Medical Fraud


Medical fraud, sometimes referred to as insurance fraud, occurs when someone deceitfully files a health insurance claim. Health care recipients and practitioners may both be accused of committing medical fraud. In some cases, multiple parties act in tandem to carry out a fraudulent scheme.

The sanctions for this crime vary and largely depend on the amount of money in question. The types of punishment are as follows:

  • Less than $50: Class C misdemeanor
  • $50 to $499: Class B misdemeanor
  • $500 to $1,499: Class A misdemeanor
  • $1,500 to $19,999: State jail felony
  • $20,000 to $99,999: Third-degree felony
  • $100,000 to $199,999: Second-degree felony
  • $200,000 or more: First-degree felony

Regardless of the dollar amount involved, a medical professional may be charged with a first-degree felony if his actions jeopardized the health and/or well-being of a patient.

Need advice related to criminal charges related to medical fraud?

Call Houston criminal defense Attorney Mario Madrid at 713-877-9400.

Possible Sanctions for Medical Fraud

Since cases of medical fraud can fall into one of several categories, there is a wide range of possible punishments. An individual who is found guilty of medical fraud may face:

  • Jail or prison time that lasts from six months to 99 years
  • $500 to $10,000 in fines
  • Loss of professional license
  • Loss of state-provided benefits
  • Garnishment of wages

Charged With Medical Fraud?

Contact Houston Criminal Justice Lawyer Mario Madrid

713-877-9400

Preparing a Defense for Medical Fraud

Medical fraud investigations often take a long time to complete because there is usually a great deal of paperwork involved. A diligent criminal defense attorney will pore over the documents that are turned over as evidence. In doing so, he hopes to find loopholes or affirmative defenses that could help his clients.

Insurance companies have aggressive attorneys on their side. Shouldn’t you? Those who are accused of medical fraud deserve to be represented by strong, prudent legal counsel.Houston criminal defense lawyer Mario Madrid

Facing medical fraud charges? Call Madrid Law at 713-877-9400.

If you or a loved one is facing charges of insurance fraud, don’t waste another minute. Pick up the phone immediately and call Madrid Law. Attorney Mario Madrid is board certified in criminal law by the Texas Board of Legal Specialization. Mr. Madrid is not afraid to take on any insurance company that presses charges against you. He and his fellow attorneys will make sure that your rights are not violated in court.

For a complimentary consultation, please call Madrid Law 713-877-9400 today.

Medical Fraud