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Freedom And Your Future

Our Philadelphia criminal lawyers have over 25 years
of combined legal practice – handling some of the
toughest cases in the country.

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SKA Law is a premier, Philadelphia criminal defense law firm, founded by professional criminal attorneys. We take on cases other law firms turn down, because we know how to fight – and when to negotiate. Our goal is to get you the best outcome possible. No fluff. No nonsense. Our focus is results.

Criminal Lawyers

Fewer Clients. Better Service And Results

SKA Law takes on fewer clients than other firms – it’s because we believe that taking on fewer clients means we can provide more service, and better results.

25 Years Of Legal Practice

Our firm has over 25 years of combined legal practice. Our Philadelphia criminal attorneys have been recognized by the top lawyer ranking services.

24/7 Customer Service

Our Philadelphia criminal attorneys are available 24/7- regardless of the holiday, or time of week. We are always available to help you.

Concierge Service

We take on fewer clients than other firms. Each client works 1:1 on with one of our senior attorneys.

Philadelphia Medicaid Fraud Lawyer

Understanding Medicaid Fraud Cases: Why You Need a Strong Defense
In recent years, a significant amount of time and resources have been dedicated to local governments for the purpose of investigating and prosecuting Medicaid fraud. Subsequently, many providers have been subjected to investigations stemming from billing errors and other discrepancies.

Providers that are suspected of Medicaid fraud can face civil and criminal charges. It’s important to understand that the process of a Medicaid fraud case progresses much faster than many other legal matters. It’s imperative that you contact a Philadelphia Medicaid fraud lawyer as soon as possible.

Medicaid Fraud Cases

Cases of Medicaid fraud are typically assigned to a special prosecutor with expertise in fraud laws. This is a key reason why you must hire a lawyer that has experience handling Medicaid fraud cases. Audits for suspected Medicaid fraud are performed by state agencies to determine whether the provider is in compliance with program requirements. They look for possible overpayments and any evidence of fraud. In many cases, a Medicaid fraud audit is conducted due to a complaint filed by a patient, Medicaid plan or whistleblower.

A desk audit is often conducted, which is when officials audit onsite and offsite records. There are various methods used to detect overpayment. Some of the most common methods include the evaluation of claims across a specific region and data mining of claims to pinpoint outliers. In the event that an auditor suspects a provider of fraud, they will notify the Medicaid Fraud Control Unit.

Some of the most common types of Medicaid fraud include billing for services or equipment not provided, false invoicing, billing unbundled services and the overutilization of medical procedures. It’s possible that an audit will result in false claims charges, overpayment demands and anti-kickback actions, among other consequences.

Medicaid Fraud Defenses

A Philadelphia Medicaid fraud lawyer can work closely with you to prepare for an investigation or audit. An experienced lawyer will work with the state authorities assigned to the case during the actual investigation for the purpose of protecting your rights and interests. It is important that you understand the process, including the information that must be submitted during an investigation. It’s critical that you submit a sufficient amount of information to defend yourself against the claims.

A Philadelphia Medicaid fraud lawyer can help guide you through the process so that you understand what should be submitted to prevent overpayment demands. A lawyer can work on your behalf to prevent the state from filing criminal charges. They will also endeavor to prevent overpayment and licensing actions against you. The goal is to minimize the impact that a Medicaid fraud claim has on your career and life.

A Philadelphia Medicaid fraud lawyer will examine the facts of the case to develop a strong defense, which could result in having the case dismissed. Medicaid fraud can potentially result in a criminal indictment, in addition to a state professional licensing and civil complaints. The consequences can be long-term, possibly resulting in fines, license suspension or revocation, and even jail time as a result of criminal charges. Other possible consequences include loss of staff privileges, expulsion from the Medicaid program and being unable to collect on outstanding invoices.

An experienced lawyer will work on your behalf to mitigate a potentially devastating outcome that can severely impact your career and standing in the community. Given the devastation that a Medicaid fraud charge can cause, an experienced lawyer should be obtained at your earliest opportunity. The results of a Medicaid fraud claim could affect the rest of your life. The ultimate goal is to achieve the most favorable outcome possible.

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Montgomery 12/2016

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Testimonials

"I found Michael Kotik via the internet with the hope by someone to help my son in what we thought was something routine. Long story short after being mislead by the prior firm and received no results and my son sat for 18 months in prison because "no one knew what was going on" Michael was able to not only..."
~ Michelle Doria
"I had a pleasure of dealing with Mike on couple of occasions. He is an amazing attorney. He always came through and did what was promised. Also he went above and beyond to assist with any request. He is definitely a fighter and will do what is needed to come out with the best outcome"
~ Ella Shapiro

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Philadelphia

1518 Walnut Street st 808, Philadelphia, PA 19102

(267)-265-4553

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Philadelphia

1518 Walnut Street st 808, Philadelphia, PA 19102

800-646-6048

Get Directions

Philadelphia

1518 Walnut Street st 808, Philadelphia, PA 19102

800-646-6048

Get Directions

Philadelphia

1518 Walnut Street st 808, Philadelphia, PA 19102

800-646-6048

Get Directions