YOU MAY HAVE SEEN TODD SPODEK ON THE NETFLIX SHOW INVENTING ANNA
When you’re facing a federal issue, you need an attorney whose going to be available 24/7 to help you get the results and outcome you need. The value of working with the Spodek Law Group is that we treat each and every client like a member of our family.
Brooklyn Medicaid Fraud Lawyers
Have you been accused of Medicare fraud? Did you know that this is one of the most profitable crimes in America? Taxpayers pay an estimated $60 billion each year due to this type of fraud. Because the laws and regulations regarding Medicare are constantly changing, these cases are very complex. However, the government is cracking down on fraudulent cases in an effort to reduce the overall costs of the program. These cases are expensive to prosecute because they can cost hundreds of thousands of dollars in investigative expenses alone. The first step towards building a successful healthcare fraud defense is to understand the complex rules and regulations that govern the Medicare system.
Do I Have a Good Medicare Fraud Case?
The first thing that Spodek Law Group does is examine the evidence being used against you. We ask for discovery to review the charges. We must see if they have a good Medicare fraud case against you. The Medicare program was created to provide insurance to people who are age 65 and older, are younger than 65 but have a disability, and people who have been diagnosed with either Lou Gehrig’s disease or end-stage renal failure. To commit fraud, there must be a deliberate act of deception on your part. These cases involve many layers of intricate and detailed information, which is why we must work hard to thoroughly review the claims and see if they can be substantiated.
What is Medicare Fraud?
Medicare fraud is a broad term that covers many different aspects. First, a company can bill Medicare for services that they never received or provided to customers. While the exact types are diverse, the goal is the same, unlawful billing of Medicare. Here are some of the most common cases of Medicare fraud that Spodek Law Group handles:
Double Billing: This fraud occurs when Medicare is charged twice for the same services.
Phantom Billing: When a health care facility bills for tests or services that they did not perform or uses the names of employees that do not exist, then it is considered to be phantom billing.
Pharmaceutical Fraud: There is much fraud on the pharmaceutical end of the program. Things often seen include receiving kickbacks, fixing prices, using off-label marketing, and other schemes that help to increase the profits and payments from Medicare.
Upcoding and Unbundling: Current Procedural Terminology is the billing codes used to bill Medicare. Bundling claims together are using two or more of the CPT codes together. This inflates bills and is fraudulent.
Lack of Medical Necessity: Was the medical services provided medically necessary? In many cases, tests and services are not necessary and are given in an attempt to collect additional revenues from this government program.
The Three Stages of a Medicare Fraud Case
Medicare fraud cases are divided into three stages: an evaluation, review of claims and billing practices, and our findings. First, we will perform and in-depth background evaluation of the fraud allegations. Do they have sufficient grounds to charge you or your company with any type of fraud? We start by gathering documentation, any witnesses you have on the matter, and look for critical evidence that can help your case.
If you are looking for a lawyer that listens, is aggressive where needed, and holds his word above all else, Todd is the best pick. I had hired multiple attorneys prior to hiring the Spodek Group for a white collar case. The first thing that stood out to me was the cost, as anyone going through the process and dealing with the system, money was tight at that time - especially after hiring and firing multiple lawyers. The cost was not as high as others which was definitely a plus. Todd's intake process was also unlike other attorneys. He took the time to actually listen. He cared. He was trying to put himself in my shoes while I was explaining the situation to him and he really took the time to understand the whole situation. Other lawyers will give you 15 mins and send you a retainer agreement. Not Todd, I think he spent almost two hours with me as I was explaining everything.Not only was he great during the onboarding process, he was supportive and very informative through the entire plea process and eventually sentencing. After hiring him, I asked if I should hire a prison consultant, he told me to save my money as he would do everything they would. He was right and held up to his word. Later on I would hear from others that went with the prison consultants that they were a waste of money - I am glad I listened to Todd!When it came time for sentencing, two days prior to sentencing, the prosecutor tried increasing my proposed prison time by almost double - apparently a normal move. Todd and his team worked with me non-stop through the weekend prior to sentencing to ensure that I was not given additional prison time. Again, he took the time to listen and came up with a strategy to explain the case with great detail.Unfortunately, I did plead guilty as that was my best option. Todd and his whole team wrote up nearly 300 pages of a summary of what happened and why I should not be given prison time. If I breakdown the amount I spent with Todd versus the amount of work that I saw being done, I am shocked I was not charged four times as much. The other benefit was, a lot of criminal defense lawyers were just a single attorney with a paralegal or two. Todd had a team of people that I dealt with (5-7 people that I interacted with), but he was ALWAYS accessible. It would never take him more than an hour to reply unless he was in court.I was sentenced to prison and I was emotionally distraught. Todd and his team did whatever they could even after sentencing to make sure I was alright. He personally stayed in touch with my family to ensure I was doing alright and offered support to them. Most lawyers would consider the job complete at sentencing, not Todd.After prison, Todd still spent time with me to make sure I was on the right track and avoiding any potential risks in the future. He has also been giving advice on how to navigate probation etc and has not been looking at the clock for billing.Although I wish I had never been arrested in the first place, I am glad I had Todd and his team in my corner. Without them I likely would have had to spend a lot more time in prison than I did.Thank you, Todd, and the entire Spodek Law team, for helping turn what was a nightmare into a manageable situation!
I am immensely grateful to the entire team at Spodek Law Group for their unwavering dedication and exceptional expertise throughout my case. From our initial consultation to the final resolution, their professionalism and tireless advocacy made all the difference. Their strategic approach and attention to detail instilled confidence in me every step of the way.Thanks to their hard work and commitment, we achieved a truly favorable outcome that exceeded my expectations. Not only did they navigate the complexities of my case with precision, but they also provided invaluable support and guidance during what was undoubtedly a challenging time. I cannot recommend Spodek Law Group highly enough, especially attorneys Todd Spodek and Claire Banks; they are beacons of excellence in the legal profession.YSP.
Todd, Ralph and Alex are amazing. Helped my husband get from a double digit number with multiple charges to a single digit, by the time I blink he will be out. They very professional and help with all your needs. They dealt with my anxiety and worry very well and they understand that your family member needs to get home as soon as possible.
Believe every single review here about Alex Z!! From our initial consultation, it was evident that Alex possessed a profound understanding of criminal law and a fierce dedication to his clients rights. Throughout the entirety of my case, Alex exhibited unparalleled professionalism and unwavering commitment. What sets Alex apart is not only his legal expertise but also his genuine compassion for his clients. He took the time to thoroughly explain my case, alleviating any concerns I had along the way. His exact words were “I’m not worried about it”. His unwavering support and guidance were invaluable throughout the entire process. I am immensely grateful for Alex's exceptional legal representation and wholeheartedly recommend his services to anyone in need of a skilled criminal defense attorney. Alex Z is not just a lawyer; he is a beacon of hope for those navigating the complexities of the legal system. If you find yourself in need of a dedicated and competent legal advocate, look no further than Alex Z.
I don’t know where to start, I can write a novel about this firm, but one thing I will say is that having my best interest was their main priority since the beginning of my case which was back in Winter 2019. Miss Claire Banks, one of the best Attorneys in the firm represented me very well and was very professional, respectful, and truthful. Not once did she leave me in the dark, in fact she presented all options and routes that could possibly be considered for my case and she reinsured me that no matter what I decided to do, her and the team will have my back and that’s exactly what happened. Not only will I be liberated from this case, also, I will enjoy my freedom and continue to be a mother to my first born son and will have no restrictions with accomplishing my goals in life. Now that’s what I call victory!! I thank the Lord, My mother, Claire, and the Spodek team for standing by me and fighting with me. Words can’t describe how grateful I am to have the opportunity to work with this team. I’m very satisfied, very pleased with their performance, their hard work, and their diligence.Thank you team!
I recently had Spodek Law Group represent me for a legal matter in NYC and I am thoroughly impressed with their services.Alex Zhik secured the best possible outcome for my case.It was a seamless journey from the initial consultation to the resolution of my legal matter. From the moment I spoke to Todd about my case, his enthusiasm to help was evident, setting a positive tone for the entire experience. The efficiency and professionalism displayed by the team is commendable.A particularly noteworthy aspect of their service is their user-friendly portal to upload your documents/evidence. This not only simplified the process, but showcases their commitment to streamline the client experience.Lastly, in an industry where legal fees can often be a concern, I found their pricing to be very reasonable, making needing legal assistance feel accessible and stress-free.I am grateful for their support and wouldn't hesitate to turn to them again in the future.
Second, we look at all of your billing practice patterns. Our goal is to pinpoint all the fraudulent claims and to understand the details surrounding each one. We look at these claims and compare them with the Medicare benefit regulations and CMS instructions. Did your company have legal violations that are blatant and easy to see? This part of our investigation is time-consuming, but our findings can help get these charges dismissed. We need the support from you and your staff to ensure this part of the phase goes smoothly.
Lastly, we document all of our findings and come to a conclusion. It is from this conclusion that we know how to proceed to defend you in a court of law. The government will conduct their own independent investigation on your case. However, we confidentially disclose our findings to the Department of Justice on your behalf.
Choosing the Right Medicare Fraud Lawyer
The difference between winning or losing your case can be as simple as the Medicare fraud lawyer you select. If you have been charged with defrauding the government, you have a serious fight on your hands. You should never attempt to handle such a claim on your own. Our experienced law firm can help you protect your rights each step of the way.
Spodek Law Group will aggressively fight on your behalf. We understand that these are trying times and you want to clear your name. It is our desire to see these charges cleared and you can continue to run your business without issue. With more than 50 years of combined experience, it is easy to see we are more than qualified for the job.
