Allegations of healthcare fraud can damage your reputation, threaten your freedom, and ruin your ability to practice medicine. For healthcare and medical practitioners, such accusations can be career-ending, as the state could suspend or even revoke your license. If convicted, you may even face long-term imprisonment. You cannot afford to take such charges lightly.

A highly experienced Greenville healthcare fraud defense lawyer could help you successfully challenge or dismiss these charges or reach effective plea deals that minimize their impact. Founded by a former U.S. Attorney and prosecutor in South Carolina, the Law Office of Bill Nettles has an experienced team of white-collar defense attorneys capable of handling your defense strategy and fighting for your rights.

Types of Healthcare Fraud Charges

It does not matter whether law enforcement investigates healthcare fraud at the state or federal level. The outcome is often the same, with the accused potentially at risk of losing their freedom or no longer being able to practice in the medical field. Allegations of medical fraud often fall into the categories that include:

  • Upcoding or miscoding
  • False Claims Act violations
  • Medicaid and Medicare fraud
  • Overbilling, overcharging, or false billing
  • Unbundling for the purpose of maximizing profits
  • Medical identity theft, opioid abuse scheme, and prescription fraud
  • Fraudulent billing for medical services or items not rendered or provided

Your specific type of charge will determine our defense strategy. Our Greenville attorneys have experience defending accused medical practitioners facing a wide range of healthcare fraud-related charges. When you contact us, we could discuss your case and explore the legal options that are available to you.

What Are the Penalties for Medical Fraud Convictions?

Licensed healthcare professionals whom prosecutors accuse of medical fraud often face two categories of punishment. If the plaintiff files the case as a civil suit, penalties typically include: 

  • Denial of all future claims
  • License suspension or revocation
  • Restitution in the form of repaying claimed funds
  • Government healthcare program access restriction

If you are facing a criminal charge, a court could sentence you to federal prison for at least 10 years. If someone died, you could face a life sentence, large monetary fines running into the hundreds of thousands of dollars, and a permanent criminal record. Let our skilled medical fraud lawyers in Greenville defend you against these allegations.

Possible Legal Defenses in a Healthcare Fraud Case

Fundamental to all healthcare fraud cases is the prosecution being able to prove beyond a reasonable doubt that a practitioner committed the crime and acted with criminal intent. Our Greenville healthcare fraud legal team could help you by deploying various proven defense strategies that identify weaknesses in these claims and protect your rights.

For instance, we could demonstrate that your inability to keep up with changing healthcare laws, staff errors, or a lack of supervision caused your mistakes, all of which could be negligence instead of malicious intent within healthcare. This defense directly counters criminal intent, which is a key aspect of all criminal cases.

Contact a Healthcare Fraud Defense Attorney in Greenville For Help Today

At the Law Office of Bill Nettles, our prosecutorial experience gives you a unique edge in your case. As a former U.S. Attorney, Bill is familiar with the prosecution’s strategy in cases such as this to help build a strong defense. With dedicated attorneys John Delgado and Fran Trapp alongside him, Bill Nettles’ team is highly skilled to handle your fraud charges. Let a Greenville healthcare fraud defense lawyer use that knowledge to your advantage and fight for your freedom and reputation. Contact us today to discuss your case.

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