Five people face health care fraud charges, following their indictments last month. According to investigators, operators of two clinics created a scheme to defraud insurance providers. The clinic operators offered certain elective procedures not covered by insurance in exchange for patients’ insurance information. A former health insurance investigator also participated in the scheme.
Following the procedures, the clinic operators billed insurance companies for covered services that patients never received. The clinic also offered discounts on future procedures to cooperative patients based on the fraudulent billings. The insurance investigator provided clinic operators with confidential information about one targeted insurance company. The insurance investigator also helped the conspirators avoid detection and steered other investigators away from the clinics. Additionally, the investigator tipped clinic operators that federal authorities were investigating their billing practices.
Federal authorities say that the clinic overbilled several insurance companies for more than $20M in services under the scheme. They received payment for $8M for phony services. The conspiracy involved residents of Sherman Oaks, Woodland Hills, Rancho Cucamonga, Panorama City and North Hills.
Each defendant faces one count of conspiracy to commit healthcare fraud and 13 counts of healthcare fraud. Each charge carries a maximum of 10 years in prison upon conviction.
Los Angeles fraud attorney
Fraudulent healthcare billing can be tempting because it can produce significant financial rewards. That also makes it very interesting to federal investigators. When you face charges of healthcare fraud, or fraud of any type, hire an experienced fraud attorney like Robert Helfend. Mr. Helfend has more than 30 years of experience in criminal courtroom defense. He takes cases in Los Angeles County and throughout Southern California. He also takes cases in both federal and state courts.
Your best defense strategy is to work with an aggressive attorney who is not afraid the challenge the prosecution’s case against you. Your attorney must fight every prosecutorial claim, especially when co-defendants have an incentive to testify against you in court.
Don’t settle for a timid attorney, or one who would rather settle than fight. Contact Robert Helfend or call toll-free at (800) 834-6434, (310) 456-3317, (818) 591-2809 or (805) 273-5611 for an immediate consultation on your Los Angeles County fraud case.
Photo Credit: Steven Depolo, via Flickr.com