Newark Healthcare Fraud Lawyer - Local Law Firm Near You

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Newark Healthcare Fraud Attorney

newark healthcare fraud lawyer

When you’re accused of healthcare fraud, it can be highly frustrating. It could cause you stress or impact your future eligibility for medical programs. In some cases, it could even result in fines, imprisonment, or both. If you’re facing these charges, contact a Newark healthcare fraud lawyer.

Everything from billing and application mistakes to a misunderstanding of healthcare’s ever-changing rules can result in legal problems. LGR Law, LLC brings 30 years of experience to each case we take on. With our extensive knowledge of healthcare fraud laws, we can fight to protect your rights and clear your name.

Understanding the Laws Regarding Healthcare Fraud

According to 18 USC 1347, healthcare fraud is defined as any act that defrauds or attempts to defraud a healthcare benefit program through false information. The act typically involves the accused party acquiring services, funds, or some combination of both by knowingly providing false information or engaging in policy violations regarding a healthcare program.

Our legal team brings case-specific experience in these matters. With a trusted legal professional by your side, you can address healthcare fraud allegations with confidence, clarity, and a chance at a better outcome.

Defending Your Rights Protecting Your Future

We fight for your rights and protect your freedom when you are threatened or charged with a federal crime.

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What Are the Different Types of Healthcare Fraud?

In 2025, a national healthcare fraud takedown targeted 324 defendants charged in connection with over $14.6 billion in alleged fraud. This illustrates the massive scope of this offense. One reason the issue is so widespread is that it can come from multiple sources. According to the FBI, common healthcare fraud case types include:

Fraud by medical providers. This category can include billing fraud, such as double-billing, billing for services not received, billing for more expensive services than delivered, or submitting multiple claims for the same service.
Fraud by patients and other individuals. This type of fraud can include impersonating a healthcare professional, fraudulently obtaining a person’s health insurance information for non-health purposes, or impersonating someone else to receive health benefits.
Fraud related to prescriptions. This category of fraud includes forging prescriptions and the illegal distribution of legally acquired medications. It can also include “doctor shopping,” or trying to fill duplicate or overlapping prescriptions at different locations.

No matter what type of healthcare fraud accusation you’re facing, a Newark healthcare fraud attorney from our firm can help. We understand the complexities of fraud laws and can ensure we work hard to achieve a favorable result in your case.

How Can a Lawyer Help You Prepare for a Healthcare Fraud Case in Newark?

When you hire a healthcare fraud lawyer from LGR Law, LLC, you can feel confident in our organized, experience-based approach to case preparation. We can minimize the stress and uncertainty you feel by helping with key matters, such as:

Documentation preparation. We can help you gather information about your eligibility for and connection with medical programs. This can include proof of insurance, billing notices, prescriptions, acceptance letters, and other potential legal evidence for your case.
Proof of legitimate medical needs. If you have received medical benefits due to an illness, we can help you gather medical reports and other appropriate data that may prove a legitimate medical necessity.
Preparing for interactions with other legal professionals. Most healthcare fraud cases in Newark are handled by the United States District Court for the District of New Jersey. We can help you understand how to communicate properly and professionally with those involved in your case.

With the help of our trusted legal professionals who are familiar with healthcare fraud laws, you may have a better chance of moving past this issue. While every case is different, we can work to understand the specifics of your situation and advise you accordingly.

Why You Should Hire a Healthcare Fraud Lawyer in Newark

The complexities of healthcare fraud laws are nearly impossible to navigate without the help of a legal professional. Calling on a Newark healthcare fraud attorney can help you understand the details and the seriousness of your charges, all while navigating toward an ideal resolution.

Though healthcare fraud cases dropped from 447 in 2023 to 395 in 2024, this matter is still a problem that impacts medical programs, care providers, and patients, and is aggressively prosecuted. The authorities take this offense very seriously, so legal support is highly recommended.

FAQs

How Does the Law Define Healthcare Fraud?

Under 18 USC 1347, healthcare fraud is defined as the act of defrauding or attempting to defraud a medical program to obtain funds, services, or some combination of the two. Healthcare fraud can be committed by healthcare providers and medical administrative staff, as well as patients and individuals outside the medical field.

What Is the Punishment for Healthcare Fraud in Newark?

The punishment for healthcare fraud depends on the exact nature of the offense. Fraud in connection with the delivery of benefits, items, or services can result in fines and up to 10 years in prison. Acts that cause bodily harm could result in fines and up to 20 years in prison. Acts that result in death could result in fines and potentially life in prison.

Can a Person Commit Healthcare Fraud Accidentally?

A person can be accused of healthcare fraud due to an accident. However, fraud is typically defined as an action taken knowingly and willfully. Every case is different, and while errors that cause losses may still be punished, a conviction of criminal healthcare fraud requires intent to be proven. If you’re facing charges, a Newark healthcare fraud lawyer can help.

How Can a Person Prepare for a Healthcare Fraud Case?

When preparing for a healthcare fraud case, it’s highly recommended to hire a healthcare fraud lawyer. An experienced legal professional who knows healthcare fraud laws can help you prepare documentation, brief you on what to expect during your case, and work strategically to pursue the most favorable verdict relative to your situation.

Choose LGR Law, LLC for Your Healthcare Fraud Case

If a healthcare fraud accusation has you fearing for your future, LGR Law, LLC can support you during this difficult time. With our decades of experience defending people against serious accusations like fraud, our team knows how to manage cases with precision and empathy. We’ve received many awards and positive reviews for our fierce and effective approach to justice.

Don’t risk your freedom by navigating the complex world of healthcare fraud laws alone. Contact us today to speak with a professional who cares.

Lorraine Gauli-Rufo

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Newark Healthcare Fraud Lawyer