Miami Upcoding Defense Lawyer
Upcoding is a form of healthcare fraud where medical providers intentionally use billing codes that reflect additional or more extensive services than those actually provided. This practice aims to receive higher reimbursements from Medicare, Medicaid, or private insurance companies. While upcoding might seem like a minor infraction, it is considered a serious offense with significant legal consequences. At the Baez Law Firm, we understand that overzealous federal agents might initiate prosecutions based on billing errors or other mistakes or seek severe penalties for otherwise minor infractions. Regardless of the circumstances, you are entitled to defend yourself against the charges and look for the best outcome possible. Contact our Miami upcoding defense lawyers to protect your rights, ensure you are treated fairly and work to successfully resolve the charges against you.
What Constitutes Upcoding?
Upcoding occurs when healthcare providers:
- Bill for services not provided
- Use higher-paying codes for services that were actually less complex
- Inflate the severity of a patient’s condition to justify more expensive treatments
- Bill for procedures as separate, which should have been bundled under one code
Convictions for upcoding can lead to severe penalties, including both criminal charges and civil penalties. Providers can face charges under the False Claims Act, the Anti-Kickback Statute, and other federal laws. Convictions can result in substantial fines and imprisonment. Civil fines can also be imposed, often amounting to three times the amount of the fraudulent claim, plus additional penalties per false claim. What’s more, convicted providers can be excluded from participating in Medicare, Medicaid, and other federal healthcare programs. Medical licenses can also be revoked or suspended, effectively ending a provider’s ability to practice.
How The Baez Law Firm Can Help
Upcoding charges are serious, but The Baez Law Firm offers robust legal defense tailored to your unique situation. With a long record of successfully 0handling high-stakes cases, our passionate legal team is dedicated to providing comprehensive support through every stage of your case. The Baez Law Firm boasts a team of experienced attorneys well-versed in healthcare law and criminal defense. We meticulously examine all aspects of your case to identify potential defenses, which may include, for example:
- Lack of Intent: Demonstrating that the alleged upcoding was a result of error or misunderstanding, not intentional fraud.
- Proper Billing Practices: Proving that the coding practices were in line with industry standards and regulations.
- Insufficient Evidence: Challenging the prosecution’s evidence and highlighting any gaps or inconsistencies in their case.
In some instances, pursuing a favorable plea agreement may be the best course of action. Our skilled negotiators work tirelessly to secure reduced charges or lighter sentences, minimizing the impact on your professional and personal life.
Why Choose The Baez Law Firm?
The Baez Law Firm in Miami stands out due to our high level of experience, passionate advocacy, and the comprehensive support we provide our clients. We thrive in complex, high-pressure cases, delivering results in even the most challenging situations. Our commitment to our clients goes beyond the courtroom, and we fight relentlessly to protect your rights and reputation. From initial consultation through trial and beyond, we provide unwavering support and guidance.
Contact Us Today
If you are facing upcoding charges in Miami, it is crucial to act swiftly and secure experienced legal representation. Call The Baez Law Firm today at 800-588-BAEZ or contact us online for a free consultation. Let us put our expertise and dedication to work for you, ensuring the best possible outcome for your case.
