Health Care Fraud
The Law Office of Nicole Knox represents health care organization owners, executives, officers, directors, doctors, nurses, and other parties accused in complex health care fraud cases.
She understands your reputation and livelihood may be at risk and is prepared to launch an aggressive defense to protect your rights and your career.
In recent years, the government has redirected its focus on health care fraud investigations. It has moved from a historical focus on prosecuting pharmaceutical and medical device manufacturers and insurers to instead prosecuting hospitals, doctors, and other individuals involved in the administration of health care organizations.
Over the last several years, the federal government has recovered more than $2 billion from cases involving false claims against federal health care programs such as Medicare and Medicaid. The government’s return on investment for investigating and prosecuting health care fraud cases guarantees it will continue to focus on aggressive enforcement.
Many cases involve a violation of the False Claims Act, which allows the government to begin a civil or administrative investigation, and it allows a whistleblower, including current or former employees, to initiate a suit and recover a portion of the funds returned to the government. The government also relies heavily on the False Claims Act to bring criminal charges for illegal kickbacks. False Claims Act investigations may also lead to the discovery of additional criminal violations.
Health care fraud criminal charges and investigations occur more frequently in Texas than in many other states. The federal government created a special task force called Health Care Fraud Prevention and Enforcement Action Team (HEAT) and placed HEAT task forces in nine cities across America. Two of the nine cities are Dallas and Houston, Texas.
In Texas and across the country, the federal government often brings health care fraud criminal charges for false and fraudulent claims submitted to Medicare for services never performed, for treatments never provided, and for medicine never administered to a patient.
Some cases involve allegations of complex conspiracies in which consultants or other individuals provide kickbacks or bribes in exchange for Medicare beneficiary referrals. Illegal kickbacks are also charged in cases where a pharmaceutical company induces pharmacies to switch manufacturers in exchange for a rebate or discount.
These matters are complex, and it is not uncommon for a medical professional to find himself or herself charged with a crime simply because of a misunderstanding or an unintentional mistake that happened when the wrong code was entered. Perhaps you truly believed you were ordering services that would benefit the patient.
Whatever the case may be, Ms. Knox will build a sound criminal defense strategy on your behalf.
Meet Nicole Knox
Ms. Knox has dedicated her career to providing high-quality criminal defense representation to individuals. Her record of results includes a long list of not guilty verdicts, dismissals and other positive outcomes.Learn More