Clayman & Rosenberg LLP regularly represents physicians and other health-care professionals in state and federal health care fraud investigations and prosecutions, including those involving allegations of upcoding, unbundling, and overbilling for medically-unnecessary or not-rendered treatments or services, billing for phantom patients, and kickbacks for patient referrals. Additionally, we address the collateral consequences of criminal health care fraud investigations, such as parallel examinations by state licensing authorities or civil lawsuits.

  • Defended a physician charged with defrauding Medicare and private insurers of more than $20,000,000 through a fraudulent billing scheme.
  • Defended a physician throughout an investigation by the New York Attorney General’s Office into allegations of Medicare fraud.
  • Prevented a senior executive of a large home health care provider from being charged with defrauding the State of New York.
  • Represented numerous physicians, chiropractors, podiatrists and other health care providers charged with defrauding Medicare and private health insurance.