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NJ VA Healthcare Fraud Defense Attorney

November 2, 2020 New Jersey Criminal Lawyers

Are you being targeted by the federal authorities for your success? Having worked very hard to build your business and make a positive contribution to the community by providing jobs and quality patient care, and now the government is threatening to jeopardize your success. Despite having paid high taxes for everyone’s benefit, the government wants to punish you. Yes, we also feel the same, and that’s why we at Spodek Law Group want to defend you.


How different we are


What makes Spodek Law Group different from other firms is our team’s proven track record and experience. We do not experiment with your rights. We fix, litigate, and resolve healthcare fraud allegations. You can trust us to take care of your case while you continue taking care of your business. Don’t waste time with lawyers who do not understand your industry and the laws that govern health care.


How we resolve health care fraud cases


Health care fraud cases are mostly based on a theory that a medical health care provider, i.e., Pharmacy, home health agency, hospital, and lab-submitted fraudulent claims to Medicaid, Tricare, Medicare, or a commercial insurance company. Billing mistakes and errors are not uncommon in the healthcare industry due to regulatory complexity. Therefore, the alleged fraud must be systematic, widespread, and economic significance for the government to get involved.


When you are under investigation, your business will receive a healthcare audit request, a subpoena, a CID, a Grand Jury Subpoena from the DO, or an indictment if the case is advanced. All these allegations are fixable with an experienced attorney who understands each case’s nuances and prepares a specific defense strategy. The sooner you involve us, the easier in resolving the matter.


False Claims Act 18 USE 2.8.7


Under the False Claims Act, most cases originate from whistleblowers, mostly former employees or competing firms that report alleged fraud by filing a lawsuit to collect a reward later. You will often find out about the existence of an investigation against your business when you receive a Civil Investigative Demand or any other form of government subpoena that requests you to submit documents and corporate information. For such cases, the defense attorney’s priority is to ensure that the investigation into the matter doesn’t turn into a criminal case.


Anti-kickback law


The most common Health care fraud cases are kickback allegations. The healthcare law prohibits certain incentives to protect the independence and integrity of the physician’s professional judgment. Although most valuable items qualify as kickbacks, most kickback allegations are defendable. For a successful defense, attorneys need to equip themselves with a deep understanding of healthcare laws and tough negotiation ability with compelling arguments.


Aggravated identity theft


Aggravated identity theft occurs when a person knowingly transfers, uses, or possesses without permission, identifies other persons, and then uses that identification during the act of violating a particular felony. This type of allegations is enough proof that one needs to be represented by qualified, experienced attorneys in healthcare fraud. The aggravated identity theft is a supplement to identity theft, and the Justice Department decided to add it to healthcare fraud indictments. Each allegation count amounts to mandatory two-year imprisonment meaning that probation is out of the table. Such a qualified attorney can successfully argue that the law does not apply to your particular case and save you unnecessary prison time.


Federal conspiracy theory


The federal healthcare fraud allegations are mostly brought as a form of conspiracy. The claim is normally from the government and that several people have done and contributed something to a fraudulent scheme’s success. Such cases involve several people charged with conspiracy to defraud. Spodek Law Group can break that chain and successfully defend you.


Why you should choose Spodek Law Group


At Spodek Law Group, we represent individuals and businesses in all major cities country-wide in cases of civil and criminal healthcare fraud allegations. We devote ourselves to representing you in accusations such as:


  • Conspiracy or attempt to commit healthcare fraud
  • Coding and Billing variations
  • Accepting or offering bribes, referral fees, or illegal kickbacks
  • Falsifying patient test results and records
  • Improper practices in relations to physician certificate or patient statements
  • Improperly dispensing, patient prescribing, or diversion of opioid medications.
  • Exaggerations of Medicaid, Medicare, DOL, or Tricare
  • Phantom billing
  • Double billing of a private health insurer or federal benefit program



Facing federal fraud allegations is a career breaking matter regardless of your role in the industry. Failure to get the best defense attorney may result in civil or criminal penalties. These allegations take different forms, and a prosecutor may pursue civil or criminal charges against your or your business. Therefore the critical part is determining the nature and scope of the allegations. Thus, a qualified attorney identifies nature and why the government targets you to formulate an effective defense.



Spodek Law Group have offered me excellent support and advice thru a very difficult time. I feel I've dealt with someone who truly cares and wants the best outcome for you and yours. I'm extremely grateful for all the help Spodek Law Group has offered me. I can't recommend them enough.

~ David Bruce

Spodek Law Group was incredibly professional and has given me the best advice I could wish for. They had been helpful and empathetic to my stressful situation. Would highly recommend Spodek Law Group to anyone I meet.

~ Rowlin Garcia

Best service I ever had. Todd is absolutely class personified. You are in the safest hands with spodek. They have their clients interest in mind.

~ Francis Anim

Spodek Law Group

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