Healthcare Fraud Attorney
Healthcare fraud allegations are among the most aggressively investigated and prosecuted offenses in the federal system. When the government believes that providers have submitted false claims to Medicare, Medicaid, or other federally funded healthcare programs, or engaged in unlawful kickback arrangements, it may pursue both civil and criminal penalties. At Aaron L. Wiley, P.C., we defend clients facing healthcare fraud investigations and prosecutions with strategic insight built on decades of experience.
False Claims Act Investigations
The False Claims Act is a powerful enforcement tool that allows the government to pursue providers for allegedly submitting claims that are false, fraudulent, or based on non-compliant services. These cases often begin with whistleblower complaints or data analysis that triggers suspicion of overbilling, upcoding, medically unnecessary services, or billing for services not rendered.
Civil False Claims Act cases can result in treble damages and significant financial penalties. Criminal investigations carry the risk of felony charges, restitution, and prison time. The government often uses parallel proceedings, where a civil case runs alongside a criminal inquiry. Navigating this dual exposure requires a coordinated defense strategy and immediate legal intervention.
At Aaron L. Wiley, P.C., we work closely with clients to review billing practices, respond to subpoenas, and defend against both civil and criminal allegations. We understand the complexities of Medicare and Medicaid billing and how to identify weaknesses in the government’s case. Our goal is always to protect our clients’ legal interests while minimizing reputational and professional damage.
Anti-Kickback Statute Violations
The Anti-Kickback Statute prohibits offering, paying, soliciting, or receiving anything of value in exchange for referrals for services reimbursable by a federal healthcare program. Violations can lead to criminal charges, civil penalties, exclusion from federal programs, and licensing consequences.
Allegations involving kickbacks often center on business relationships, consulting agreements, marketing arrangements, or payments for referrals. Even when there is no intent to violate the law, the government may view common industry practices as unlawful inducements. These cases frequently involve interpretation of contract language, communications, and financial records.
Aaron L. Wiley uses his experience as a former prosecutor to challenge the government’s assumptions about motive and intent. He conducts a thorough review of the relationships in question and builds a defense focused on legal compliance, business justification, and the absence of criminal intent. Where appropriate, he also works to resolve matters without litigation, through negotiated settlements or voluntary disclosures.
Experienced Healthcare Fraud Defense
Healthcare fraud cases are highly complex and carry significant risk. A single investigation can threaten a provider’s license, practice, and livelihood. At Aaron L. Wiley, P.C., we provide experienced, strategic counsel from the moment an inquiry begins. Whether the issue involves billing practices, referral arrangements, or alleged misrepresentations to government payers, we are prepared to respond quickly and effectively.
If you are under investigation for healthcare fraud, have received a subpoena or target letter, or are concerned about your exposure to potential false claims or kickback allegations, contact Aaron L. Wiley, P.C.