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The Spodek Law Group understands how delicate high-profile cases can be, and has a strong track record of getting positive outcomes. Our lawyers service a clientele that is nationwide. With offices in both LA and NYC, and cases all across the country - Spodek Law Group is a top tier law firm.

Todd Spodek is a second generation attorney with immense experience. He has many years of experience handling 100’s of tough and hard to win trials. He’s been featured on major news outlets, such as New York Post, Newsweek, Fox 5 New York, South China Morning Post, Insider.com, and many others.

In 2022, Netflix released a series about one of Todd’s clients: Anna Delvey/Anna Sorokin.

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The reason is simple: clients want white glove service, and lawyers who can win. Every single client who works with the Spodek Law Group is aware that the attorney they hire could drastically change the outcome of their case. Hiring the Spodek Law Group means you’re taking your future seriously. Our lawyers handle cases nationwide, ranging from NYC to LA. Our philosophy is fair and simple: our nyc criminal lawyers only take on clients who we know will benefit from our services.

We’re selective about the clients we work with, and only take on cases we know align with our experience – and where we can make a difference. This is different from other law firms who are not invested in your success nor care about your outcome.

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Healthcare Medicaid Fraud Lawyers

By Spodek Law Group | March 22, 2018
(Last Updated On: May 27, 2023)

Healthcare Medicaid Fraud Lawyers
If you work in the health care industry and someone has accused you of committing Medicaid fraud, you are probably feeling confused and terrified. This accusation can have a lasting impact on your life, destroying your career and resulting in time behind bars. Since law enforcement has been targeting people accused of fraud more than ever, the steps that you take following an accusation are vital and can play a significant role in the outcome of your case.
No matter how tempting, you won’t want to face this problem without the support of a legal expert. A fraud attorney will review the details of your case and help you decide what to do in the days, weeks and months that follow. You will then know that you have made the right choice and that you are in good hands.
Understanding medicaid Fraud
Learning about Medicaid fraud and how it works will enable you to get a better picture of the crime of which you have been accused. A common form of fraud involves a medical professional billing Medicaid for services that he did not perform, and because many people file claims each day, it’s hard to detect the dishonesty. In other cases, medical professionals will change the billing code of a legitimate service so that they can collect more money than they have earned.
When they are performed together, many medical procedures are bundled to reduce the cost, but some medical professionals will charge each procedure separately for financial gain. Since the laws related to Medicaid fraud are complex and confusing, people can make mistakes and find themselves on the wrong side of the law, and you won’t want to face that problem alone.
Possible Penalties
You will likely face harsh penalties if a jury convicts you of committing Medicaid fraud. Depending on your jurisdiction, if you have used fraud to obtain less than $1,000, the legal system can charge you with a misdemeanor of the first degree. You could spend several months in jail if your case does not end in your favor. Those who defraud Medicaid for more than $1,000 could get a felony conviction and several years in prison.
Most people are shocked when they discover how much time they might spend in jail or prison following a conviction, and you don’t want to get caught off guard. Depending on the severity of your case and a range of other factors, you could even lose your medical license.
Possible Defenses
Even though you have a lot at risk when you are dealing with these accusations, you can craft a viable defense strategy if you follow the right steps. Although you can use a range of defenses, the basic approach is to demonstrate that you did not file false claims for financial gain. If you have records or witnesses that can support your side of the story, you can combat your charges. Also, fraud laws are in place to prevent criminals from taking advantage of the innocent, so you can defend yourself if you can prove that your actions are the result of a mistake.
Responding to Accusations
You might think that speaking with detectives or investigators will help you avoid legal action, but doing so is not smart. Once the authorities are convinced that you have committed a crime, they will look for any reasons to earn a conviction. Even innocent people can unknowingly make incriminating statements when they try to protect their reputations. The police will likely overlook any information that could prove your innocence and highlight anything that they can use against you.
So remaining silent is the most important thing that you can do if you want to stay out of harm’s way. No matter what the police tell you, never give them information or volunteer to let them review your billing records. As soon as you get the chance, you must pick up your phone and speak with a criminal defense attorney with experience in Medicaid fraud. When you do so, your legal expert will guide you in the right direction and improve your odds of success. You won’t need to worry about making mistakes as long as you follow viable legal advice.
Getting Your Defense Attorney and Protecting Yourself
If you don’t want to face fines, lose your job or go to prison, enlisting the help of a criminal defense attorney is an important piece of the puzzle. After looking into the details and the evidence against you, your attorney will let you know how the case will likely end. Your legal professional will look for holes and inconsistencies in the prosecutor’s case, but that is only the start. Having an attorney in your corner will allow you to get the best possible plea deal, but if you don’t accept the offer, your attorney will fight for your rights in front of a jury.

If you have been accused of committing Medicaid fraud in the healthcare industry, it is crucial to enlist the help of a criminal defense attorney with experience in Medicaid fraud. Fraudulent actions in this area include billing Medicaid for services not performed or changing the billing code to receive more money than is deserved for a service. Penalties for these actions may range from a misdemeanor to a felony conviction with several years in prison. Possible defense strategies involve demonstrating that you did not file false claims for personal gain, or proving your actions were the result of a mistake. Remember not to volunteer any information to authorities and let an experienced attorney guide you through the process to improve your chances of success.

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I was searching for a law firm with some power to help me deal with a warrant in New York . After 6 days I decided to go with Spodek Law Group. It helped that This law firm is well respected by not only the top law firms in New York , but the DA , Judge as well. I...

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It was my good fortune to retain Spodek Law Group for representation for my legal needs. From the beginning, communication was prompt and thorough. Todd, Kenneth and Alex were the first people I worked with and they all made me feel comfortable and confident that the team was going to work hard for me. Everything was explained and any concerns...

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After meeting with several law firms, I chose the Spodek Law Group not only for their professionalism and experience, but for the personal attention given to me right from the initial consultation. It is important to recognize how crucial having the right legal team is when faced with potentially life altering events that impact families and the lives of loved...

~George Cherubini

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