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Faced 5+ Years in Prison

People Vs Joseph Amico

Covered by NYDaily News. Las Vegas man accused of threatening a prominent attorney and making vile remarks.

Faced 10+ Years in Prison

People Vs. Anna Sorokin

Covered by New York Times, and other outlets. Fake heiress accused of conning the city’s wealthy, and has an HBO special being made about her.

Faced 3+ Years in Prison

People Vs. Genevieve Sabourin

Accused of stalking Alec Baldwin. The case garnered nationwide attention, with USAToday, NYPost, and other media outlets following it closely.

Faced Potential Charges

Ghislaine Maxwell Juror

Juror who prompted calls for new Ghislaine Maxwell trial turns to lawyer who defended Anna Sorokin.

Why Choose Us

Clients can use our portal to track the status of their case, stay in touch with us, upload documents, and more.

Regardless of the type of situation you're facing, our attorneys are here to help you get quality representation.

We can setup consultations in person, over Zoom, or over the phone to help you. Bottom line, we're here to help you win your case.

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Meet Todd Spodek


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.

Why Clients Choose Spodek Law Group

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.

If you have a legal issue, call us for a consultation.
We are available 24/7, to help you with any – and all, challenges you face.

Long Island Medicare Fraud Lawyer

By Spodek Law Group | July 27, 2023
(Last Updated On: October 12, 2023)

Last Updated on: 12th October 2023, 07:55 pm

Long Island Medicare Fraud Lawyer

The cost of Medicare and Medicaid Fraud to the economy is a staggering $140 billion. This is why the government does not take issues of Medicare fraud lightly. It simply cannot afford to. If you are a healthcare provider, you need to understand what constitutes Medicare fraud and how to stay on the right side of the law.

Medicare Fraud Explained

Medicare fraud involves healthcare fraud, false claims act, stark, and anti-kickback statues. The following activities constitute Medicare fraud.

• A healthcare practitioner knowingly submits false or misleading statements to obtain payments that they would have otherwise not qualified for.

• Individual’s solicit/pay/accept remuneration from patient referrals or medical supplies.

• Making prohibited referrals for certain medical services.

• Billing the Medicare programs for supplies or services not provided.

• Submitting false claims to the Board.

• Submitting claims for supplies or services for patients who do not exist. (Ghost patients).

• Up coding: this is billing a higher code than the service warrants.

• Billing for medical equipment that has not been prescribed by the physician.

• Billing for substandard and low-quality services.

• Performing tests and medical services that are not necessary.

• Duplicate billing.

• Unbundling: this is billing treatments and tests separately instead of following the bundling procedure.

• Submitting claims on behalf of an excluded provider who is not eligible to participate in the Medicare program.

• Making false statements so as to participate in the Medicare program.

• Violating Medicare provisions.

If a healthcare provider is caught engaging in any of these practices, then they are immediately flagged, and inquiries are made into their actions. The reality on the ground is that few healthcare providers commit fraud intentionally. In most cases, the discrepancies arise from the complex billing systems that hospitals are expected to use. Minor issues can easily be detected by the healthcare board, and an audit into your business can be initiated.

When you receive notification for an audit, you need to engage with a Medicare, fraud lawyer. Sadly, even small mistakes can lead to a license suspension, or you can be charged a heavy fine. There is also a time period in which you are expected to respond to the audit officials. Failure to respond in a timely manner may be presumed as an admission of guilt.

Understanding Medicare Audits

If the healthcare board suspects you of fraudulent activities, they are mandated by Congress to make inquiries. The Medicare officials will move in to conduct an audit. The trigger may have been something amiss in your billing or coding system. This can be one entry or a series of entries that may have been flagged by the Medicare agents. There is no need for panic because in most cases, a mistake in the coding or billing system does not necessarily constitute to fraud. The Medicare audit team will investigate further to determine the legitimacy of the errors.
When the audit is over, the officials may grant a clearance letter. This shows that no fraudulent activities were detected.

However, if they discover fraudulent activities, your business can be fined, or you can be charged with a criminal offense. This is why you need to consult with an experienced lawyer. A license revocation could mean the closure of your business. If you are guilty of Medicare fraud, a lawyer can help to negotiate for a fine.

The importance of a Medicare Fraud Lawyer

Medicare and Medicaid audits are mainly conducted by Medicaid officials. In some cases, they may enlist the services of recovery audit contractors, who work on a contingency basis. These contractors are mainly motivated by financial gain. This makes your business a target. If a private contractor is tasked with auditing your hospital, you can be sure that they will be thorough and aggressive. These contractors are tasked with investigating nursing homes, medical clinics, hospitals, long-term care facilities, physical therapy establishment and home health agencies. It, is, therefore, in the best interest of your practice to seek legal advice from a Medicare, fraud lawyer.

The first course of action for the lawyer will be to establish the reasons for the audit. There are certain cases when the reasons for the audit are not clear. To counter the Medicare fraud claims, the lawyer will ask for documents which will be presented to the auditors. The lawyer will first analyze the document and prepare a defense based on the findings. During the investigation process, the lawyer will engage with the officials on your behalf. If you are guilty, the lawyer will immediately begin working on possible defenses to ensure that the doors of your clinic remain open.

The crackdown by the government on Medicare and Medicaid fraud exposes your clinic to a myriad of litigation issues. Without an understanding of the law, you may not be in a position to defend yourself. This is why enlisting the services of a Medicare lawyer gives you a good fighting chance.

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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...

~Fonder Brandon

5 Stars
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, and my company Qumana skincare feel comfortable and confident that the team was going to work hard for me. Everything...

~A G

5 Stars
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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