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Medical billing depends on accurate documentation, coding, and communication between healthcare providers and insurance ...
10/16/2026

Medical billing depends on accurate documentation, coding, and communication between healthcare providers and insurance programs. When federal investigators believe a provider intentionally submitted higher-value claims than the services performed, they may pursue healthcare fraud allegations.

Learn More: https://www.pkatzlegal.com/blog/upcoding-healthcare-fraud-new-jersey/

Medical practices across New York increasingly rely on third-party billing companies to manage claims, submit insurance ...
09/30/2026

Medical practices across New York increasingly rely on third-party billing companies to manage claims, submit insurance paperwork, and handle complex reimbursement requirements. While outsourcing billing can make daily operations more efficient, it can also create serious legal risks when a billing company submits inaccurate information to Medicare, Medicaid, or private insurers.

A medical practice may still face liability even when an outside vendor prepares or submits questionable claims. Federal investigators often examine the relationship between healthcare providers and billing companies when they suspect fraudulent billing practices.

Learn more: https://www.pkatzlegal.com/blog/third-party-medical-billing-fraud-new-york/

Chiropractic practices and pain management clinics face a level of billing scrutiny that many other medical specialties ...
09/29/2026

Chiropractic practices and pain management clinics face a level of billing scrutiny that many other medical specialties do not. High treatment volumes, recurring visit schedules, and reliance on manual therapy codes that are difficult to verify after the fact all make these practices frequent subjects of insurance audits and, in some cases, federal investigation.

Our firm’s Medicare fraud defense attorney represents chiropractors, pain management physicians, and clinic owners throughout New York who are responding to these inquiries.

Learn more: https://www.pkatzlegal.com/blog/healthcare-fraud-chiropractors-pain-clinics-new-york/

Federal healthcare fraud cases rarely begin with an accusation of outright deception. More often, they start as a disagr...
09/28/2026

Federal healthcare fraud cases rarely begin with an accusation of outright deception. More often, they start as a disagreement over whether a specific test, procedure, or course of treatment was medically necessary. An unusual billing pattern on paper can prompt a payer audit, which can eventually draw federal agents’ attention.

Our firm’s healthcare fraud defense attorneys represent physicians, clinics, and other medical providers as they navigate these disputes before they become criminal matters.

Learn more: https://www.pkatzlegal.com/blog/medical-necessity-fraud-investigations-new-jersey/

Compound pharmacies can serve an important purpose when patients need medications that are not commercially available in...
09/21/2026

Compound pharmacies can serve an important purpose when patients need medications that are not commercially available in an appropriate form.

But when compounded prescriptions are tied to unnecessary treatment, referral payments, or unusually high reimbursements, federal investigators may look beyond ordinary billing concerns.

Learn more: https://www.pkatzlegal.com/blog/compound-pharmacy-fraud-investigations-new-york/

Recovering cryptocurrency after fraud becomes significantly more complicated when the people responsible operate outside...
09/17/2026

Recovering cryptocurrency after fraud becomes significantly more complicated when the people responsible operate outside the United States. Different legal systems, cross-border investigations, anonymous blockchain transactions, and foreign cryptocurrency exchanges can all affect whether stolen assets can be identified and recovered.

While international fraud cases present unique challenges, they don’t automatically mean recovery is impossible. If an overseas cryptocurrency scam targeted you, our NY crypto fraud recovery lawyers at the Law Offices of Peter Katz are here to help.

Learn more: https://www.pkatzlegal.com/blog/overseas-crypto-fraud-recovery-new-york/

Hospice fraud whistleblower claims in New Jersey typically allege that a hospice provider knowingly caused the federal g...
09/11/2026

Hospice fraud whistleblower claims in New Jersey typically allege that a hospice provider knowingly caused the federal government to pay false Medicare claims.

Common allegations include enrolling patients who aren’t terminally ill, submitting false certifications, billing for services that weren’t provided, or paying illegal kickbacks for patient referrals.

Learn more: https://www.pkatzlegal.com/blog/hospice-fraud-whistleblower-claims-new-jersey/

Medicare Advantage fraud investigations often involve allegations that false diagnosis codes, unsupported risk-adjustmen...
08/28/2026

Medicare Advantage fraud investigations often involve allegations that false diagnosis codes, unsupported risk-adjustment data, improper referral arrangements, or other inaccurate information caused the federal government to pay more than it should have under the Medicare Advantage program. Many of these investigations proceed under the Federal False Claims Act (FCA), but the government must still prove that the FCA’s requirements have been met.

If the feds are investigating you for Medicare Advantage fraud, connect with the Law Offices of Peter Katz to get the defense you deserve from our seasoned Medicare fraud defense attorney.

Learn more: https://www.pkatzlegal.com/blog/medicare-advantage-fraud-false-claims-act-new-york/

Federal Medicare fraud allegations are not impossible to defend. Depending on the facts, common defenses may include sho...
08/26/2026

Federal Medicare fraud allegations are not impossible to defend. Depending on the facts, common defenses may include showing that the services were medically necessary, the documentation supports the claims submitted, billing errors were administrative rather than fraudulent, Medicare requirements were reasonably interpreted, the government can’t prove the required intent, or the provider made good-faith efforts to comply with federal healthcare laws.

If you or your healthcare organization is under investigation, our New York Medicare fraud defense lawyer at the Law Offices of Peter Katz can evaluate the allegations and help you develop a solid defense for your specific case.

Learn more: https://www.pkatzlegal.com/blog/federal-medicare-fraud-defenses-new-york/

Cryptocurrency crime is no longer rare or far off; it is here now, hitting people across New York and the world every da...
08/24/2026

Cryptocurrency crime is no longer rare or far off; it is here now, hitting people across New York and the world every day. If a scam or theft drained your wallet, you have joined a fast-growing group, and crypto fraud recovery is now a real field of its own.

The technology that makes digital money fast and global also makes it a magnet for theft. Criminals love that transfers settle in minutes, cross borders freely, and rarely reverse, which is a recipe for losses that feel impossible to undo.

Learn more: https://www.pkatzlegal.com/blog/cryptocurrency-crime-and-recovery-new-york/

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