Healthcare fraud is an area of extensive federal and state enforcement. The practice area involves investigations into the conduct of healthcare providers and their billing practices. Healthcare fraud actions can be either criminal prosecutions or civil enforcement actions. The frauds prosecuted in federal court often impact public health programs such as Medicare, Tricare, and Medicaid. However, some actions arise from the alleged defrauding of private health insurers.
Healthcare fraud can present itself in many ways. Some of the more common charges include paying kickbacks for patient referrals, upcoding on billing submissions, and billing for services not rendered.
Mr. Serafini has prosecuted some of the nation’s most significant healthcare cases. Additionally, he has represented numerous healthcare clients in private practice.
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