Health Care Fraud Defense Attorneys

Health care fraud charges can endanger everything you've worked so hard to build. Stand up to such charges with proven health care fraud defense attorneys at your side. Our trial team, led by respected lawyer Dan Cogdell, is here to protect your rights and your future.

At the Cogdell Law Firm, we put our over 40 years of experience toward tenaciously defending health care executives, pharmacists, physicians, surgeons and other medical professionals. When you are facing serious health care fraud allegations, turn to us for strong, goal-focused legal representation.

Facing health care fraud accusations or charges? Contact Cogdell Law Firm today. Call 713-426-2244 or send a message through our online contact form.

Health Care Professionals We Defend

Health care fraud investigations often involve professionals across many areas of the medical field. At Cogdell Law Firm, our defense team represents individuals whose careers and reputations are threatened by fraud allegations. These cases frequently involve complicated billing rules, regulatory compliance issues and federal program requirements.

Our firm defends a wide range of health care professionals, including:

• Physicians and surgeons accused of improper billing or documentation
• Pharmacists and pharmacy owners facing prescription fraud allegations
• Hospital administrators and health care executives under investigation for financial misconduct
• Medical practice owners accused of referral or billing violations
• Nurses, physician assistants and other providers involved in patient care or recordkeeping

Each profession has different regulatory obligations, and investigators often examine billing records, communications and financial transactions when building a case. Our legal team analyzes these records closely while preparing a strategic defense for the professionals we represent.

When Should You Contact a Health Care Fraud Defense Lawyer?

If you believe you may be under investigation for health care fraud, it is important to seek legal representation as early as possible. Investigations frequently begin long before formal charges are filed, and government agencies may gather evidence quietly through audits, data analysis or subpoenas.

Common warning signs may include audit notices, record requests or contact from investigators. Even informal inquiries can indicate that authorities are examining your professional activities.

Early involvement of a defense attorney allows for careful review of the situation and helps protect your rights during the investigation. A lawyer can also guide how records should be handled, respond to government inquiries and begin developing a defense strategy before charges are filed. Taking action early can make a meaningful difference in the direction of your case.

What Are Some Common Types of Health Care Fraud?

Health care fraud encompasses a wide range of illegal activities. Common types include:

• Defrauding Medicare or Medicaid
• Overbilling and other fraudulent billing practices
• Taking or offering kickbacks
• Improper referrals
• Laundering unlawfully obtained money
• Improperly filling or prescribing medications
• Misusing telehealth services for fraudulent purposes

If you're facing allegations of such conduct, our health care money laundering defense lawyers can help.

What Are the Laws Against Health Care Fraud?

Several federal laws address health care fraud and related violations, including:

• The Health Care Fraud Statute (18 U.S.C. § 1347): Prohibits defrauding health care programs.
• The criminal False Claims Act (18 U.S.C. § 287): Addresses fraudulent claims to the federal government
• The Anti-Kickback Statute (42 U.S.C. § 1320a-7b(b)): Prohibits kickbacks
• The Stark Law (42 U.S.C. § 1395nn): Addresses physician self-referrals

The specific statutes you are charged under can significantly affect how your case proceeds. Our Medicaid fraud defense attorneys can explain what to expect based on the charges and circumstances of your case.

What Consequences Can Health Care Professionals Expect?

Health care fraud accusations can have severe repercussions. A conviction could expose you to:

• Substantial prison time
• Significant fines
• Loss of your physician license
• Loss of your pharmacy license
• Major damage to your professional reputation

Your career and life as you know it can be at risk. This is why it is so important to not delay in addressing medical fraud investigations and allegations. Our health care fraud defense lawyers can help you understand the potential penalties you could face and take proactive steps to safeguard your future.

What Defenses Can Be Brought in Health Care Fraud Cases?

There are many different routes for trying to fight health care fraud charges. Defenses you might be able to pursue include:

• Lack of intent: Asserting that what happened was an honest mistake and that you weren't intending to defraud anyone.
• Legitimate conduct: Arguing that your actions did not actually violate any laws and were above board.
• Exception: Claiming that what you did falls under a valid legal exception, such as the safe harbor provisions of the Anti-Kickback Statute.
• Insufficient evidence: Arguing that the available evidence does not rise to the level of proving that you were in violation of the law.
• Improperly obtained evidence: Asserting that authorities came to possess evidence through misconduct, such as an illegal search, and that thus the evidence should be thrown out.

What medical fraud defense strategy would be best-suited for your case can hinge on a wide range of factors. We are here to provide you with the clear explanations and thorough analysis you need to understand your options.

How Common Is Health Care Fraud in the United States?

Health care fraud is a significant concern across the United States, particularly in federal programs such as Medicare and Medicaid. Federal agencies investigate suspected fraudulent billing, illegal kickbacks, improper referrals, and other activities involving health care providers. The Medicare Fraud Strike Force, established in 2007, uses data analysis and coordinated investigations to identify potentially fraudulent activity.

Federal enforcement efforts demonstrate the scale of these investigations. In 2024, the Department of Justice announced charges against 193 defendants across 32 federal districts in connection with alleged health care fraud schemes involving approximately $2.75 billion in intended losses. The defendants included physicians, nurse practitioners, and other licensed medical professionals.

The Department of Justice, the Department of Health and Human Services' Office of Inspector General, and other federal agencies continue to coordinate investigations into suspected fraud involving government health care programs. For medical professionals facing allegations, these investigations can involve extensive financial records, billing practices, and complex federal regulations.

Experienced Defense for Federal Health Care Fraud Cases

Federal health care fraud investigations can involve multiple agencies, extensive financial documentation, and complicated regulations. Physicians, pharmacists, health care executives, and other medical professionals facing these allegations need legal representation that understands both the criminal justice system and the complexities of the health care industry.

At Cogdell Law Firm, our attorneys work closely with clients to examine the allegations against them, evaluate the available evidence, and develop defense strategies tailored to their circumstances. Whether an investigation involves Medicare or Medicaid billing, alleged kickbacks, improper referrals, or prescription fraud, our team is committed to protecting our clients' rights, careers, and reputations.

We understand the professional and personal consequences of health care fraud allegations and provide clear guidance throughout the legal process.

What Should You Do If You Are Under Investigation for Health Care Fraud?

If you are under investigation for health care fraud, consider the following steps:

• Engage an attorney experienced in health care fraud defense to guide you through the legal process and protect your rights.
• Maintain comprehensive records of billing, communications and other pertinent documents.
• Limit conversations about the investigation to your attorney to prevent unintentional disclosures.
• Respond promptly to subpoenas or requests for information as advised by your attorney.

Taking these steps can help protect your interests during a health care fraud investigation.

The Talented Advocates You Deserve for Your Health Care Fraud Defense

In addition to having very high stakes, health care fraud cases can be incredibly high profile. You need a health care fraud defense team with the experience, skill and tenacity to successfully navigate the challenges that come with this. Dan Cogdell, our firm's founder, has a well-earned reputation for having what it takes to prevail in tough cases. Over his decades of practicing law, he has achieved results in a wide range of famous and noteworthy legal matters. He and the rest of our team are here to be your voice and pursue the real, meaningful solutions you need to get through this difficult time.

Reach Out To Our Experienced Health Care Fraud Defense Lawyers Today

Health care fraud allegations have the potential to ruin your career and reputation and take away your very freedom. You can’t afford to wait to protect your rights. Take steps today to put your defense in trusted hands. Our skilled and proven health care fraud defense attorneys are here for you. Get in touch with us now by completing our contact form or calling 713-426-2244.