Facing allegations of Medicare fraud in San Diego can threaten your freedom, finances, and professional license. Medicare fraud cases are aggressively prosecuted by federal authorities, often carrying severe penalties. If you are under investigation or charged with Medicare fraud, you need an experienced criminal defense attorney who understands federal healthcare laws and billing regulations.
The Law Office of Vikas Bajaj provides strategic defense for healthcare professionals and individuals accused of Medicare fraud throughout San Diego and Southern California.
What Is Medicare Fraud?
Medicare fraud occurs when false or misleading information is knowingly submitted to the Medicare program for payment. These cases often involve complex billing rules and are frequently misunderstood or mischaracterized by investigators.
Common Medicare fraud allegations include:
- Billing for services not provided
- Upcoding or unbundling
- Duplicate billing
- False claims
- Kickbacks and illegal referrals
- Durable medical equipment (DME) fraud
Even billing mistakes can escalate into criminal investigations if intent is alleged.
Federal Medicare Fraud Investigations in San Diego
Medicare fraud cases are typically investigated by:
- FBI
- U.S. Department of Justice (DOJ)
- U.S. Department of Health and Human Services (HHS-OIG)
These agencies build cases over long periods of time. Many clients contact our firm before charges are filed, after learning they are under investigation.
Early legal representation can significantly affect whether charges are brought at all.
Penalties for Medicare Fraud
Medicare fraud is usually charged as a federal offense and may result in:
- Federal felony convictions
- Significant fines and restitution
- Federal prison sentences
- Exclusion from Medicare programs
- Loss of professional licenses
If you are searching for Medicare fraud penalties in California, speak with an attorney before making any statements to investigators.
Medicare Fraud FAQs – San Diego
Medicare fraud involves knowingly submitting false claims or information to Medicare to receive payment. This includes billing for services not provided, upcoding, or kickbacks.
Yes. Medicare fraud is prosecuted under federal law and is often handled in federal court by the U.S. Department of Justice.
Yes. Billing errors may lead to fraud allegations if prosecutors believe there was intent to deceive. An attorney can help show mistakes were unintentional.
Medicare fraud investigations can last months or years before charges are filed. Many people are unaware they are under investigation until contacted by agents.
Yes. Early legal representation can prevent charges, limit exposure, and protect your rights during an investigation.
Speak With a Medicare Fraud Defense Attorney in San Diego
If you are under investigation or charged with Medicare fraud, contact the Law Office of Vikas Bajaj for a confidential consultation. Early defense matters.
