What Happens If I’m Charged with Healthcare Fraud in California?

Recently, former NBA player Keyon Dooling was arrested for healthcare fraud, according to NBC Sports. Reportedly, Dooling was one of 18 former NBA players charged with defrauding the NBA’s health benefit plan. The players are accused of illegally securing $2.5 million using the scheme. Dooling, who is currently an assistant coach for the Utah Jazz, was put on administrative leave by the team while he deals with this legal matter.

What Is Healthcare Fraud?

Healthcare fraud involves purposeful deception to deprive victims of their legal rights or secure unlawful and/or unfair gain. Examples of healthcare fraud include the following:

  • Billing for products or services that were not rendered
  • Misrepresentation of an individual rendering a service
  • Billing for services or products that are not medically necessary
  • Submitting duplicate bills for the same service or product
  • Requesting an increased reimbursement or payment for services that are correctly billed at a lower rate
  • Misrepresenting the level or type of service provided
  • Creating a document to support a fraudulent request

What Are the Penalties for Committing Healthcare Fraud in California?

Fraud, including healthcare fraud, is considered a white-collar crime. White collar crimes are generally non-violent offenses that are committed by people in power for financial gain. Typically, white collar criminals use deception to fraudulently obtain assets or funds. The penalties for committing healthcare fraud in California include the following:

  • Misdemeanors – Healthcare fraud under $950 is categorized as a misdemeanor. Penalties can include a $1,000 fine and up to six months in jail.
  • Felonies – Fraud over $950 can be categorized as either a misdemeanor or a felony. If it is treated as a felony, the penalties can include a $50,000 fine or up to double the amount of the fraud, up to five years in jail, and up to one year of probation.

In addition, if an individual who is convicted of healthcare fraud is a medical professional, they could have their license suspended or revoked.

Discuss Your Situation with an Experienced White Collar Crimes Attorney Today

Attorney Brian C. Andritch has over 20 years of experience handling criminal cases. Before he was a defense lawyer, Attorney Andritch was a prosecutor, including spending time as Fresno County’s Deputy District Attorney. With Attorney Andritch on your side, you will have an advantage on the prosecution, because he knows how they think and will be prepared to counteract their every move. To learn more about The Law Office of Brian C. Andritch and how we can help you, check out our clients’ testimonials.

To schedule a free case evaluation with our experienced healthcare fraud attorney, call us at (559) 484-2112 or contact us online. We are available to help you 24/7.

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