Healthcare Fraud Work With One of the Nation's Most Experienced & Successful Trial Lawyers

Boston Healthcare Fraud Defense Attorney

Massachusetts Healthcare Fraud Definition

Have you been charged with healthcare fraud? If so, act fast to get a skilled attorney on your side. Depending on your circumstances a conviction for this offense could result in up to life in prison and substantial fines. As a federal offense, healthcare fraud is defined as engaging in a plan with the intent to defraud a healthcare benefit program.

Specifically, U.S. Code § 1347 states that a person engages in this prohibited conduct when they knowingly and willfully carry out a scheme:

  • To defraud a health care benefit program; or
  • To obtain money or property from a health care benefit program by using false pretenses or representations

The consequences can be long-lasting, and you could suffer the effects long after you have served your time. For instance, having a criminal record could ruin your reputation, make it difficult to get a job, present challenges when looking for housing, and disqualify you from government benefits.

For the aggressive defense you need to fight your charges, call our white collar criminal defense firm today at (617) 227-3700.

Healthcare Fraud Penalties in MA

The specific punishments you could face depend on the circumstances, but could include:

  • Up to 10 years in prison and/or a fine
  • Up to 20 years in prison and/or a fine if the fraud resulted in serious injury
  • Up to life in prison and/or a fine if the conduct resulted in death

For instance, a healthcare practitioner may be accused of this offense if they:

  • Obtain unneeded, covered prescriptions with the purpose of selling them for profit
  • Bill the health care programs for services they never provided
  • Claim a non-covered service as a covered one
  • Accept kickbacks for referrals
  • Prescribe unnecessary medical treatment

A beneficiary may be charged under U.S. Code § 1347 if they engage in behavior that includes, but is not limited to:

  • Falsifying information on claims forms
  • Selling their prescription medications
  • Using someone else's insurance card

Martin G. Weinberg, Attorney at Law Healthcare Legal Counsel

Regardless of how complex your case may seem or how much evidence you believe the prosecutor has, our lawyer at Martin G. Weinberg, Attorney at Law will be by your side, fighting to protect your rights and freedoms. When you're facing criminal charges, the prosecution must prove your guilt. With our over 40 years of legal experience, we know how to develop strong defense strategies to cast doubt on the accusations against you.

With the consequences of a healthcare fraud charge and conviction being so severe, it's crucial to have a Boston attorney on your side committed to standing up for you. At Martin G. Weinberg, Attorney at Law, that is the type of service we provide. Our lawyer has extensive experience arguing cases in federal courts and has in-depth knowledge of the system. We will skillfully guide you through the legal process from start to finish.

For representation from an attorney industry leaders turn to, call us at (617) 227-3700 or contact us online.

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    - David O. Markus
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    - Miami Herald
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Significant Cases

  • Successful Challenge US v Warshak

    631 F3d 266 CA 6 (2010): Successful challenge to the Department of Justice’s reliance on the Stored Communications Act to seize the content of emails in violation of the Fourth Amendment

  • Reversal of Conviction US v Bravo Fernandez

    (722 F3d 1, 1st Cir, 2013): Federal Court of Appeals reversed conviction of a leading businessman in Puerto Rico for federal programs bribery holding that gratuities cannot, legally, be the basis for such a conviction.

  • Vacated Sanction US v Agosto-Vega

    (1st Cir, 9-27-13): Federal Court of Appeals vacated a monetary sanction imposed against a criminal defense attorney holding that there was no legal or factual basis for the imposition of the sanction.

  • Vacated Conviction US v Urciuoli

    513 F3d 290 CA 1 (2008): Vacating of honest services conviction as a result of instructions that impermissibly broadened the “official act” element of 18 USC 1346.

  • New Trial Motion US v Carpenter
  • Habeas Corpus Relief Ferrara v US

    456 F3d 278 CA 1 (2006): Affirming trial court’s granting of habeas corpus relief to a RICO defendant whose decision to plead guilty to murder predicates was found to be involuntary due to prosecutor’s concealment of core exculpatory evidence.

  • Appeal of Conviction US v Stewart

    433 F3d 273 CA 2 (2006): Co-counsel in appeal of conviction of Martha Stewart for making false statements and obstructing an SEC investigation.

  • Reversal of Conviction US v Carucci

    364 F3d 339 CA 1 (2004): Reversal of money laundering convictions following split jury verdict in prosecution of Boston real estate developer

  • Non-Contempt US v Kouri-Perez

    187 F3d 1 CA 1 (1999): Representation of attorneys charged with non-contempt civil sanctions.

  • Vacated Sentence US v Grandmaison