888-USA-RIGHTS

Columbus Medicaid Fraud Attorney

Medicaid Fraud Defense Lawyers Helping Health Care Providers Facing Criminal Charges

If you are charged and ultimately convicted of committing Medicaid fraud in Columbus, you can end up facing numerous criminal penalties, all of which are extremely serious. In addition to spending time in a federal detention center, you might also be looking at costly fines and other penalties if you are ultimately convicted in your criminal case.

If you find yourself facing charges for Medicaid fraud in Columbus, you should seek out experienced legal representation as soon as you learn of the charge. A knowledgeable attorney can ensure that your constitutional rights are protected throughout the entire process and can help you prepare one or more legal defenses against your charge that you can advance in your case.

Let the Columbus Medicaid fraud attorneys at Joslyn Law Firm assist you with a defense in your criminal case today. Please call us at 614-444-1900 or contact us online to learn more about how we could assist with defending you against your pending white collar crime criminal charge.

Overview of Medicaid Fraud in OH 


Back to top

What is a Charge for Medicaid Fraud?

Medicaid fraud happens when someone intentionally provides false or deceptive information to get the Medicaid program to pay for medical services or care. There are several ways in which a person may commit Medicaid fraud. Some common ways that Medicaid fraud is committed include the following: 

  • An individual engages in altering, falsifying, or destroying one or more documents that are necessary for obtaining Medicaid reimbursement after he or she has already billed Medicaid
  • An individual knowingly or intentionally makes a misleading or false statement (or causes such a false or misleading statement to be made), in order for that individual to obtain some form of Medicaid reimbursement
  • An individual knowingly accepts or solicits a payment in exchange for certain Medicaid services, with the specific purpose or intention of committing Medicaid fraud 

Some activities that may constitute Medicaid fraud include all of the following:

  • Issuing one or more false invoices for payment
  • Billing for medical services that were never actually provided to a patient
  • Billing for unbundled services
  • Overly utilizing certain medical services or procedures
  • Billing for medical equipment that was never ultimately provided

If you have been accused or formally charged with committing an act of Medicaid fraud, it is important to have an experienced Columbus Medicaid fraud lawyer on your side as soon as possible, so that he or she can immediately set to work on defending against your criminal charge.


Back to top

What Penalties Can I Face if I’m Convicted of Medicaid Fraud?

If you are charged with and convicted of Medicaid fraud, you naturally wonder if you will go to jail. The penalties for a guilty plea or conviction will vary depending on which court convicts you and how much the fraud was worth. The following are some possible penalties for Medicaid fraud in Ohio:

  • If the fraud is worth $1,000 to $7,500 = Fifth-degree felony charges and up to 12 months in jail
  • If the fraud is worth $7,500 to $150,000 = Fourth-degree felony charges and up to 18 months in prison
  • If the fraud is worth more than $150,000 = Third-degree felony charges and up to five years in prison 

Some additional consequences that you could be facing for Medicaid fraud include the following: 

  • Being expelled from the Medicare or Medicaid Program
  • Losing staff privileges
  • Having your medical license either suspended or revoked
  • Imposition of fines and/or costs

Back to top

How Our Columbus Medicaid Fraud Defense Lawyers Can Help

If you or your medical practice has been accused of committing Medicaid fraud, you want an experienced Columbus Medicaid fraud attorney in your corner, assisting you with your legal defense as soon as possible.

Our experienced Columbus Medicaid fraud lawyers will do everything in our power to keep criminal charges from being filed against you if you are under investigation by the Medicaid Fraud Control Unit (MFCU) or facing civil penalties. If criminal charges are ultimately filed in your case, an experienced attorney can present all possible defenses, as well as request a charge reduction or ask the federal judge overseeing the case to impose the lightest possible penalty under the circumstances. A Medicaid fraud lawyer may also be able to represent you before a state licensing authority in order to fight against your professional license being suspended or revoked, depending on the circumstances. 

One of the strongest legal defenses that an attorney could make on your behalf is that you did not have the specific intent to defraud. In some instances, mistakes are made by office staff and other individuals, resulting in a false Medicaid fraud charge.

While medical offices should have the necessary and proper systems in place to prevent billing mistakes and other errors from occurring, an honest mistake made by a provider or a member of the provider’s staff should not result in criminal charges being imposed against the provider.

In order for you to be convicted of committing Medicaid fraud, the government prosecutor has the burden of proving that you committed the crime beyond a reasonable doubt. This legal standard is high, and if the government is unable to prove even one legal element of the alleged crime, your case may wind up being dismissed. One of the hardest legal elements of Medicaid fraud for the government to prove is that you knowingly intended to defraud the United States government. Moreover, there are several legal defenses that you might be able to argue in response to a Medicaid fraud charge that is lodged against you. 

A knowledgeable Columbus Medicaid fraud lawyer can review the circumstances of your charge and work with you to formulate the best possible legal defense on your behalf. We challenge the prosecutor’s case against you in any possible way to protect your rights.


Back to top

Speak with a Columbus Medicaid Fraud Attorney Today

Medicaid fraud can result in the imposition of both civil and criminal penalties, not to mention potential license suspension or revocation. If you or your practice is facing a charge for Medicaid fraud, put your trust in the knowledgeable legal team at the Joslyn Law Firm. Our legal team can safeguard all of your legal rights and provide you with strong, affordable, and results-oriented defense representation in your criminal case from beginning to end. 

To schedule a free case evaluation and legal consultation with a Columbus Medicaid fraud attorney, please call us at 614-444-1900 to learn more about how we could assist you with your legal defense. We help those charged in Columbus Ohio including all surrounding counties including, Franklin County, Pickaway County, Madison County, Union County, Delaware County, Licking County and Fairfield County Ohio.


Request Your Free Consultation

Free Consultation

All fields are required.

In The News

Check Out Our Latest Video

Fox 28, NBC 4, ABC 6, WBNS 10 - CBS, The Columbus Dispatch, the Plain Dealer

Client Satisfaction Is Our Priority

Hear It From Former Clients