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What to Do If You’re Being Investigated for Medicare Fraud

Jeff Cole
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Partner at Zimmer, Duncan & Cole

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If you are being investigated for Medicare fraud, you may have been contacted by an investigator with the Bureau of Fraud Investigation, the FBI, the Drug Enforcement Administration (DEA), or your local police department. Although you may be nervous, there are steps you should take to protect yourself.

5 Steps to Take If You Believe You’re Being Investigated

If you suspect you are being investigated for Medicare fraud—even if you have not received a call, letter, or visit from an official—here are five steps you can take to protect yourself:

  • Handle audits intelligently. Some criminal cases start out as audits and recovery cases. You need to consult with an  attorney who can guide you through the audit process and help negotiate any required settlement if you made a mistake.
  • Hire an experienced criminal defense attorney. If you even suspect you are being investigated, you need to retain an  attorney who can advise you of your rights and how to proceed if you are contacted by a governmental official.
  • Do not submit to an interview. You should not submit to an interview without first consulting with an attorney. In addition, you have the right to and should bring your attorney to any interview.
  • Obtain limited immunity agreement. You may not want to agree to an interview unless you have obtained a limited immunity agreement that protects you from prosecution for certain crimes. You need an attorney to advise you on what agreement you need and to negotiate with the prosecutor.
  • Investigate your case. Your attorney may need to investigate your case by interviewing patients, referring physicians, employees, and others who could help your defense. Compile a list of these people with their contact information for your attorney.

If you are worried you are being investigated for Medicare fraud, you need to speak to a criminal defense attorney now before you face charges. Start an online chat today to schedule a free, no-obligation consultation.


Category: Criminal Defense


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