{"id":927,"date":"2026-10-03T01:07:52","date_gmt":"2026-10-03T01:07:52","guid":{"rendered":"https:\/\/patrickwilsonlaw.com\/resources\/miami-white-collar-crime-defense-attorney\/miami-healthcare-fraud-defense-attorney\/"},"modified":"2026-10-27T14:57:01","modified_gmt":"2026-10-27T14:57:01","slug":"miami-healthcare-fraud-defense-attorney","status":"publish","type":"page","link":"https:\/\/patrickwilsonlaw.com\/resources\/miami-white-collar-crime-defense-attorney\/miami-healthcare-fraud-defense-attorney\/","title":{"rendered":"Healthcare Fraud Defense Attorney Miami | Federal &#038; State"},"content":{"rendered":"\n<div class=\"wp-block-cover alignfull is-dark\" style=\"min-height:460px;aspect-ratio:unset;\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-secondary-background-color has-background-dim-60 has-background-dim\"><\/span><img class=\"wp-block-cover__image-background wp-image-924\" alt=\"Police officer conducting roadside sobriety test with patrol car lights in background.\" src=\"https:\/\/patrickwilsonlaw.com\/resources\/wp-content\/uploads\/2026\/10\/police-officer-conducting-roadside-sobriety-test-with-patrol-photo-3.jpg\" width=\"1376\" height=\"768\" srcset=\"https:\/\/patrickwilsonlaw.com\/resources\/wp-content\/uploads\/2026\/10\/police-officer-conducting-roadside-sobriety-test-with-patrol-photo-3-150x150.jpg 150w, https:\/\/patrickwilsonlaw.com\/resources\/wp-content\/uploads\/2026\/10\/police-officer-conducting-roadside-sobriety-test-with-patrol-photo-3-300x167.jpg 300w, https:\/\/patrickwilsonlaw.com\/resources\/wp-content\/uploads\/2026\/10\/police-officer-conducting-roadside-sobriety-test-with-patrol-photo-3-768x429.jpg 768w, https:\/\/patrickwilsonlaw.com\/resources\/wp-content\/uploads\/2026\/10\/police-officer-conducting-roadside-sobriety-test-with-patrol-photo-3-1024x572.jpg 1024w, https:\/\/patrickwilsonlaw.com\/resources\/wp-content\/uploads\/2026\/10\/police-officer-conducting-roadside-sobriety-test-with-patrol-photo-3.jpg 1376w\" sizes=\"(max-width: 825px) 825px, 100vw\" fetchpriority=\"high\" decoding=\"async\"\/><div class=\"wp-block-cover__inner-container has-global-padding is-layout-constrained wp-block-cover-is-layout-constrained\">\n<p class=\"chg-eyebrow has-base-color has-text-color wp-block-paragraph\">Criminal Defense | Miami &amp; South Florida<\/p><h1 class=\"wp-block-heading has-base-color has-text-color\">Healthcare Fraud Defense Attorney Miami<\/h1><p class=\"has-base-color has-text-color wp-block-paragraph\" style=\"font-size:clamp(0.875rem, 0.875rem + ((1vw - 0.2rem) * 0.769), 1.25rem);\">Federal and state healthcare fraud charges demand immediate legal representation. Patrick Wilson Law defends healthcare professionals, medical business owners, and non-citizens facing investigation or prosecution.<\/p><div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\"><div class=\"wp-block-button chg-cta chg-cta-call\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:+17867611719\">Schedule a Free Consultation<\/a><\/div><div class=\"wp-block-button chg-cta chg-cta-form\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/patrickwilsonlaw.com\/contact\/\">Schedule a Free Consultation<\/a><\/div><\/div>\n<\/div><\/div>\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:0.85rem;color:#6b7280;margin-bottom:1.5rem\">By Patrick David Wilson \u00b7 Published October 03, 2026<\/p>\n\n<article lang=\"en\">\n\n<h2>Healthcare Fraud Defense Attorney in Miami<\/h2>\n<p>Healthcare fraud charges\u2014whether federal or state\u2014threaten not just your freedom but your medical license, your career, and your reputation. If you&#8217;re a physician, nurse practitioner, clinic owner, billing manager, or other licensed healthcare professional in Miami-Dade, Broward, or South Florida facing investigation or charges, you need immediate legal counsel. Patrick Wilson Law defends healthcare providers and professionals accused of false billing, kickback schemes, upcoding, and other fraud allegations in federal and state court.<\/p>\n<hr \/>\n\n<div class=\"cta-dose-mid wp-block-group has-base-color has-accent-background-color has-text-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-32197852 wp-block-group-is-layout-constrained\" style=\"background-color:var(--wp--preset--color--accent,#20242e);color:var(--wp--preset--color--base,#ffffff);border-radius:8px;padding-top:1.5rem;padding-bottom:1.5rem;padding-left:1.5rem;padding-right:1.5rem;border-left:6px solid var(--wp--preset--color--cta,currentColor);box-shadow:0 2px 10px rgba(0,0,0,0.18)\">\n<h3 class=\"wp-block-heading has-base-color has-text-color\">Not sure what your next step is?<\/h3><p class=\"wp-block-paragraph\">Talk it through with our team &#8212; the first consultation is free, confidential, and carries no obligation.<\/p><div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\"><div class=\"wp-block-button chg-cta-call\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:+17867611719\">Get a free consultation<\/a><\/div><div class=\"wp-block-button chg-cta-form\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/patrickwilsonlaw.com\/contact\/\">Get a free consultation<\/a><\/div><\/div>\n<\/div>\n\n<figure class=\"wp-block-image size-large has-custom-border\"><img decoding=\"async\" src=\"https:\/\/patrickwilsonlaw.com\/resources\/wp-content\/uploads\/2026\/10\/police-officer-speaking-with-driver-during-nighttime-traffic-photo-2.jpg\" alt=\"Police officer speaking with driver during nighttime traffic stop.\" style=\"border-radius:8px;width:100%;aspect-ratio:16\/9;object-fit:cover\"\/><\/figure>\n<h2>What Is Healthcare Fraud\u2014and When Does It Become a Criminal Charge?<\/h2>\n<p>Healthcare fraud is submitting false or misleading claims to Medicare, Medicaid, or private insurers to obtain payment for services not rendered, medically unnecessary, or improperly coded. Criminal charges arise when the government proves you knowingly submitted false claims or participated in a scheme to defraud a healthcare benefit program.<\/p>\n<p>Common scenarios include billing for services not provided, upcoding procedures to inflate reimbursement, unbundling (splitting one procedure into multiple codes), kickback arrangements with referral sources, falsifying medical records, submitting duplicate claims, or employing unlicensed staff while billing as if licensed practitioners provided care. Unlike civil audits that seek repayment, criminal prosecution seeks to prove intent to defraud and can result in prison time, substantial fines, restitution, permanent exclusion from federal programs, and loss of your medical license.<\/p>\n<p>Federal charges arise under statutes like the <a href=\"https:\/\/www.justice.gov\/\">False Claims Act (31 U.S.C. \u00a7 3729)<\/a>, the <a href=\"https:\/\/www.justice.gov\/\">Anti-Kickback Statute (42 U.S.C. \u00a7 1320a-7b)<\/a>, the <a href=\"https:\/\/www.justice.gov\/\">Stark Law (42 U.S.C. \u00a7 1395nn)<\/a>, and the <a href=\"https:\/\/www.justice.gov\/\">Healthcare Fraud Statute (18 U.S.C. \u00a7 1347)<\/a>. Florida state charges typically involve felony fraud statutes. Either path carries severe consequences for your practice and professional standing.<\/p>\n<hr \/>\n<h2>How Healthcare Fraud Investigations Begin in Miami<\/h2>\n<p>Federal healthcare fraud investigations are triggered in several ways. A qui tam whistleblower\u2014often a disgruntled employee or competitor\u2014files a sealed complaint under the False Claims Act. The government then decides whether to intervene and prosecute or allow the private citizen to proceed. The <a href=\"https:\/\/oig.hhs.gov\/\">HHS Office of Inspector General (OIG)<\/a>, CMS (Centers for Medicare &amp; Medicaid Services), or the <a href=\"https:\/\/www.fbi.gov\/\">FBI<\/a> may also initiate investigation based on billing pattern analysis, routine audits, or referrals from other agencies.<\/p>\n<p>Once an investigation begins, you may receive a subpoena for billing records and medical documentation. If the government believes you&#8217;re a target, you may receive a target letter notifying you of the investigation. Federal agents may request an interview. Prosecutors may offer a &#8220;proffer&#8221; session\u2014a meeting where your attorney negotiates limited immunity so you can provide information without it being used directly against you in prosecution.<\/p>\n<p>Investigations can take months or years. Throughout this period, your medical license may be flagged for investigation by the Florida Board of Medicine or your licensing board. The criminal and licensing investigations run in parallel, and a conviction or guilty plea often results in automatic board action.<\/p>\n<hr \/>\n<h2>Common Healthcare Fraud Scenarios in Miami<\/h2>\n<p>In the healthcare fraud cases we see in Miami federal court, certain patterns emerge repeatedly:<\/p>\n<ul>\n<li><strong>Billing for services not provided or medically unnecessary<\/strong>: Submitting claims for office visits, procedures, or tests that never occurred or weren&#8217;t clinically justified.<\/li>\n<li><strong>Upcoding and unbundling<\/strong>: Billing a high-complexity office visit code when a simple visit occurred, or splitting one procedure into multiple codes to inflate reimbursement.<\/li>\n<li><strong>Kickback schemes<\/strong>: Paying referral sources, suppliers, or physicians to send patients or orders, disguised as consulting fees, marketing expenses, or other arrangements.<\/li>\n<li><strong>False documentation<\/strong>: Inflating medical necessity in charts, falsifying test results, or backdating records to justify higher-level billing codes.<\/li>\n<li><strong>Duplicate billing<\/strong>: Submitting the same claim to multiple payers or billing the same service twice.<\/li>\n<li><strong>Unlicensed staff billing<\/strong>: Employing medical assistants, nurse aides, or billing staff without proper licensure and billing as if licensed practitioners provided the care.<\/li>\n<li><strong>Compounding pharmacy and pharmaceutical fraud<\/strong>: Billing for expensive compounded medications not dispensed, inflating ingredient costs, or billing for brand-name drugs while dispensing generics.<\/li>\n<li><strong>Home health and DME overbilling<\/strong>: Submitting claims for unnecessary equipment, excessive visits, or services not rendered by home health agencies or durable medical equipment suppliers.<\/li>\n<\/ul>\n<hr \/>\n<h2>What Federal and State Law Prohibits<\/h2>\n<p>The <a href=\"https:\/\/www.justice.gov\/\">False Claims Act (31 U.S.C. \u00a7 3729)<\/a> makes it illegal to knowingly submit false or fraudulent claims for payment to any healthcare benefit program. Penalties include triple damages and civil fines of $5,000 to $10,000 per false claim.<\/p>\n<p>The <a href=\"https:\/\/www.justice.gov\/\">Anti-Kickback Statute (42 U.S.C. \u00a7 1320a-7b)<\/a> prohibits offering, paying, soliciting, or receiving anything of value to induce referrals or purchases of healthcare items or services. Violations are felonies punishable by up to 10 years in prison and fines up to $250,000.<\/p>\n<p>The <a href=\"https:\/\/www.justice.gov\/\">Stark Law (42 U.S.C. \u00a7 1395nn)<\/a> restricts self-referrals for designated health services by physicians who have financial relationships with entities providing those services. Violations result in denial of payment, refunds, and civil penalties.<\/p>\n<p>The <a href=\"https:\/\/www.justice.gov\/\">Healthcare Fraud Statute (18 U.S.C. \u00a7 1347)<\/a> makes it a felony to execute a scheme to defraud any healthcare benefit program, with penalties up to 10 years in prison and fines up to $250,000. Conspiracy charges can follow, as can money laundering charges if proceeds are concealed.<\/p>\n<hr \/>\n<h2>The Defense Process and What to Expect<\/h2>\n<p>Early consultation is critical. Once you&#8217;re aware of an investigation, we immediately assess your exposure, preserve evidence, and develop strategy before charges are filed.<\/p>\n<p><strong>Investigation phase<\/strong>: We respond to subpoenas strategically, organize documents, and communicate with prosecutors on your behalf. You do not speak to federal agents without counsel present.<\/p>\n<p><strong>Grand jury phase<\/strong>: Federal prosecutors present evidence to a grand jury. If you&#8217;re a target, you may receive a target letter. We may negotiate a proffer agreement allowing you to provide information with limited immunity, or we may advise you to invoke your Fifth Amendment right against self-incrimination.<\/p>\n<p><strong>Charging<\/strong>: If the grand jury indicts, you&#8217;ll be arrested or surrender voluntarily. A bail hearing determines whether you&#8217;re released pending trial.<\/p>\n<p><strong>Discovery<\/strong>: The government produces billing records, medical records, communications, and witness statements. We review this evidence thoroughly to identify weaknesses in the government&#8217;s case.<\/p>\n<p><strong>Motion practice<\/strong>: We file motions to suppress illegally obtained evidence, challenge the sufficiency of charges, and seek dismissal where possible.<\/p>\n<p><strong>Negotiation<\/strong>: We explore plea agreements, cooperation opportunities, and sentencing mitigation. Many cases resolve before trial through negotiated resolution.<\/p>\n<p><strong>Trial or resolution<\/strong>: If the case proceeds to trial, we present defenses, cross-examine government witnesses, and advocate for acquittal. If resolved, we negotiate the best possible outcome.<\/p>\n<p>Federal cases typically take 18 to 36 months from indictment to resolution.<\/p>\n<hr \/>\n\n<div class=\"cta-dose-mid wp-block-group has-base-color has-accent-background-color has-text-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-32197852 wp-block-group-is-layout-constrained\" style=\"background-color:var(--wp--preset--color--accent,#20242e);color:var(--wp--preset--color--base,#ffffff);border-radius:8px;padding-top:1.5rem;padding-bottom:1.5rem;padding-left:1.5rem;padding-right:1.5rem;border-left:6px solid var(--wp--preset--color--cta,currentColor);box-shadow:0 2px 10px rgba(0,0,0,0.18)\">\n<h3 class=\"wp-block-heading has-base-color has-text-color\">Not sure what your next step is?<\/h3><p class=\"wp-block-paragraph\">Talk it through with our team &#8212; the first consultation is free, confidential, and carries no obligation.<\/p><div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\"><div class=\"wp-block-button chg-cta-call\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:+17867611719\">Get a free consultation<\/a><\/div><div class=\"wp-block-button chg-cta-form\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/patrickwilsonlaw.com\/contact\/\">Get a free consultation<\/a><\/div><\/div>\n<\/div>\n<h2>Defenses to Healthcare Fraud Charges<\/h2>\n<p>Several defenses may apply to your case:<\/p>\n<ul>\n<li><strong>Lack of knowledge<\/strong>: You did not know billing was false or improper. You relied on billing staff, consultants, or compliance advisors who provided incorrect guidance.<\/li>\n<li><strong>Good-faith billing dispute<\/strong>: You had an honest disagreement over coding, medical necessity, or reimbursement rules. Billing practices were consistent with industry standards or prior payer guidance.<\/li>\n<li><strong>Documented compliance efforts<\/strong>: Your practice maintained written policies, conducted staff training, and performed internal audits showing intent to comply with billing rules.<\/li>\n<li><strong>Insufficient evidence of intent<\/strong>: The government cannot prove you knowingly submitted false claims or intended to defraud. Billing errors or negligence do not constitute criminal fraud.<\/li>\n<li><strong>Statute of limitations<\/strong>: Federal charges must be brought within a specified timeframe. Some defenses are time-sensitive.<\/li>\n<li><strong>Entrapment or government misconduct<\/strong>: Investigators used improper tactics, fabricated evidence, or induced you to commit fraud.<\/li>\n<li><strong>Mistaken identity or misattribution<\/strong>: Charges are wrongly assigned to you; another person or entity is responsible.<\/li>\n<\/ul>\n<hr \/>\n<h2>Why Licensed Professionals Need Immediate Representation<\/h2>\n<p>Your medical license is at stake. Medical board investigations run parallel to criminal prosecution. A criminal conviction or guilty plea triggers automatic board action\u2014often license suspension or revocation\u2014independent of the criminal outcome. Early legal counsel allows us to coordinate with licensing counsel to protect your credentials while defending the criminal charges.<\/p>\n<p>Prosecutors often apply cooperation pressure. Agents may contact you directly, offering cooperation agreements or threatening charges. Without counsel, you may say things that harm your defense. A proffer agreement, negotiated by your attorney, provides limited immunity for truthful statements.<\/p>\n<p>Reputational damage is immediate. Public charges can destroy referral networks, patient trust, and employment. Strategic communication and early resolution help minimize collateral harm.<\/p>\n<p>Collateral consequences extend beyond prison time. Conviction results in permanent exclusion from Medicare and Medicaid\u2014you cannot bill federal programs or work for entities that do. DEA registration may be revoked. Employment is terminated. Civil liability follows.<\/p>\n<hr \/>\n<h2>Frequently Asked Questions<\/h2><details class=\"wp-block-details chg-faq is-layout-flow wp-block-details-is-layout-flow\"><summary>Q: Should I speak to the FBI or DOJ if I&#8217;m under investigation?<\/summary><p class=\"wp-block-paragraph\"><br \/>\nNo. Consult an attorney first. Anything you say can be used against you. Your attorney can negotiate a proffer agreement that provides limited immunity for truthful statements.<\/p><\/details><details class=\"wp-block-details chg-faq is-layout-flow wp-block-details-is-layout-flow\"><summary>Q: Can I lose my medical license if I&#8217;m charged with healthcare fraud?<\/summary><p class=\"wp-block-paragraph\"><br \/>\nYes. Criminal charges trigger mandatory medical board investigation. Early legal representation helps mitigate board action and preserve your license.<\/p><\/details><details class=\"wp-block-details chg-faq is-layout-flow wp-block-details-is-layout-flow\"><summary>Q: What&#8217;s the difference between a civil audit and a criminal investigation?<\/summary><p class=\"wp-block-paragraph\"><br \/>\nCivil audits seek repayment of overbilled amounts. Criminal investigations seek to prove intent to defraud and result in prison time. Criminal charges often follow civil findings.<\/p><\/details><details class=\"wp-block-details chg-faq is-layout-flow wp-block-details-is-layout-flow\"><summary>Q: How long does a healthcare fraud case typically take?<\/summary><p class=\"wp-block-paragraph\"><br \/>\nFederal cases average 18 to 36 months from indictment to resolution, depending on complexity, discovery volume, and whether the case goes to trial.<\/p><\/details><details class=\"wp-block-details chg-faq is-layout-flow wp-block-details-is-layout-flow\"><summary>Q: What is a qui tam whistleblower complaint?<\/summary><p class=\"wp-block-paragraph\"><br \/>\nA private citizen files a sealed complaint under the False Claims Act alleging fraud. The government may intervene and prosecute or decline, allowing the private citizen to proceed.<\/p><\/details><details class=\"wp-block-details chg-faq is-layout-flow wp-block-details-is-layout-flow\"><summary>Q: Can I negotiate a plea to avoid prison time?<\/summary><p class=\"wp-block-paragraph\"><br \/>\nPossibly. Prosecutors consider cooperation, acceptance of responsibility, and mitigating factors. An experienced attorney can advocate for favorable sentencing recommendations.<\/p><\/details><details class=\"wp-block-details chg-faq is-layout-flow wp-block-details-is-layout-flow\"><summary>Q: What happens if I&#8217;m excluded from Medicare and Medicaid?<\/summary><p class=\"wp-block-paragraph\"><br \/>\nYou cannot bill federal programs or work for entities that do. Exclusion can last five years to permanent. Reinstatement requires application and approval.<\/p><\/details><hr \/>\n\n<figure class=\"wp-block-image size-large has-custom-border\"><img decoding=\"async\" src=\"https:\/\/patrickwilsonlaw.com\/resources\/wp-content\/uploads\/2026\/10\/law-enforcement-officer-conducting-a-roadside-vehicle-search-photo-2.jpg\" alt=\"Law enforcement officer conducting a roadside vehicle search with patrol car.\" style=\"border-radius:8px;width:100%;aspect-ratio:16\/9;object-fit:cover\"\/><\/figure>\n<h2>Protect Your License and Your Future Now<\/h2>\n<p>If you&#8217;ve received a subpoena, target letter, or notice of investigation for healthcare billing practices, time is critical. Early consultation allows us to assess your situation, preserve evidence, and develop a defense strategy before charges are filed. We handle communication with investigators and prosecutors so you can focus on your practice and family.<\/p>\n<p>Healthcare professionals and providers in Miami-Dade, Broward, and South Florida facing federal or state healthcare fraud allegations reach out regularly. You don&#8217;t have to face this alone. <a href=\"https:\/\/patrickwilsonlaw.com\/contact\/\">Schedule a free consultation<\/a> or call 786-761-1719 today to discuss your case in confidence.<\/p>\n\n<\/article>\n<footer class=\"disclaimer\"><em>The information on this website is for general informational purposes only and does not constitute legal advice or create an attorney-client relationship. Past results do not guarantee future outcomes. Please consult a qualified criminal defense attorney regarding your specific situation.<\/em><\/footer>\n\n\n<div class=\"wp-block-group has-base-color has-accent-background-color has-text-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-32197852 wp-block-group-is-layout-constrained\" style=\"background-color:var(--wp--preset--color--accent,#20242e);color:var(--wp--preset--color--base,#ffffff);border-radius:8px;padding-top:1.5rem;padding-bottom:1.5rem;padding-left:1.5rem;padding-right:1.5rem;border-left:6px solid var(--wp--preset--color--cta,currentColor);box-shadow:0 2px 10px rgba(0,0,0,0.18)\">\n<h3 class=\"wp-block-heading has-base-color has-text-color\">Critical: Do Not Speak to Investigators Alone<\/h3><p class=\"wp-block-paragraph\">If you are under investigation by the FBI, DOJ, HHS-OIG, or state authorities, do not answer questions without an attorney present. Anything you say can be used against you in criminal proceedings. An attorney can negotiate a proffer agreement that provides limited immunity for truthful statements made during a controlled interview.<\/p><div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\"><div class=\"wp-block-button chg-cta-call\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:+17867611719\">Call 786-761-1719 Now<\/a><\/div><div class=\"wp-block-button chg-cta-form\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/patrickwilsonlaw.com\/contact\/\">Call 786-761-1719 Now<\/a><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignwide has-global-padding is-layout-constrained wp-container-core-group-is-layout-583d630a wp-block-group-is-layout-constrained\" style=\"padding-top:3rem;padding-bottom:3rem;padding-left:1.5rem;padding-right:1.5rem\">\n<h2 class=\"wp-block-heading has-text-align-center\">Why Patrick Wilson Law for Healthcare Fraud Defense<\/h2>\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-f56f613f wp-block-columns-is-layout-flex\"><div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><p class=\"wp-block-paragraph\"><span class=\"chg-icon chg-icon--shield\"><\/span><\/p><h3 class=\"wp-block-heading\">Defense for Licensed Professionals<\/h3><p class=\"wp-block-paragraph\">Healthcare providers, physicians, nurses, and medical business owners face unique risks\u2014including loss of licensure. We understand the collateral consequences and mount a vigorous defense.<\/p><\/div><div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><p class=\"wp-block-paragraph\"><span class=\"chg-icon chg-icon--document\"><\/span><\/p><h3 class=\"wp-block-heading\">Federal &amp; State Charges<\/h3><p class=\"wp-block-paragraph\">Healthcare fraud prosecutions span federal Medicare\/Medicaid schemes, state Medicaid fraud, false billing, kickback violations, and anti-kickback statute charges. We handle both.<\/p><\/div><div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><p class=\"wp-block-paragraph\"><span class=\"chg-icon chg-icon--clock\"><\/span><\/p><h3 class=\"wp-block-heading\">Early Intervention Matters<\/h3><p class=\"wp-block-paragraph\">The moment you learn of an investigation, time is critical. Early representation can shape the investigation&#x27;s direction and preserve your rights.<\/p><\/div><div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><p class=\"wp-block-paragraph\"><span class=\"chg-icon chg-icon--phone\"><\/span><\/p><h3 class=\"wp-block-heading\">Available Across South Florida<\/h3><p class=\"wp-block-paragraph\">We defend clients in Miami-Dade, Broward, and throughout South Florida, including federal courts in Miami and Fort Lauderdale.<\/p><\/div><\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull has-surface-background-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-583d630a wp-block-group-is-layout-constrained\" style=\"padding-top:3rem;padding-bottom:3rem;padding-left:1.5rem;padding-right:1.5rem\">\n<h2 class=\"wp-block-heading has-text-align-center\">What Healthcare Fraud Charges Include<\/h2>\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-f56f613f wp-block-columns-is-layout-flex\"><div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-group has-base-background-color has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-radius:8px;box-shadow:0 4px 14px rgba(0,0,0,0.08);padding-top:1.5rem;padding-bottom:1.5rem;padding-left:1.5rem;padding-right:1.5rem\"><h3 class=\"wp-block-heading\">False Claims &amp; Billing<\/h3><p class=\"wp-block-paragraph\">Submitting false or inflated claims to Medicare, Medicaid, or private insurers; upcoding; billing for services not rendered; and unbundling charges.<\/p><\/div><\/div><div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-group has-base-background-color has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-radius:8px;box-shadow:0 4px 14px rgba(0,0,0,0.08);padding-top:1.5rem;padding-bottom:1.5rem;padding-left:1.5rem;padding-right:1.5rem\"><h3 class=\"wp-block-heading\">Anti-Kickback Violations<\/h3><p class=\"wp-block-paragraph\">Offering, paying, soliciting, or receiving remuneration to induce referrals or the purchase of healthcare services or items\u2014including referral fees, equipment discounts, and patient recruitment payments.<\/p><\/div><\/div><div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-group has-base-background-color has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-radius:8px;box-shadow:0 4px 14px rgba(0,0,0,0.08);padding-top:1.5rem;padding-bottom:1.5rem;padding-left:1.5rem;padding-right:1.5rem\"><h3 class=\"wp-block-heading\">Stark Law Violations<\/h3><p class=\"wp-block-paragraph\">Physician self-referral schemes involving financial relationships between physicians and entities providing designated health services, triggering false claim liability.<\/p><\/div><\/div><div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-group has-base-background-color has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-radius:8px;box-shadow:0 4px 14px rgba(0,0,0,0.08);padding-top:1.5rem;padding-bottom:1.5rem;padding-left:1.5rem;padding-right:1.5rem\"><h3 class=\"wp-block-heading\">Conspiracy &amp; Money Laundering<\/h3><p class=\"wp-block-paragraph\">Charges alleging agreement to commit fraud, structuring transactions to conceal proceeds, and using financial systems to hide the source or nature of criminal proceeds.<\/p><\/div><\/div><\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull has-surface-background-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-583d630a wp-block-group-is-layout-constrained\" style=\"padding-top:3rem;padding-bottom:3rem;padding-left:1.5rem;padding-right:1.5rem\">\n<h2 class=\"wp-block-heading has-text-align-center\">Key Questions About Healthcare Fraud Defense<\/h2>\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-f56f613f wp-block-columns-is-layout-flex\"><div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-group has-base-background-color has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-radius:8px;box-shadow:0 4px 14px rgba(0,0,0,0.08);padding-top:1.5rem;padding-bottom:1.5rem;padding-left:1.5rem;padding-right:1.5rem\"><h3 class=\"wp-block-heading\">Can I lose my medical license if I&#x27;m charged with healthcare fraud?<\/h3><p class=\"wp-block-paragraph\">Yes. Criminal charges trigger mandatory reporting to state medical boards. A conviction can result in license suspension or revocation. Even during investigation, your board may open a disciplinary proceeding. Early legal intervention can help protect your professional standing.<\/p><\/div><\/div><div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-group has-base-background-color has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-radius:8px;box-shadow:0 4px 14px rgba(0,0,0,0.08);padding-top:1.5rem;padding-bottom:1.5rem;padding-left:1.5rem;padding-right:1.5rem\"><h3 class=\"wp-block-heading\">What is a proffer agreement and how does it help?<\/h3><p class=\"wp-block-paragraph\">A proffer agreement (or &#x27;queen for a day&#x27; agreement) allows you to meet with prosecutors and provide information under a limited immunity umbrella. Truthful statements made during a proffer cannot be used against you in prosecution, though they can be used to impeach testimony. This tool can be critical in negotiating a favorable resolution.<\/p><\/div><\/div><div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-group has-base-background-color has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-radius:8px;box-shadow:0 4px 14px rgba(0,0,0,0.08);padding-top:1.5rem;padding-bottom:1.5rem;padding-left:1.5rem;padding-right:1.5rem\"><h3 class=\"wp-block-heading\">What if I&#x27;m a non-citizen facing healthcare fraud charges?<\/h3><p class=\"wp-block-paragraph\">Criminal convictions carry severe immigration consequences, including deportation. We evaluate every charge with immigration impact in mind and work to minimize or eliminate criminal exposure to protect your status and future.<\/p><\/div><\/div><div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-group has-base-background-color has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-radius:8px;box-shadow:0 4px 14px rgba(0,0,0,0.08);padding-top:1.5rem;padding-bottom:1.5rem;padding-left:1.5rem;padding-right:1.5rem\"><h3 class=\"wp-block-heading\">Can I seal or expunge a healthcare fraud conviction?<\/h3><p class=\"wp-block-paragraph\">Florida law allows certain convictions to be sealed or expunged under specific conditions. We evaluate your eligibility and pursue relief when available to restore your professional reputation and employment prospects.<\/p><\/div><\/div><\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull has-base-color has-primary-background-color has-text-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-4d466591 wp-block-group-is-layout-constrained\" style=\"background-color:var(--wp--preset--color--primary,#20242e);color:var(--wp--preset--color--base,#ffffff);padding-top:3rem;padding-bottom:3rem;padding-left:1.5rem;padding-right:1.5rem\">\n<h2 class=\"wp-block-heading has-text-align-center has-base-color has-text-color\">Facing a Healthcare Fraud Investigation?<\/h2>\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-0aa01211 wp-block-buttons-is-layout-flex\"><div class=\"wp-block-button chg-cta chg-cta-call\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:+17867611719\">Call Patrick Wilson Law at 786-761-1719 or schedule a free consultation to discuss your case.<\/a><\/div><div class=\"wp-block-button chg-cta chg-cta-form\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/patrickwilsonlaw.com\/contact\/\">Call Patrick Wilson Law at 786-761-1719 or schedule a free consultation to discuss your case.<\/a><\/div><\/div>\n<\/div>\n\n<h2 class=\"wp-block-heading\">Related practice areas<\/h2><ul class=\"wp-block-list\"><li><a href=\"\/resources\/miami-white-collar-crime-defense-attorney\/\">Miami White Collar Crime Defense Attorney | Patrick Wilson Law<\/a><\/li><li>Money Laundering Defense Attorney Miami | Patrick Wilson Law<\/li><\/ul>\n<!-- chg:section-siblings -->\n<nav aria-label=\"More in this section\">\n<h2>More in this section<\/h2>\n<ul><li><a href=\"\/resources\/miami-white-collar-crime-defense-attorney\/miami-money-laundering-defense-attorney\/\">Money Laundering Defense Attorney Miami<\/a><\/li><li><a href=\"\/resources\/miami-white-collar-crime-defense-attorney\/miami-tax-fraud-defense-attorney\/\">Tax Fraud &amp; Tax Evasion Defense Attorney Miami<\/a><\/li><li><a href=\"\/resources\/miami-white-collar-crime-defense-attorney\/respond-federal-grand-jury-subpoena-miami\/\">What Should I Do If I Receive a Federal Grand Jury Subpoena in Miami?<\/a><\/li><li><a href=\"\/resources\/miami-white-collar-crime-defense-attorney\/state-vs-federal-white-collar-charges-florida\/\">What Is the Difference Between State and Federal White Collar Charges in Florida?<\/a><\/li><li><a href=\"\/resources\/miami-white-collar-crime-defense-attorney\/statute-of-limitations-white-collar-crimes-florida\/\">How Does the Statute of Limitations Work for White Collar Crimes in Florida?<\/a><\/li><\/ul>\n<\/nav>\n<!-- \/chg:section-siblings -->","protected":false},"excerpt":{"rendered":"<p>Miami healthcare fraud defense for providers, physicians, and billing staff facing federal or state charges. Protect your license and career. Call 786-761-1719.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":35,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"chg_review":"","chg_sendback":"","chg_canonical":"","chg_lang":"","chg_hreflang":"[{\"hreflang\": \"en\", \"href\": \"https:\/\/patrickwilsonlaw.com\/resources\/miami-white-collar-crime-defense-attorney\/miami-healthcare-fraud-defense-attorney\/\"}, {\"hreflang\": \"es\", \"href\": \"https:\/\/patrickwilsonlaw.com\/resources\/es\/abogado-delitos-cuello-blanco-miami\/abogado-defensa-fraude-sanitario-miami\/\"}, {\"hreflang\": \"x-default\", \"href\": \"https:\/\/patrickwilsonlaw.com\/resources\/miami-white-collar-crime-defense-attorney\/miami-healthcare-fraud-defense-attorney\/\"}]","chg_jsonld":"[{\"name\": \"Healthcare Fraud Defense\", \"@type\": [\"Service\", \"FAQPage\"], \"@context\": \"https:\/\/schema.org\", \"provider\": {\"@type\": \"Organization\", \"@id\": \"https:\/\/patrickwilsonlaw.com\/resources\/#organization\", \"name\": \"Patrick Wilson Law\", \"url\": \"https:\/\/patrickwilsonlaw.com\/\"}, \"speakable\": {\"@type\": \"SpeakableSpecification\", \"cssSelector\": [\"article > p:first-of-type\", \".wp-block-details p\", \"article > h1\"]}, \"areaServed\": [{\"name\": \"Miami\", \"@type\": \"City\", \"addressRegion\": \"FL\"}, {\"name\": \"Miami-Dade\", \"@type\": \"City\", \"addressRegion\": \"FL\"}, {\"name\": \"Broward\", \"@type\": \"City\", \"addressRegion\": \"FL\"}, {\"name\": \"South Florida\", \"@type\": \"Region\"}], \"knowsAbout\": [\"False Claims Act violations\", \"Anti-Kickback Statute charges\", \"Stark Law violations\", \"Medicare fraud\", \"Medicaid fraud\", \"Upcoding and unbundling schemes\", \"False billing and documentation\", \"Qui tam whistleblower cases\", \"Healthcare fraud investigations\", \"Medical license defense\"], \"description\": \"Federal and state healthcare fraud defense for physicians, nurse practitioners, clinic owners, billing managers, and licensed healthcare professionals in Miami-Dade, Broward, and South Florida facing investigation or criminal charges related to false billing, kickback schemes, upcoding, and other healthcare fraud allegations.\", \"author\": {\"@type\": \"Person\", \"name\": \"Patrick David Wilson\", \"url\": \"https:\/\/patrickwilsonlaw.com\/about-patrick-wilson-law\", \"jobTitle\": \"Founding Attorney\", \"sameAs\": [\"https:\/\/www.floridabar.org\/directories\/find-mbr\/profile\/?num=109325\", \"https:\/\/www.linkedin.com\/in\/patrick-wilson-1a160b11b\", \"https:\/\/profiles.superlawyers.com\/florida\/miami\/lawfirm\/patrick-wilson-law-pllc\/d6419fff-0530-43b6-ad76-1ca2a721ade1.html\"]}, \"publisher\": {\"@type\": \"Organization\", \"@id\": \"https:\/\/patrickwilsonlaw.com\/resources\/#organization\", \"name\": \"Patrick Wilson Law\", \"url\": \"https:\/\/patrickwilsonlaw.com\/\"}, \"reviewedBy\": {\"@type\": \"Person\", \"name\": \"Sahara Fonseca\", \"jobTitle\": \"Attorney\", \"sameAs\": [\"https:\/\/www.floridabar.org\/about\/section\/profile\/?num=1017991\"]}, \"inLanguage\": \"en\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Q: Should I speak to the FBI or DOJ if I'm under investigation?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"No. Consult an attorney first. 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