Fraudes de Atención Médica y Medicare -

Fraudes de Atención Médica y Medicare

¿Alguna vez lo han acusado a usted o a su agencia de atención domiciliaria de fraude de Medicare? El Gobierno ha adoptado una actitud firme para la identificación y persecución de casos supuestos de fraude en el programa Medicare con el establecimiento del Equipo para la Prevención del Fraude en la Asistencia Médica y el Cumplimiento de Medidas, el «HEAT».

Desafortunadamente, todavía hay muchos casos de acusaciones de fraude erróneas. Dichos proveedores de servicios médicos podrían estar sujetos a ser investigados por el Buró Federal de Investigaciones (FBI), la Oficina del Inspector General del Departamento de Salud y Servicios Sociales de los Estados Unidos (HHS-OIG) y la División de Investigaciones Criminales del Servicio de Impuestos Internos (IRS-CI).

Si es proveedor de servicios médicos con sede en Plano y lo han acusado de algún delito, es importantísimo que ponga su caso en manos de los abogados experimentados en defensa de fraudes de Medicare del Bufete Jurídico de Jeffrey C. Grass. Brindaremos una defensa enérgica y trabajaremos duramente para ayudarle a ver una resolución favorable del caso.

Nuestro despacho tejano cuenta con varias décadas de experiencia en el campo; dicha experiencia nos ha permitido refinar nuestras estrategias de defensa. Tenemos el objetivo de liberarlo de las acusaciones delictivas y alcanzar una resolución del caso que le favorezca.

Si necesita ayuda de un abogado especializado en casos de fraude de Medicare, póngase en contacto con el Bufete Jurídico de Jeffrey C. Grass y solicite una sesión de consultoría gratuita y confidencial. Llame al (214) 269-8898.

Preguntas e inquietudes frecuentes sobre las acusaciones de fraude de Medicare por parte de proveedores de servicios médicos domiciliarios

Los proveedores de atención médica domiciliaria pueden necesitar muchos años para hacerse de una reputación sólida, pero con solo un alegato de fraude de Medicare tienen para perder todo lo que han obtenido a base de tanto trabajo.

Es de esperar que tenga preguntas o inquietudes, así que nuestro equipo jurídico ha compilado algunas de las preguntas que recibimos con mayor frecuencia por parte de nuestros clientes involucrados en estos casos.

¿Cuáles actividades se consideran fraude de atención médica domiciliaria de Medicare?

Home Healthcare Medicare Fraud Lawyers

Varias leyes federales, entre ellas el Código Criminal estadounidense, la Ley de Seguridad Social, la Ley de Autorremisión de Médicos, el Estatuto Antisobornos y la Ley de Reclamos Falsos, abordan lo que constituye fraude y abuso en el programa Medicare.

Hay varias actividades que podrían considerarse ilegales y, en última instancia, fraude de Medicare. Entre tales actividades están las siguientes:

  • Facturar a Medicare por servicios o equipamiento no provisto o no necesarios para el ejercicio médico;
  • Cobrar por servicios inconexos al paquete;
  • Falsificar registros médicos;
  • Ofrecer «mordidas»; y
  • Lavado de dinero.

Si su agencia de servicios médicos domiciliarios está bajo investigación por fraude de Medicare, apresúrese en contactar a un abogado de Plano con experiencia y especialización en ayudar a que los médicos conserven sus licencias. El abogado Jeffrey C. Grass tiene una vasta experiencia en esta área de la ley y sabe lo que se debe hacer para desarrollar una defensa sólida contra este tipo de acusaciones.

¿Cuáles son las sanciones potenciales por fraude en el programa Medicare?

El fraude en Medicare conlleva penas muy severas, tales como:

  • Reintegro de cualquier financiación pagada por Medicare;
  • Exclusión de la participación futura en programas de salud federales, como Medicare y Medicaid;
  • Penas criminales;
  • Responsabilidad civil;
  • Multas elevadas;
  • Una sentencia de prisión; y
  • La pérdida de su licencia médica.

Debido a la naturaleza delicada de las potenciales consecuencias criminales, civiles y profesionales del fraude en Medicare, es esencial que actúe de inmediato en cuanto se entere de las acusaciones.

Hay algunos casos donde las acusaciones son interpuestas por clientes molestos o empleados contrariados. Incluso si las acusaciones son infundadas, es una buena idea consultar a un profesional jurídico para que lo represente a usted y a sus intereses. En ciertas ocasiones se puede malinterpretar información como incriminatoria y las evidencias exoneradoras pueden ser ignoradas. Es por este motivo que es de suma importancia que consulte a un abogado especializado en fraudes de Medicare y le hable de su caso.

¿Por qué los profesionales de los servicios médicos están tan expuestos a los alegatos de fraude en el programa Medicare?

Las agencias de servicios médicos domiciliarios tienden a estar más expuests a las acusaciones de graude por varios factores. Estas agencias lidian con un porcentaje mayor de pacientes de Medicare (en comparación con otros profesionales de la medicina), lo que aumenta el riesgo por encima de la media.

Además, estas agencias pueden ser algo más vulnerables porque los servicios que prestan se realizan fuera de instalaciones médicas tradicionales. La naturaleza centralizada del cuidado en instalaciones médicas facilita algo darle seguimiento desde una perspectiva de contabilidad y cobro, además de los sistemas de video-vigilancia y otras tecnologías que permiten ofrecer vital evidencia, la cual se echa en falta en casos que involucran proveedores de servicios a domicilio.

Además, en años recientes, el Gobierno ha comenzado a tomar medidas enérgicas contra casos supuestos de fraude en Medicare, lo que ha incrementado las demandas interpuestas, algunas de ellas sin fundamentos. De hecho, en junio de 2016, el Departamento de Justicia estadounidense anunció que había llevado a cabo el desmantelamiento más grande de fraude en Medicare de todos los tiempos, con cientos de personas y agencias acusadas de delitos en todo el país. El Departamento de Justicia dice que, en conjunto, los casos sumaron más de 900 millones de dólares.

Nuestros abogados de Plano especializados en fraudes en Medicare ofrecen una defensa altamente estratégica

Home Healthcare Medicare Fraud Lawyers

Las acusaciones de fraude en Medicare pueden destruir toda una agencia de cuidados médicos domiciliarios; por ello es importante actuar de inmediato en cuanto se conozcan los alegatos. Aunado a la posibilidad de perder su licencia y su capacidad de recibir clientes de Medicare en el futuro, puede enfrentarse a cargos criminales.

Nuestros abogados especializados en la materia tienen la experiencia y las agresivas estrategias legales necesarias para defender su licencia, reputación, futuro y libertad.

Con sede en Plano, el Bufete Jurídico de Jeffrey C. Grass fue establecido por el abogado Jeffrey C. Grass. El abogado Grass ha ejercido por más de 20 años, y es miembro activo de la Sección de Salud de la Barra Estatal de Abogados de Texas. Además fungió como Abogado General de la Marina Estadounidense (JAG) y ha recibido la Valoración de Revisión por Pares AV® que otorga Martindale-Hubbell®.

El equipo del Bufete Jurídico de Jeffrey C. Grass ha trabajado duro para ganarse la reputación como uno de los equipos de abogados defensores ante casos médicos más apreciados de Texas. Lo invitamos a contactar nuestras oficinas de Plano y charlar de su caso en una consulta gratuita y confidencial. Llame al (214) 269-8898.

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Olivia

My name is Olivia. I am an African American, military trained, Licensed Practical Nurse. I have been employed, as an L.P.N. over 18 years, in the Critical and Acute Care Environment(s). As all nurses know, at times, we can be put in precarious situations. I live in Arizona and hold a license from another Compact State. I was put in one of those situations. It was imperative that I obtain sound and competent Legal Counsel. I found all that, and more, in Mr. Jeffery Grass! His contact information was obtained via his website. I emailed him about my problem and he immediately contacted me. Mr. Grass listened to my situation and immediately took action. He was VERY knowledgeable, straightforward, honest, aggressive and ENCOURAGING. If you are a practicing medical professional in need of aggressive, knowledgeable and honest legal representation, I HIGHLY recommend Attorney Jeffery C. Grass. Mr. Grass, words cannot even begin to express my appreciation for all that you have done and are doing.

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S. Zamora

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Ukana B.

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