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103 Carnegie Center, Suite 323, Princeton, NJ 08540
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New Jersey and New York Health Care Criminal Defense Lawyers

Protecting medical professionals against allegations of wrongdoing

Trade groups estimate that as much as 10 percent of all health care spending in the United States is lost to fraud and abuse. At Buttaci Leardi & Werner, LLC, we’ve seen the increased scrutiny of payments made to health care providers grow hand-in-hand with fraud and misappropriation laws that have evolved from narrow measures aimed at stopping intentional theft in the traditional sense to expansive rules and regulations that include a broad range of unintentional acts. As a result, physicians and other health care providers who find their business practices scrutinized are at a distinct disadvantage.

A growing trend in law enforcement and regulation

Law enforcement officers at all levels of government are charged with investigating and prosecuting insurance fraud. From the federal level, where the FBI and Office of the Inspector General for the Department of Health & Human Services are tasked with investigating Medicare and Medicaid fraud, to state and local law enforcement officers charged with examining insurance scams, antifraud funding has risen and prosecutions are intensifying.

Traditionally — and unfortunately — without deep pockets and the right connections, most providers simply cannot mount an adequate defense. At Buttaci Leardi & Werner, however, our experience in health care law combined with an intimate knowledge of the criminal justice process means that we can provide aggressive, skilled and cost-efficient representation for providers accused of improper conduct. This experience has led to successful defense of the rights of providers accused of criminal offenses or other violations in federal and state courts and administrative hearings.

Changes in insurance reimbursement have increased prosecution

Our health care criminal defense practice includes a special emphasis on the investigation and defense of complex insurance fraud allegations arising from the submission of reimbursement claims by health care providers. Some of the criminal allegations for which have successfully defended our clients include:

  • Committing Medicaid and Medicare fraud
  • Fraudulently filling and refilling prescriptions
  • Providing unnecessary care
  • Misrepresenting provided treatment or falsifying medical records
  • Intentional upcoding

We also provide representation prior to the filing of criminal charges during preliminary law enforcement investigations or a grand jury proceeding. We have successfully avoided the filing of any charges or influenced the filing of lesser charges. Our preferred strategy is “early intervention,” which focuses on building a strong defense before formal charges are filed while fully cooperating with investigating authorities in the hopes of amicably resolving unsubstantiated allegations.

Contact our legal team in Princeton, NJ for more information

To learn more about Buttaci Leardi & Werner’s health care criminal defense practice, please contact us online or call us at 609.297.5942.