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Health Care Fraud

Falsifying information to obtain a certain healthcare benefit or plan is a serious crime in Michigan. This act is known as health care fraud, and it is prosecuted harshly under state law. Unfortunately, health care fraud is a white-collar crime that can result in years in prison and steep fines.

Aside from criminal penalties, an individual convicted of health care fraud can find it difficult to obtain employment upon release. An offender can potentially have issues applying for housing, loans, and professional licensing. For these reasons and more, we highly encourage you to seek the assistance of a skilled defense attorney if you’ve been charged with health care fraud.

Oakland County Health Care Fraud Lawyer, Michigan

White collar crimes are often complex and require an intricate understanding of Michigan’s laws. This is why we advise you to contact Dallo Law, P.C.. If you have been arrested for a crime such as health care fraud, Oakland County defense attorney J. Dallo at Dallo Law, P.C. can assist you.

Dallo at Dallo Law, P.C. is an experienced health care fraud lawyer with the skills and resources needed to fight your charges. He can create an effective and efficient defense for your case. Call Dallo Law, P.C. to set up your first consultation with defense attorney J. Dallo as soon as possible.

Dallo Law, P.C. has offices located in Bloomfield Hills and accepts clients throughout the greater Oakland County and Macomb County area.

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Information Center

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Michigan Health Care Fraud Laws

Health care fraud can be committed in several ways including providing false information to receive benefits, impersonating another person to receive their benefits, or tampering with a paper or digital system to receive some sort of benefit. According to section 400.613 which constitutes the Medicaid False Claim Act, Michigan law prohibits an individual from:

  • Receiving a benefit that he or she is not entitled to by reason of fraud, making a fraudulent statement, or knowingly concealing a material fact.

The offender who violates this statute will be required to forfeit and pay to Michigan the full amount received. For each claim, he or she must pay a civil penalty of $5,000 to $10,000 plus triple the damages the state suffered.

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Michigan Health Care False Claims Act

Michigan also provides the Health Care False Claims Act, which can be found in section 752.1003 of the Michigan Legislature. The act prohibits:

  • Fraud in the obtaining of benefits or payments in connection with health care coverage and insurance
  • Kickbacks or bribes in connection with such coverage and insurance
  • Conspiracies in obtaining benefits or payments

A person who violates §752.1003 is guilty of a felony, which is punishable by up to 4 years in prison and/or up to $50,000 in fines.

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Federal Penalties for Health Care Fraud

The United States also imposes severe penalties for healthcare fraud at the federal level. Federal prosecutors can pursue criminal health fraud charges under a variety of federal statutes such as 18 U.S.C. Section 1347. This specific statute makes it a federal crime to defraud a health care benefit program or to fraudulently obtain any funds held by federal health care programs (Medicare, Medicaid).

The penalty for this type of health care fraud is up to 10 years of incarceration. However, if the fraud causes a person serious bodily injury the maximum penalty is 20 years imprisonment. If the fraud causes a person’s death, the maximum penalty is up to life in prison.

Facing white-collar crime accusations can be devastating to your personal and professional life. If you have been arrested for federal health care fraud, contact Dallo Law, P.C.. At Dallo Law, P.C., Bloomfield Hills criminal defense attorney J.Dallo is committed to helping those accused of health care fraud to fight back against the devastating impact a conviction might have.

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Additional Resources

FBI: Health Care Fraud – Visit the official Federal Bureau of Investigation (FBI) page to learn more about health care fraud. The webpage lists what constitutes the crime, common types of health care fraud, and how to report it to the FBI.

Michigan Legislature: Health Care Fraud Laws – Visit the official website for the Michigan legislature to view section 752.1003 which constitutes health care fraud. Click the link to view the elements that constitute the offense and how the state of Michigan penalizes the crime.

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Michigan Health Care Fraud Attorney | Bloomfield Hills, MI

If you have been charged with health care fraud, it’s important to act quickly and obtain the legal counsel of an experienced criminal defense lawyer in Bloomfield Hills, Michigan. You need skilled legal representation from an attorney well-versed in this area of law. Look no further than Dallo Law, P.C..

Dallo at Dallo Law, P.C. has been helping clients just like you fight against the most complex white-collar crimes such as health care fraud. He can form a strong defense for your case and ensure you obtain victory in the courtroom.

Dallo Law, P.C. can be reached at (248) 283-7000 today. Call now to set up a consultation. Dallo Law, P.C. accepts clients throughout the greater Oakland County and Macomb County area including Bloomfield Hills, Birmingham, Rochester Hills, Eastpointe, Rochester, Romeo, Roseville, Waterford Township, Pontiac, and Auburn Hills.

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