Healthcare Fraud

Federal healthcare fraud investigations can dismantle medical practices, jeopardize professional licenses, and result in criminal charges, civil penalties, and exclusion from federal healthcare programs. Allegations may involve physicians accused of billing fraud, practice administrators facing kickback claims, pharmacy owners investigated for improper prescriptions, or medical businesses accused of false billing. These cases require defense counsel who understands both healthcare regulations and federal criminal law.

Experience in Complex Healthcare Fraud Matters

Daniel Fortune has represented physician practices, dental offices, and healthcare businesses in matters involving federal healthcare statutes. As a federal prosecutor, he supervised white collar fraud investigations involving agencies such as the FDA and other healthcare regulators. His background includes knowledge of the Anti-Kickback Statute, Stark Law, the False Claims Act, and Medicare and Medicaid fraud provisions, all of which carry substantial criminal and civil exposure.

Addressing the Unique Challenges of Healthcare Fraud Cases

Healthcare fraud matters frequently involve medical complexity, regulatory obligations, and federal prosecution. Investigators often rely on statistical analysis of billing patterns, expert testimony on medical necessity, and statements from cooperating witnesses. Allegations may include upcoding, unbundling, billing for services not provided, improper referral relationships, or other conduct that may be difficult to distinguish from legitimate billing practices.

Our firm examines the clinical and administrative components of these cases, collaborates with medical experts and billing professionals, and challenges the government’s interpretation of medical necessity and billing rules. We address the criminal allegations as well as the licensing, civil, and program exclusion issues that healthcare providers face.

Contact Fortune Trial Attorneys

If the FBI or OIG serves a search warrant at your practice, if you receive a civil investigative demand, or if you learn you are under investigation for healthcare fraud, immediate representation is critical. Contact our confidential team to protect your practice, your license, and your future.