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Defending Accusations of False Health Insurance Claims

Medical billing fraud doctor lawyer

Being a physician is not easy money, especially if you are in private practice, operating a business for yourself. Most of the people you encounter do not understand this. People you meet at social gatherings are impressed that you are a doctor, and your parents, who pushed you to get good grades in high school and college so that you could get accepted to medical school, now brag about you every chance they get, but they do not know the whole story. Your personal bank account balance probably does not look much better than anyone else’s does. Most likely, your business finances are a mess. Being a private practice physician means that you must engage in a constant scramble to keep up with overhead costs. Billing insurance claims is a frustrating game of hurry up and wait. Therefore, if investigators audit your finances, what they find might not be pretty, but that does not automatically mean that you are guilty of healthcare fraud.

If you are a solo practitioner or the proprietor of a small healthcare business, and you are under investigation for allegedly filing false claims with health insurance providers, contact a Texas white collar crime lawyer at the Law Office of Patrick J. McLain, PLLC.

Four Dallas Defendants Face Charges in National Healthcare Fraud Takedown

Many cases involving health insurance fraud go through federal courts because most health insurance companies operate in more than one state, and the process of submitting and paying an insurance claim often involves communication across state lines. This applies whether the recipient of the allegedly false claims was a private insurance company or a public program such as Medicare or Medicaid. In 2025 thus far, federal courts in 50 districts have indicted 324 defendants on healthcare fraud charges as part of an initiative called National Healthcare Fraud Takedown.

Four defendants in the Dallas area are currently facing criminal charges for health insurance fraud and related offenses as a result of this investigation. While they are in different areas of the medical profession, they do have one thing in common. That is, the need for an experienced legal professional to help them with their case and provide them with a better outlook on their future and what is to come.

If you are charged with filing false claims with health insurance providers, you may be able to advance the defense that the tests and treatments you ordered were medically necessary or that, if they were not, it was because of an honest mistake on your part, albeit one that did not endanger patients’ health. You might also argue that there is insufficient evidence to show that you were the one who submitted the false claim or that you knew about it.

Contact the Law Office of Patrick J. McLain, PLLC, About Criminal Defense Cases

Dallas criminal defense lawyer can help you if you and your identical twin are being accused of health insurance fraud. Contact the Law Office of Patrick J. McLain, PLLC in Dallas, Texas to discuss your case.

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