MEDICAID/ MEDICARE FRAUD DEFENSE IN SOUTH FLORIDA

Medicare/Medicaid fraud runs rampant in South Florida. Many physicians and other health care providers in South Florida are finding themselves having to defend against accusations of health care fraud. As the costs and the quality of health care services have moved to the forefront, there has been a dramatic increase in government scrutiny of those in the health care business.

If you are facing charges of Medicare Fraud and Medicaid Fraud or you are being investigated by law enforcement, or your property is in danger of being seized, we can assist in defending you against formidable government entities. The consequences that one faces in a Medicare Fraud and Medicaid Fraud case can be catastrophic. See: Miami physician sentenced to 30 years.


You need a skilled and experienced Medicare Fraud and Medicaid Fraud defense attorney on your side to aggressively defend you against these charges. The Law Offices of Richard B. Marx & Associates represents health care providers and organizations in criminal as well as civil matters involving Medicare Fraud and Medicaid fraud. We have represented doctors, dentists, pharmacists, psychologists, medical clinics, suppliers, laboratories, and other health care entities in all legal matters including Medicare/Medicaid fraud.

The laws pertaining to Medicare Fraud and Medicaid Fraud in South Florida and everywhere are complex. Often these investigations run parallel to civil lawsuits or administrative investigations. The decisions in one action can affect the outcome of the other. It is imperative these proceedings are handled by an experienced attorney. Richard B. Marx, Esq. has successfully defended such cases in the State and Federal Criminal Courts as well as before Administrative tribunals.

Richard B. Marx, Esq. understands government bureaucracies, how and with whom to work throughout the investigative process, as well as to how to strongly advocate our client's position. Richard B. Marx, Esq.’s has represented individuals in state and federal investigations, regulatory compliance, and criminal charges through jury trial.


Richard B. Marx’s experience and skill in Medicare/Medicaid fraud makes him qualified to represent you effectively, efficiently, and discreetly. Due to the nature of white collar and civil fraud matters, it is critical that we keep these matters confidential for our clients, so as to preserve their professionalism and reputation within the medical community. There are numerous types of Medicare fraud most of which are listed below:

Types of Medicare Fraud:

• Improper prescribing and dispensing of pain medication.
• "Phantom Billing" - Billing for tests not performed.
• Performing inappropriate or unnecessary procedures.
• Charging for equipment/supplies never ordered.
• Billing Medicare/Medicaid for new equipment but providing the patient used or less expensive equipment.
• A drug or equipment supplier completing a Certificate of Medical Necessity (CMN) instead of the physician.
• "Reflex testing" - Automatically running a test whenever the results of some other test fall within a certain range, even though the reflex test was not requested by a physician.
• Offering free services or supplies in exchange for your Medicare or Medicaid number.
• "Double Billing" — charging more than once for the same service, for example by billing using an individual code and again as part of an automated or bundled set of tests.
• "Phantom Employees" - Expensing employees or hours worked that do not exist.
• "Improper Cost Reports" — Submitting false cost reports seeking higher Medicare reimbursements than permitted by actual facts.
• Providing substandard nursing home care and seeking Medicare reimbursement.
• Routinely waiving patient co-payments.
• Providing counterfeit drugs to patients.
• Providing prescription drugs to patients unnecessarily.
• Purchasing and selling prescription drugs on the “black market”

If you have questions or concerns regarding Medicare/Medicaid fraud contact the Law Offices of Richard B. Marx & Associates today for a discreet and confidential consultation.