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Nationwide Legal Representation

We are an elite criminal defense law firm, that emphasizes providing the best service and professionalism to all clients. We service a curated clientele nationwide – that expect the best from their lawyer. We handle tough criminal defense and legal situations that require deep knowledge, experience, dedication, and excellence in order to win. We have over 50 years of combined experience, handling national and international cases.

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Excellent results begins with top notch service. We treat you like family, and you always know what's going on with your criminal defense case.

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When you hire our law firm, you work directly with a senior criminal defense attorney only. This ensures the best results possible.

Who We Are

We 100's of 5 star reviews, and have been featured in the media. We are a premier law firm who understands how to win cases.

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Top Rated Attorneys

The Spodek Law Group is one of the most successful law firms in the USA. Our success comes from the fact we are attentive to details, and take a very pragmatic approach to each and every single case. Our clients turn to us for realistic advice – so they can make the appropriate decisions they need to make personally. Our goal is to make sure your case ends in a positive outcome, not only personally – but for your family as well.


What You Should Know About Medicare Fraud

It is difficult to track the amount of money healthcare programs pay as a result of Medicaid and Medicare fraud and abuse, thus wasting the US federal budget. Therefore, the US law enforcement places high priority on auditing, investigating and prosecuting cases of healthcare fraud. Thus, it is important to learn about what to do in order to avoid it, what can trigger such investigations and what to do if targeted by the authorities.

Medicare Fraud: Definition and Its Types

First of all, it is necessary to figure out the difference between Medicare fraud and Medicare abuse and what constitutes each of them.

Medicare fraud

It is a situation when services provided by the healthcare programs are deliberately misrepresented in order to obtain profit. The common types are the following:

  • intentionally billing for services other than the patient actually received;
  • paying for referrals.

Medicare abuse

It is a situation when patients are either intentionally or unintentionally prescribed unnecessary medical services, or these services either don’t meet the necessary standards or are not priced correctly.

Both of the above can result in criminal prosecution or civil litigation.

Another type of division of healthcare fraud stems from who performs the crime, with major types being the following:

  • committed by provider, for instance, falsification of a diagnosis, prescribing unnecessary tests, prescribing medicines to be later used by someone other than the patient, etc.;
  • committed by patient: providing false details to apply for healthcare services or supplies; forging or altering receipts, etc.;
  • committed by insurer, for example, denying valid claims, providing misleading information about benefits, etc.

Compliance with the standards of the national healthcare programs are regulated by the following laws:

  • False Claims Act (FCA), which protects the US government from being excessively charged for services provided to the citizens through healthcare programs and also sold medical services or supplies that do not correspond to the necessary standards;
  • Anti-Kickback Statute (AKS) and Physician Self-Referral Law (Stark Law), which ensure liability of those who intentionally engage in providing referrals for medical services or supplies for the purpose of gaining profit.

Other legislative documents also include Social Security Act, United States Criminal Code, Civil Monetary Penalties Law, and Criminal Health Care Fraud Statute.

These documents provide that those found guilty of fraud may be sentenced to imprisonment, large fines or other penalties. As you see, medicaid and Medicare fraud are serious crimes, and if a person is under investigation for them, they would definitely need assistance of a Medicaid fraud attorney.

How to Avoid Medicare Fraud

Guidelines for healthcare professionals

  • Be aware of the law. Even if you are not aware of the fact that some of your actions or those of your employees might be fraudulent, it won’t absolve you from the liability in the end. You can find the list of laws applying to your practice above. Pay special attention to the first two points on the list.
  • Make sure the billing and coding practices are in order. Regularly check the records for mistakes, and if any, be sure to disclose them to your employer who then should pass this information on to a regulatory agency that your workplace reports to.

Guidelines for healthcare programs beneficiaries

  • Be aware of the law and read carefully all papers you sign when applying for healthcare benefits. Ask questions if any, to know your rights and obligations.
  • Only disclose your Medicare number and Social Security card number to authorized healthcare providers.
  • Mark the dates of all appointments on a calendar. Check Medicare statements for errors.
  • Don’t ask for services you don’t need.
  • Report suspected fraud.

What to Do If You Become a Medicare Fraud Victim

How to report it

Healthcare fraud not only costs our country billions of dollars annually but also puts the health of US citizens at risk. Therefore, US citizens are encouraged to report such cases. If you suspect that some dates or services on Medicare statements are incorrect, please follow these guidelines:

Contact your healthcare provider and try to figure out the inaccuracies in your statement. This way, a billing error may come up, and the provider will set things right.

If you still suspect that fraud is involved, you can report it by contacting the Office of Inspector General by calling 1-800-447-8477 or via its official website.

Provide as many details about the alleged fraud as possible. This includes your name and card number, details about your healthcare provider, date of the healthcare service you have doubts about and its cost. Also describe what acts exactly seem to be fraudulent.

What to do if targeted by the investigators

The common reason why recipients of healthcare benefits are targeted by fraud investigators is that they failed to disclose their full income on the application, and the real amount of their income implies they are not eligible for the benefits. Another reason may be the fact that they receive treatment in an institution that doesn’t correspond to their actual place of residence. Patients are notified that investigation is under way by a letter requesting them to come to an investigation interview.

If you find yourself in such a situation, we recommend you to follow these guidelines:

  • Do not ignore the letter.
  • Do not come to the interview and speak to the investigator, you don’t have to. By the time you receive the letter, the authorities have already gathered a lot of information about you. Still, they might be missing some important information or documents, which prevents them from starting a case against you. So any details or documents you disclose can incriminate you gravely.
  • Ask legal advice from a Medicaid fraud attorney. And you’d rather do it as soon as possible. An experienced lawyer can help you reach an administrative settlement for your case or even dismiss it.

Charle Butler
Charle Butler
I was hesitant to hire the Spodek Law Group. I read reviews and knew they have a great reputation. However, I thought I would spend money and not see or speak to my attorney. From the beginning to end of my case Todd and the entire staff were available and willing to help. We worked towards and end result that was way above my expectation and Todd delivered. I am forever grateful for patience and long days and night spent working on my case. Thanks Todd and the entire team!
Mesonista parsons
Mesonista parsons
My attorney at Spodek was Abigail. She was very knowledgeable and helpful with all my questions and concerns, as well as responsive. Her fees are affordable and Abigail took the time to make sure I understood everything relating to my case. I highly recommend Abigail and will request her services in the future.
debabrata chakraborty
debabrata chakraborty
Todd A Spodek is the experienced and best criminal lawyer at USA. He is very professional and always respond on time. Alex also very cooperative and always help me. They took care me and my problem like family member. I am 100% satisfied for their professional service. My result was unexpected and amazing. They dismissed my case. I am really grateful to them. I will recommend you to go there if you want to solve your problem. I wish all the best for them.
Asata Hendricks
Asata Hendricks
Truly appreciate the work the guys did!. Exceptional team & I know they care about each and everyone of their clients. I am super thankful to be referred to Spodek Law Group and I am grateful Todd & Alex were able to work diligently to achieve an outcome I am pleased with. Despite COVID they stayed on top of things and kept me informed every step of the way. Very thankful.
Mike Moroff
Mike Moroff
I'm very satisfied with the services rendered by Todd, Alex and Mary Lou. I whole heartedly recommend Spodek Law Group . I've worked with and have retained other attorneys in the past with Todd's firm being the cream of the crop for many reasons. A very serious legal matter was resolved after a year's hard work and effort. Todd expertly guided me through the process and was able to navigate and make the good journey bearable as well as successful. Mary Lou initially provided excellent assistance before referring my case to Todd. Alex's support was effective and timely. The customer portal (MyCase) is an invaluable communication tool that also kept track of my case. Various aspects of my case were explained and there were several options provided but I made the final decision of how the case would be handled. The legal fee was reasonable considering the effort and amount of work plus it was a flat fee regardless of the length of time required to conclude my case. Todd made himself available to me and we had many scheduled meetings to go over the progress and to discuss the next steps. I felt more confident after many discussions with him. You will not go wrong choosing Spodek Law Group for legal matters.
Josh Katz
Josh Katz
Being that it was the first time that I was in need of an attorney, I was afraid and hesitant and knew I needed the absolute best. It is beyond understood why Spodek Law Group has a reputation of being the top, if not the best law firm in New York. Alex and Abigail were there every step of the way even at the most unconvenient hours. I could not have asked for more. They are extremely good at what they do and they delivered much much more than just winning my case. A big thank you to Alex and Abigail for all the guidance and counseling and their upmost loyal support that extended far more than just legally. If you need the absolute best than don't hesitate to hire Spodek Law Firm.
I cannot tell you how thankful I am to Todd and Alex for their hard work and dedication to my case. I had never been in any trouble before but I had an unfortunate event occur and in the midst of COVID-19 at that therefore I knew I needed a team that was dedicated to my success. Today- my case has been finalized and I’m walking away with no record and can continue life as a mother and a Grad student worry free. I cannot express enough gratitude for their assistance.
AnnMarie Soliman
AnnMarie Soliman
I received a summons and called Spodek law group for a free consultation. Alex took my call and was very quick and responsive. He was available anytime through multiple platforms and very reassuring when needed. They are extremely organized and thorough. They got my case dismissed! I’m very grateful. Thank you Alex and Todd!



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

White Glove Service

We provide superior service, excellent results, at a level superior to other criminal defense law firms. Regardless of where your case is, nationwide, we can help you.

Hear From Our Clients

"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..."

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
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