intent behind your actions. We’re all human, so it’s fairly common to make a mistake or accidentally overlook something important. If we can demonstrate this is the situation with your case, the charges will likely be dropped.

Our attorney will do everything in his power to defend your case. We do our best to settle matters in negotiation, but we’re always prepared to go to court if a more aggressive defense is needed.

HEALTHCARE FRAUD: FAQs

What is healthcare fraud?

Healthcare fraud describes any intentional action that leads to you or another party receiving healthcare benefits you’re not entitled to. In order to be considered fraud, the action has to involve intentional deception or misrepresentation of information. It’s estimated that healthcare fraud costs the U.S. billions of dollars every year.

What are some examples of healthcare fraud?

An example of healthcare fraud could be a provider who bills for services that weren’t actually performed, or bills for a more expensive procedure than the one actually performed. Another good example of healthcare fraud is performing services that aren’t medically necessary or misrepresenting non-covered treatments in order to receive insurance payments.

What is the difference between healthcare fraud and abuse?

Healthcare fraud and abuse are closely connected, but there is an important legal distinction between them. Fraud is defined as an intentional deception or misrepresentation of facts, while abuse is defined as any improper action that goes outside acceptable standards of professional conduct.

Both crimes have the same effects and lead to similar results, but the key difference is the intent of the person committing the action. Since fraud is an intended action and abuse is not, a fraud charge will result in stricter legal punishment.