Legal Blog: health care fraud

Understanding Fraud Charges: The Importance of Intent and Defense Lawyers

When it comes to fraud charges, the government must demonstrate that the accused misrepresented or lied with the intention of deceiving someone else.  Although the typical fraud case will involve financial or legal harm to the victim, harm is not an element of fraud offenses. For example, attempts and conspiracies to commit fraud are violations of federal law, even if

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Acquittal of Client Charged with Conspiracies to Commit Health Care Fraud, Mail Fraud, and to Violate the Anti-kickback Statute

On June 23, 2022, a jury in US District Court in Greenbelt, Maryland returned a not guilty verdict on all counts for Burnham & Gorokhov’s client, Donnie Amis.  The prosecution alleged that our client and his co-defendant participated in conspiracies to defraud Medicaid and to illegally recruit patients to a DC dental practice.  Through its verdict, the jury completely rejected

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Durable Medical Equipment (DME) Fraud

Durable Medical Equipment Fraud (“DME Fraud”) is a highly active area of Federal criminal prosecution. Last year, the FBI and the US Department of Health and Human Services Office of the Inspector General broke up and prosecuted a DME Fraud scheme alleged to have caused more than $1 billion in Medicare losses. What is Durable Medical Equipment Fraud? Under what

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Defending prescription drug cases in the federal courts

The dramatic increase in narcotic pain medication prescriptions in the United States over the last twenty some years has resulted in a thriving black market for these highly addictive drugs.  Prescription pain medications that are frequently abused include oxycontin or oxycodone, roxycodone, percocet, actiq, dilaudid, and many others.  Law enforcement has responded by aggressively investigating and prosecuting prescription drug cases.

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