Atlanta Medicare/Medicaid Sanctions Lawyers

amomedicareUnder federal law, there are certain offenses that automatically exclude a health care provider from federal Medicare and Medicaid programs. Exclusion from these programs can result in disastrous consequences, including loss of medical staff privileges or malpractice insurance, an inability to seek compensation from other payers or insurers, licensing board disciplinary action, criminal charges and the end of your medical career.

The Atlanta law firm of Allen & McCain, P.C., represents health care professionals throughout Georgia who are facing investigation by Medicare or Medicaid or potential sanctions or exclusion from these federal programs. As one of only a few law firms in Atlanta practicing health care law exclusively, our lawyers understand the unique issues, laws and regulations that impact the health care industry.

Atlanta, Johns Creek, and Surrounding Areas Medicare/Medicaid Fraud Defense Attorneys Representing Clients Throughout Georgia

Due to the rising costs of health care in the United States, the Medicare and Medicaid programs have taken steps to reduce excessive payments to providers. A provider who is found to be overbilling could face criminal charges, a civil suit and exclusion from the Medicare and Medicaid programs. However, overbilling is not the only act that can result in exclusion from the program. Providers may be sanctioned or excluded for:

  • Conviction of a felony or misdemeanor relating to fraud, theft or other financial misconduct
  • Suspension of professional license
  • Over-utilization of certain medical procedures or services
  • Failure to pay an educational loan

If you are being investigated by Medicare or Medicaid, it is crucial to contact an experienced attorney as soon as possible. It is not recommended that you speak to an investigator without skilled legal counsel.

Sanctions or exclusion from Medicare/Medicaid often causes a chain of other negative consequences, including, in some cases, loss of ability to seek payment for medical services from private health insurers. Because a health care professional’s success is heavily dependent on his or her ability to collect from third-party payers (whether they are governmental or private insurers) for the medical services provided to patients, this can be the end of a provider’s career.

Contact Allen & McCain, P.C.

At Allen & McCain, P.C., we strive to meet all of your legal needs in a first-rate, cost-effective manner. To discuss your legal concerns with one of our knowledgeable attorneys in a no-cost, no-obligation consultation, contact us online or call 404-874-1700 or 888-874-2002.

The information you obtain on this website is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation. Past results do not guarantee similar outcomes in future cases. Transmission of the information on this website is not intended to create, and receipt does not constitute, an attorney-client relationship.

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Allen & McCain, P.C.
Two Midtown Plaza, Suite 1700
1349 West Peachtree Street, NW
Atlanta, GA 30309
Phone: (404) 874-1700
Toll Free: (888) 874-2002
Fax: (404) 874-1787
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