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Medicare Qui Tam Actions

January 7, 2025
Medicare Qui Tam Actions
As a healthcare provider, you are already well aware of the fact that you are open to all sorts of legal claims being made against you. One of the more serious charges that can be brought against you at any time is a Medicare Qui Tam case. In such situations, you need a professional law firm that is well versed in such areas as health care accounting and financing laws, along with utilization and medical reviews. In other words, you need a lawyer who can trust to mount a vigorous defense on your behalf, while understanding the unique nature of Medicare fraud and related charges.

What A Healthcare Lawyer Can Do For You

If are you accused in a Qui Tam case, you will want a legal professional who can represent your interests as a healthcare provider. The includes the specific areas of litigations, investigations into financial wrongdoing, and audits of the Medicaid program. Within any given system, any of the following entities or people can be accused of Qui Tam violations:

    • Hospitals
    • Home Health Agencies
    • Nursing Homes
    • Pharmacies
    • Mental Health Professionals
    • Medical Groups or Firms
    • Physicians

If you receive an audit notice from the Medicaid Program, do not ignore it. It is critically important that you get this to your attorney right away in order for your response to begin to be generated. An audit itself can be quite complex. It is essential that all questions be answered completely and correctly. Your lawyer will ensure that coherent and well written responses are provided to each question in order to represent the true intentions and actions of the healthcare provider.

The Provisional Agency Audit Report

This is yet another area where your lawyer will assist you. This particular report offers the provider an opportunity to hand over any documents and written explanations that justify all payments received from the Medicaid program. It is also important for your lawyer to demonstrate any medical or legal authority that might have been present, complete with all corresponding documents, that can help reduce or even eliminate any repayments that you are being asked to make to the Medicaid Program itself.

What To Do If An Overpayment Demand Receipt Is Received

If you have received a demand for overpayment from the Medicaid Program, you will want your lawyer to look into it right away. It is possible that a negotiation is still possible. In the end, your attorney might be able to arrange a settlement that will be favorable to the provider. It is important to pursue all avenues in this regard and to exercise all of your rights under the law.

Christine Twomey
Christine Twomey
2024-03-21
Just had my Divorce case settled 2 months ago after having a horrible experience with another firm. I couldn’t be happier with Claire Banks and Elizabeth Garvey with their outstanding professionalism in doing so with Spodek Law Group. Any time I needed questions answered they were always prompt in doing so with all my uncertainties after 30 yrs of marriage.I feel from the bottom of my heart you will NOT be disappointed with either one. Thanks a million.
Brendan huisman
Brendan huisman
2024-03-18
Alex Zhik contacted me almost immediately when I reached out to Spodek for a consultation and was able to effectively communicate the path forward/consequences of my legal issue. I immediately agreed to hire Alex for his services and did not regret my choice. He was able to cover my case in court (with 1 day notice) and not only was he able to push my case down, he carefully negotiated a dismissal of the charge altogether. I highly recommend Spodek, and more specifically, Alex Zhik for all of your legal issues. Thanks guys!
Guerline Menard
Guerline Menard
2024-03-18
Thanks again Spodek law firm, particularly Esq Claire Banks who stood right there with us up to the finish line. Attached photos taken right outside of the court building and the smile on our faces represented victory, a breath of fresh air and satisfaction. We are very happy that this is over and we can move on with our lives. Thanks Spodek law 🙏🏼🙏🏼🙏🏼🙏🏼🙌🏼❤️
Keisha Parris
Keisha Parris
2024-03-15
Believe every single review here about Alex Z!! From our initial consultation, it was evident that Alex possessed a profound understanding of criminal law and a fierce dedication to his clients rights. Throughout the entirety of my case, Alex exhibited unparalleled professionalism and unwavering commitment. What sets Alex apart is not only his legal expertise but also his genuine compassion for his clients. He took the time to thoroughly explain my case, alleviating any concerns I had along the way. His exact words were “I’m not worried about it”. His unwavering support and guidance were invaluable throughout the entire process. I am immensely grateful for Alex's exceptional legal representation and wholeheartedly recommend his services to anyone in need of a skilled criminal defense attorney. Alex Z is not just a lawyer; he is a beacon of hope for those navigating the complexities of the legal system. If you find yourself in need of a dedicated and competent legal advocate, look no further than Alex Z.
Taïko Beauty
Taïko Beauty
2024-03-15
I don’t know where to start, I can write a novel about this firm, but one thing I will say is that having my best interest was their main priority since the beginning of my case which was back in Winter 2019. Miss Claire Banks, one of the best Attorneys in the firm represented me very well and was very professional, respectful, and truthful. Not once did she leave me in the dark, in fact she presented all options and routes that could possibly be considered for my case and she reinsured me that no matter what I decided to do, her and the team will have my back and that’s exactly what happened. Not only will I be liberated from this case, also, I will enjoy my freedom and continue to be a mother to my first born son and will have no restrictions with accomplishing my goals in life. Now that’s what I call victory!! I thank the Lord, My mother, Claire, and the Spodek team for standing by me and fighting with me. Words can’t describe how grateful I am to have the opportunity to work with this team. I’m very satisfied, very pleased with their performance, their hard work, and their diligence. Thank you team!
Anthony Williams
Anthony Williams
2024-03-12
Hey, how you guys doing? Good afternoon my name is Anthony Williams I just want to give a great shout out to the team of. Spodek law group. It is such a honor to use them and to use their assistance through this whole case from start to finish. They did everything that they said they was gonna do and if it ever comes down to it, if I ever have to use them again, hands-down they will be the first law office at the top of my list, thank you guys so much. It was a pleasure having you guys by my side so if you guys ever need them, do not hesitate to pick up the phone and give them a call.
Loveth Okpedo
Loveth Okpedo
2024-03-12
Very professional, very transparent, over all a great experience
Bee L
Bee L
2024-02-28
Amazing experience with Spodek! Very professional lawyers who take your case seriously. They treated me with respect, were always available, and answered any and all questions. They were able to help me very successfully and removed a huge stress. Highly recommend.
divesh patel
divesh patel
2024-02-24
I can't recommend Alex Zhik and Spodek Law Firm highly enough for their exceptional legal representation and personal mentorship. From the moment I engaged their services in October 2022, Alex took the time to understand my case thoroughly and provided guidance every step of the way. Alex's dedication to my case went above and beyond my expectations. His expertise, attention to detail, and commitment to achieving the best possible outcome were evident throughout the entire process. He took the time to mentor me, ensuring I understood the legal complexities involved to make informed decisions. Alex is the kind of guy you would want to have a beer with and has made a meaningful impact on me. I also want to acknowledge Todd Spodek, the leader of the firm, who played a crucial role in my case. His leadership and support bolstered the efforts of Alex, and his involvement highlighted the firm's commitment to excellence. Thanks to Alex Zhik and Todd Spodek, I achieved the outcome I desired, and I am incredibly grateful for their professionalism, expertise, and genuine care. If you're in need of legal representation, look no further than this outstanding team.

If a settlement cannot be reached, then a formal administrative hearing might need to be held. This is another area where your lawyer will be there every step of the way to protect your interests. Your lawyer can respond to subpoena’s or search warrants. This is important because they will be going through all types of records that are meant to either support or disprove your claims. It is important to resolve any case that has been brought against a healthcare provider before formal criminal charges are actually filed. This will be the goal of your lawyer.

Consult With A Lawyer

At the first sign of a Qui Tam Action being taken against you, consult with a lawyer specializing in healthcare law. This is a complex issue that requires a competent professional working on your side. Respond to all requests for information in a timely manner and you will be able to move on from this in the end.

Lawyers You Can Trust

Todd Spodek

Founding Partner

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RALPH P. FRANCHO, JR

Associate

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JEREMY FEIGENBAUM

Associate Attorney

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ELIZABETH GARVEY

Associate

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CLAIRE BANKS

Associate

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RAJESH BARUA

Of-Counsel

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CHAD LEWIN

Of-Counsel

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