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Medicaid Fraud Defense Services
Protecting Healthcare Providers in Oregon Against Medicaid Fraud Allegations
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Facing Medicaid fraud allegations can be a daunting experience for healthcare providers in Oregon. With both state and federal authorities aggressively pursuing these cases, the consequences of such allegations—whether intentional or not—can be severe, including financial penalties, loss of professional licenses, and even criminal charges.
To navigate these complex challenges, I collaborate closely with S. Amanda Marshall, former United States Attorney for the District of Oregon, who brings unparalleled experience in government investigations and litigation. Together, we provide comprehensive legal defense to healthcare providers facing Medicaid fraud allegations, combining my expertise in legal research and strategy with S. Amanda’s extensive trial experience and deep understanding of federal and state enforcement agencies.
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Understanding Oregon Medicaid Fraud
​Oregon Medicaid fraud refers to the unlawful practice of obtaining funds from the Oregon Health Plan (OHP), the state’s Medicaid program, through false or misleading claims. This can include a wide range of actions, such as billing for services not provided, upcoding (billing for a more expensive service than was actually performed), submitting duplicate claims, or providing services that are not medically necessary.
While some instances of Medicaid fraud involve intentional misconduct, many providers find themselves under investigation due to billing errors, misunderstandings of complex regulations, or even honest mistakes. Unfortunately, the state’s aggressive stance on combating Medicaid fraud means that even unintentional violations can result in serious legal consequences.
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Common Allegations in Oregon Medicaid Fraud Cases
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Billing for Services Not Rendered: Submitting claims for services, treatments, or supplies never actually provided to the patient.
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Upcoding: Billing for a higher-level service than what was actually provided, resulting in higher reimbursement from Medicaid.
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Kickbacks: Engaging in financial arrangements with other healthcare providers or suppliers in exchange for patient referrals, prohibited under both state and federal law.
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Falsifying Records: Altering or creating false patient records to justify Medicaid claims, leading to potential civil and criminal penalties.
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Unbundling: Billing separately for services that should be grouped together under a single billing code, inflating reimbursement.
Why Choose Our Medicaid Fraud Defense Services?
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Combined Expertise: By working closely with S. Amanda Marshall, a former U.S. Attorney with extensive experience in healthcare fraud, we offer a formidable defense team. I focus on thorough legal research and developing strategic defense arguments, while S. Amanda leverages her trial expertise and insider knowledge of federal and state enforcement agencies to protect your rights.
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Strategic Defense: Our approach involves developing a comprehensive and tailored defense strategy that addresses the unique aspects of your case. We work collaboratively to ensure that every angle is covered, from initial investigation to trial, if necessary.
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Proactive Representation: Early intervention is key in Medicaid fraud cases. We work proactively to negotiate with state and federal authorities, aiming to resolve issues before they escalate to criminal charges. Our combined experience allows us to anticipate and counteract prosecutorial strategies effectively.
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Commitment to Clients: We are dedicated to protecting your rights, reputation, and livelihood. With clear and honest communication throughout the legal process, we ensure that you are informed and involved in every step of your defense.
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Contact Us for a Confidential Consultation
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If you are under investigation or have been accused of Medicaid fraud in Oregon, it is imperative to seek legal counsel immediately. Contact me to schedule a confidential consultation. Together with S. Amanda Marshall, we can work to protect your practice and secure the best outcome in your case