Criminal Defense Lawyers

NYC Medicaid Fraud Lawyers

At Spodek Law Group, we understand the gravity of Medicaid fraud charges and the devastating impact they can have on your life and career. That’s why our team of seasoned NYC Medicaid fraud lawyers is committed to providing you with the aggressive defense you need to protect your rights and your future.

What is Medicaid Fraud?

Before we dive into the legal intricacies, let’s define what Medicaid fraud actually is. Medicaid is a federal and state-funded healthcare program designed to provide medical assistance to low-income individuals, families, and those with disabilities. It’s a vital resource that helps millions of Americans access the care they need.However, Medicaid fraud occurs when someone intentionally submits false or fraudulent claims to the program for payment. This can take many forms, such as billing for services that were never provided, providing unnecessary or inferior services, or misrepresenting a patient’s diagnosis to receive higher reimbursement.Both individuals and organizations, including healthcare providers, hospitals, clinics, and nursing homes, can commit Medicaid fraud. And the consequences can be severe, ranging from hefty fines and loss of licensure to criminal prosecution and even imprisonment.

Common Types of Medicaid Fraud

Medicaid fraud can manifest in various ways, and it’s crucial to understand the different types to better protect yourself. Here are some common examples:

Billing for Services Not Rendered

This is perhaps the most straightforward form of Medicaid fraud, where a healthcare provider bills the program for services or treatments that were never actually provided to the patient.

Upcoding or Unbundling

Upcoding involves billing for a more expensive service than the one actually provided, while unbundling refers to billing for individual components of a service instead of the bundled rate, resulting in higher reimbursement.

Kickbacks and Referral Schemes

Offering or receiving kickbacks or bribes in exchange for patient referrals is a form of Medicaid fraud. These schemes often involve unnecessary or excessive services to justify the kickbacks.

Identity Theft and Falsifying Records

Using someone else’s identity or falsifying medical records to obtain Medicaid benefits or reimbursement is considered fraud.

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

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

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

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

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

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

2024-03-12

Very professional, very transparent, over all a great experience

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

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.

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Google rating score: 4.9 of 5, based on 736 reviews

Prescription Drug Fraud

This can involve activities such as writing prescriptions for unnecessary or excessive medications, or selling prescription drugs on the black market.These are just a few examples, and the complexities of Medicaid fraud can be daunting. That’s why it’s crucial to have an experienced NYC Medicaid fraud lawyer by your side.

Why Choose Spodek Law Group?

At Spodek Law Group, we have a proven track record of successfully defending clients against Medicaid fraud charges. Our team of skilled attorneys has extensive experience navigating the intricacies of federal and state laws, and we’re dedicated to providing you with the highest level of legal representation.

Aggressive Defense Strategies

We understand that every case is unique, and our approach is tailored to your specific circumstances. We will thoroughly investigate the allegations against you, scrutinize the evidence, and develop a robust defense strategy to protect your rights and your future.

Extensive Experience

Our attorneys have decades of combined experience handling complex Medicaid fraud cases, both at the state and federal levels. We’ve seen it all, from simple billing errors to intricate kickback schemes, and we know how to navigate the legal system effectively.

Personalized Attention

At Spodek Law Group, you’re not just another case file. We take the time to understand your unique situation, your concerns, and your goals. Our attorneys will work closely with you, keeping you informed and involved every step of the way.

Unwavering Commitment

We understand that your career, your reputation, and your freedom are on the line. That’s why we approach every case with unwavering commitment, leaving no stones unturned in our pursuit of justice.

Don’t Wait – Protect Your Future Today

If you’re facing allegations of Medicaid fraud, time is of the essence. The sooner you seek legal representation, the better your chances of achieving a favorable outcome. Don’t let these charges derail your life and career – contact Spodek Law Group today.Our team of NYC Medicaid fraud lawyers is ready to fight for you. We’ll provide you with a comprehensive case evaluation and develop a tailored defense strategy to protect your rights and your future.