Defending Health Care Fraud in Dallas and Throughout Texas
Health care fraud and insurance fraud allegations are often brought against health care providers accused of presenting false information in connection with Medicare and Medicaid claims. Specific alleged actions which may trigger a health care fraud case include the following:
- Billing of Medicare or Medicaid by a doctor, clinic or hospital for services not performed
- Double billing: for example, private insurance and Medicaid or two private insurers without proper notification to the insurers of dual coverage
- Substitution of generic drugs for name brand prescriptions when billing an insurance carrier
- Submitting claims for unnecessary medical treatment or services including lab tests
- Conspiring to receive kickbacks from other health care givers, pharmaceutical companies or medical device manufacturers through referrals
- Padding claims made to Medicaid in cost reports with unauthorized or disallowed expenses such as items for personal use by the patient or the health care provider
- Upcoding: misclassifying treatment rendered at a higher rate through re-labeling of procedures
- Unbundling treatment and services in order to bill twice what should be billed as one set of treatments of services
Attorney John Teakell is a former federal prosecutor with a clear understanding of how best to defend a health care provider in the face of allegations of health care fraud. Patients may also be defendants in need of Mr. Teakell's advocacy if a patient faces allegations of filing a fraudulent claim of his or her own. We have helped many clients facing white collar crimes reach successful resolutions to their case.
The reputation and ongoing practice of a doctor, dentist, clinic or hospital is at stake when allegations of health care fraud have surfaced. It is essential for a health care giver to consult with a knowledgeable, proven-effective defense attorney as soon as allegations come to light. If an investigation is already underway, it is past time ― yet there is still time ― to contact the Dallas Law Offices of John R. Teakell.