Medical Fraud


Passionately defending clients throughout New York City since 1994

Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), medical or healthcare fraud is a federal offense that carries up to 10 years in prison. Thus, if you are accused of medical fraud, or suspect you may be under investigation, it is vital that you seek experienced representation immediately. Upon retaining the services of the Law Offices of Tacopina Seigel & DeOreo, you gain the support, advice and counsel of a distinguished and highly successful legal team that is prepared to stop at nothing to defend your reputation and protect your freedom.

Lawyers in NYC can assist you with any type of healthcare fraud matter

Many individuals arrested for healthcare fraud are unaware they engaged in illegal activities. In some cases, a person may inadvertently become swept up in a scheme to defraud insurers or engage in another type of medical crime. Regardless of how or why you are being investigated in relation to healthcare fraud, you should seek help from skilled criminal defense lawyers who are familiar with the types of cases listed below:

  • Phantom billing
  • Falsifying services provided
  • Providing unnecessary treatment
  • Billing for services not rendered
  • Bribery and kickbacks
  • Billing for equipment and supplies never purchased

These are only a few common examples of medical fraud. Truthfully, there are many types of behavior that constitute healthcare fraud in NYC, and none should be taken lightly.

Defending against charges for medical fraud

The criminal lawyers at Tacopina Seigel & DeOreo provide skilled legal guidance to clients in NYC facing charges for all types of healthcare fraud. The firm’s lawyers can assist you with the following issues pertaining to your case:

  • Pleading requirements:

    There are five degrees of medical fraud in New York (New York Penal Law sections 177.00-177.30). The prosecution in a medical fraud case must prove that the defendant acted with the intent to defraud a private or public insurer (or other health plan). The prosecution must also prove that the defendant knowingly and willfully provided false information for the purpose of requesting payment from a health plan for a healthcare item or service and, as a result, the defendant or another person received payment in an unjustified or excessive amount.

  • Discovery issues:

    Because most medical fraud claims relate to the false or exaggerated medical conditions, discovery sometimes focuses on the health and diagnosis of an individual or group of individuals.

  • Key witnesses: 

    Insurance experts and medical doctors are usually the primary expert witnesses relied upon in a medical fraud case.

Build a strong defense with help from a respected legal team

Defending against healthcare fraud allegations is possible — but only with a trusted legal team by your side. Since 1994, the Law Offices of Tacopina Seigel & DeOreo has worked tirelessly to defend New Yorkers from a variety of criminal charges. Call today at 212-227-8877 or contact us online to schedule a consultation with an experienced attorney at the firm.