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Proven Federal Attorneys
Protected Clients in 45+ States

Hamilton Arendsen
Former DOJ
Trial Deputy Chief

Aaron Wiley
Former State &
Federal Prosecutor

S. Amanda Marshall
Former U.S. Attorney

Dr. Nick Oberheiden
Founder

Lynette Byrd
Former Assistant
U.S. Attorney

Health Care Fraud Defense Lawyers

Our Federal Defense Lawyers Represent Clients in Federal Health Care Fraud Cases Nationwide – Including all CMS, DEA, DOJ, and OIG Matters

Regardless of your role within the health care industry, facing federal fraud allegations is an extremely serious matter. If federal agents are targeting your business or practice based upon allegations of Medicare, Medicaid, Tricare, or Department of Labor (DOL) fraud, failing to defend yourself effectively could result in exposure to significant civil or criminal penalties.

Federal health care fraud allegations can take a variety of different forms, and federal prosecutors can pursue civil and criminal charges under a multitude of federal statutes. As a result, when facing a federal health care fraud investigation, a critical early step is to determine the scope and nature of the allegations against you. Are you being accused of overbilling Medicaid or Tricare? Are you being accused of using Medicare-reimbursed funds to pay “kickbacks” or referral fees? Are you being accused of improperly prescribing, dispensing, or billing for opioid medications? Until you know why you are being targeted, you simply have no way of asserting an effective defense.

At Oberheiden, P.C., a significant portion of our practice is devoted to defending clients in federal health care fraud matters. When you engage our federal defense team to represent you, our attorneys will work to quickly get to the bottom of the government’s investigation. To find out why you are being targeted and what penalties are on the table, call 888-519-4897 for a free and confidential case assessment from one of our senior health care fraud defense lawyers.

Why to Choose Oberheiden, P.C. for Federal Health Care Fraud Defense

Our firm is comprised entirely of attorneys who are highly-experienced in federal civil and criminal matters, and many of our attorneys have well over a decade of experience in federal health care fraud defense. This includes founding attorney Dr. Nick Oberheiden, who is recognized nationwide for his results in civil and criminal health care fraud investigations, as well as several former senior prosecutors and trial attorneys with the U.S. Department of Justice (DOJ).

With centuries of combined experience in high-level federal matters, including more than 70 years of experience as DOJ prosecutors and trial lawyers, our attorneys have handled federal health care fraud cases involving all relevant federal agencies. This includes assisting in and defending against investigations and prosecutions conducted by the Department of Justice, Centers for Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Office of Inspector General (OIG) of the Department of Health and Human Services (DHHS), and other agencies ranging from the Federal Bureau of Investigation (FBI) to the Internal Revenue Service (IRS). Our attorneys have been on both sides of cases involving all relevant statutes and sources of regulatory authority, and we have avoided charges and won trials in cases involving virtually all health care fraud allegations prosecuted under federal law.

If you or your business or practice is being targeted by federal authorities, this is the type of experience you need on your side. You need attorneys who can not only level the playing field, but who can tip the scales in your favor. With our attorneys’ vast federal defense experience and in-depth knowledge of the legal and medical principles involved in federal health care fraud investigations, we have become go-to defense counsel for health care providers and medical industry businesses across the country.

This is Why You Are in Good Hands

I found Dr. Nick Oberheiden online and the moment I spoke with him, I knew he is a true federal law expert. Nick outlined a defense strategy that was so thought through and so out of this world--and he executed and delivered like I would never have imagined. Nick is unbelievably good!! Nick is the very best of the best lawyers. Hire Nick if you want a classy, smart, and extremely successful lawyer.read more
David Lo
David Lo
Nick is extremely professional and knows what he is doing. He is also very kind as a person (unless he is in court!) I would recommend him to just about anyone if they need an amazing lawyer that is top notch and would frankly be scary to face in the court room. He will always do a great job representing his clients. Thank you very much.read more
Anna Pham
Anna Pham
Nick is the absolute top expert in any federal case
Jeff Crilley
Jeff Crilley
Extremely successful attorney with brilliant litigation skills.
Shannon Faulk
Shannon Faulk
Smart. Smarter. Nick. As a healthcare executive, I once ran into a litigation issue. I hired Nick and, literally, before I knew it the case was resolved in my favor. Nick has an incredible presence and every lawyer in the room knows that Nick will do exactly what he says. It was a mesmerizing experience to see Nick in action! Very calm and determined, Nick is the absolute top litigator.read more
Whitney Bryant Milam
Whitney Bryant Milam
Nick has been a friend and trusted advisor for almost 10 years. As anyone just looking at his bio can tell, Nick is an outstanding attorney in highest demand across the country. All healthcare providers should hire attorney Nick Oberheiden!! You will not be disappointed.read more
Pamela mulrooney
Pamela mulrooney
I have never witnessed a lawyer with such uncompromising client commitment, integrity, and dedication. On weekends, at night, in the morning— Nick is always there for his clients, constantly identifying solutions, no matter how complex the situation. The only question I have after all these years of knowing Nick: Does he ever sleep?read more
Laura Driscoll
Laura Driscoll
Dr. Oberheiden has served as council and represented our company on several occasions, even during depositions, contract reviews and providing invaluable advice on multiple occasions that transpired into multilevel success in our business. He and his teams knowledge of both local, state and federal statues, accompanied by their areas of expertise law regarding best asset protection, estate planning and wealth management solutions have provided both professional and personal growth for my companies, safeguarding them and protection my family’s name and legacy. I would recommend this firm and Dr. Nick Oberheiden without hesitation. I have no doubt that you will experience success with his council.read more
Corban Milam
Corban Milam
I have worked with Nick Oberheiden for over ten years on various litigation matters in and around New York City. Nick is an accomplished and seasoned lawyer and litigator---efficient, reliable, practical and, at the same time, highly academic. Nick will take the time necessary to understand a client's short- and long-term goals, and tailor his representation and advice to work toward and achieve those ends. Nick is a zealous advocate for his client, and will never sacrifice his client's interests for a quick or easy resolution to a case. At the end of the day, Nick is a great person to know if you or your business is in need of a top litigator or defense attorney.read more
Brendan Carosi
Brendan Carosi
When I was faced with one of the most terrifying and unexpected situations in my life, I called Dr. Oberheiden. I had vetted other attorneys and came right back to him. His knowledge, expertise, and reassuring presence made the decision easy. Throughout my case, his level of communication was what I needed and expected. He constantly updated me on the status and progress of my case and was able to “talk me off the ledge” when the stress of it all would set in. He is simply the best of the best...there’s not a question about it.read more
Angela Lee
Angela Lee
Nick is a superb lawyer with exceptional skills and a formidable personality. Nick works harder, he thinks smarter, and he delivers faster than any lawyer you will ever find. Good, better, Nick!
Jacqueline Singleton
Jacqueline Singleton
1st class service. Atty. Iberheiden and Atty. Lynette Byrd were always available for us during the whole process of our Home Health Audit. Thank you so much!
Ed Orosa
Ed Orosa
I am a healthcare compliance consultant with almost 25 years of experience. The one advice I have for anyone seeking a lawyer with unbeatable healthcare law experience is to hire attorney Nick Oberheiden. For the past 8 years, I have worked with Nick on a variety of healthcare matters—from DEA compliance to DOL supervisory rules to setting up PT and pain management clinics. I have never once seen a client not being 100% intrigued by Nick’s proven expertise in the field of healthcare structuring and compliance. Dr. S.T.read more
Raft Consultants
Raft Consultants
Nick Oberheiden is a spectacular lawyer, a true life saver. Nick is simply the very best!
Michael P
Michael P
Nick Oberheiden is the absolute best federal litigation attorney. Nick gives you the immediate comfort of feeling 100% protected. He is polite, respectful— and extremely compelling. His legal strategy turned out to be brilliant.
Marshall M
Marshall M
Great firm, with a great firm record of experienced healthcare and litigation attorneys.
Chris Anderson
Chris Anderson
Great attorney who will fight to protect your rights. I would recommend Nick to any friend or family member.
Gerrid Smith
Gerrid Smith

When you choose Oberheiden, P.C. for your federal health care fraud matter:

  • We will begin working on your defense immediately. With our attorneys’ experience representing health care providers and medical industry businesses across the country, we have cultivated a body of knowledge that allows us to get to work on our clients’ cases immediately. Unlike other firms, we do not need time to get up to speed on the legal and medical issues involved.
  • We will work diligently to secure an efficient and discrete resolution. In today’s world, even unproven allegations can have devastating consequences for a business or practice. Our attorneys understand these types of concerns, and we will work to secure a discrete and favorable outcome as efficiently as possible.
  • We will promptly assess your risk. By immediately intervening in the government’s investigation, we can quickly discern the allegations against you, including the volume of these allegations and whether they are civil or criminal in nature.
  • We will be fully prepared if your case goes to trial. If your only option is to go to court, we will be fully prepared to represent you at trial when the time comes. Our attorneys have handled hundreds of civil and criminal trials in federal jurisdictions nationwide
  • We will help you and your team make informed decisions. When facing a federal health care fraud investigation, there are several critical mistakes you need to avoid. Our attorneys will walk you through everything you need to know and train your staff so that you can effectively aid in your defense.

More about Our Federal Health Care Fraud Defense Practice

Cases We Handle

We represent individuals and businesses in civil and criminal health care fraud matters nationwide. This includes representing licensed professionals, practice and business owners, facility administrators, clinics, laboratories, hospitals, hospices, home health agencies, and other clients in audits, investigations, and prosecutions in all 50 states. With a significant portion of our practice devoted to federal health care fraud defense, we routinely represent clients facing allegations such as:

  • Overbilling Medicare, Medicaid, Tricare, or the DOL
  • Improperly prescribing, dispensing, or diverting opioid medications
  • Billing for services not provided (so-called “phantom billing”)
  • Improper practices related to physician certifications or patient election statements
  • Billing for services that were not medically-necessary
  • Falsifying patient records or test results
  • Double-billing federal benefit programs and/or a private health insurer
  • Offering or accepting illegal kickbacks, bribes, or referral fees
  • Billing and coding violations (including “upcoding” and “unbundling”)
  • Attempt or conspiracy to commit health care fraud

Have you been charged with a crime?

Don’t delay. Learn about your rights.

Text Dr. Nick Oberheiden now!

(310) 873-8140

Proven Results at All Stages of Federal Health Care Fraud Prosecution

If you have been contacted by federal agents or auditors working with CMS, it is important that you seek legal representation promptly. While going to trial on federal charges is a very real possibility, it is also possible that you could resolve your case short of trial – and potentially without charges ever being filed. In fact, we have resolved the vast majority of our clients’ cases at the investigative stage; and, to date, we have avoided prosecution in every False Claims Act investigation we have handled.

1. Fee-For-Service Contractor Audits (MAC, RAC, ZPIC)

Fee-for-service contractors working with CMS audit Medicare-participating health care providers on a regular basis. Unfortunately, these auditors have a financial incentive to find violations, and they often lack the up-to-date and in-depth knowledge required in order to accurately assess providers’ compliance with the Medicare billing regulations. We regularly represent providers in audits and appeals involving Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), Zone Program Integrity Contractors (ZPICs), and other CMS fee-for-service audit contractors.

2. Federal Investigations

Federal health care fraud investigations can be civil or criminal in nature, and they can involve agents from CMS, DEA, DOJ, FBI, IRS, OIG, and various other agencies and task forces. The majority of our federal heath care fraud defense practice involves representing clients at the investigative stage, and we have protected the majority of our clients against any civil or criminal liability.

3. Grand Jury Proceedings

If you have been served with a grand jury subpoena, you do not have any time to waste. Federal prosecutors are pursing criminal charges, and an indictment will put your case on the path toward trial. We have extensive experience representing clients in federal grand jury proceedings, from challenging subpoenas to providing advice and representation in the courthouse.

4. Pre-Trial Practice and Plea Deal Negotiations

Once an indictment or civil charges have been issued, there will still be a significant amount of time before your case goes to trial. While many firms use this time exclusively for trial preparation, we use it as an opportunity to continue to fight for a favorable pre-trial resolution. From having indictments dismissed to negotiating plea deals that protect our clients’ practices and keep them out of prison, we utilize a variety of aggressive pre-trial defense strategies to protect our clients from the possibility of a “guilty” verdict at trial.

5. Trials and Sentencing

At the federal level, trial on the merits and sentencing are separate proceedings. Each requires a different approach, and our attorneys have extensive experience on both sides of federal health care fraud trials. We can use this experience to protect you, whether that means convincing the jury that the government has not met its burden of proof or arguing for a sentence below what is called for under the Federal Sentencing Guidelines.

6. Appeals

In addition to handling civil and criminal health care fraud cases at the trial level, we also represent clients on appeal. Our defense team includes highly-experienced appellate attorneys who are licensed to practice before multiple U.S. Circuit Courts of Appeal.

Speak with a Federal Health Care Fraud Defense Lawyer at Oberheiden, P.C.

Talk To Us Before It’s Too Late

If you are being targeted by federal authorities, contact us for your free and confidential initial case assessment. To speak with a member of our federal health care fraud defense team as soon as possible, call 888-519-4897 or tell us how to reach you online now.

Make The Right Choice

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