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Healthcare Fraud

Respected South Carolina Attorney Representing Clients in Healthcare Fraud Cases

What is health care fraud?

Recent estimates state that healthcare fraud could cost taxpayers upward of $80 billion per year. Charges of fraud may ruin a person’s career and reputation, and a guilty verdict could carry significant fines and prison sentences. If you face these charges, seek the counsel of Jack B. Swerling Attorney at Law. Mr. Swerling has more than 40 years of experience in tackling a wide range of healthcare fraud case types.

What are some common types of healthcare fraud?

Healthcare fraud charges generally fall under one of several specific subtypes of healthcare fraud. Each type of case has its own defense strategies, which your federal defense attorney can explain to you in greater detail as you prepare your defense. These different types of healthcare fraud include:

  • Billing for services not rendered. Billing Medicare or an insurance company for injuries, illnesses or other medical conditions that never existed is a common form of healthcare fraud. Forgeries and bribes may occur in these cases as well.
  • Duplicate claims. In a duplicate claims case, the perpetrator is alleged to have billed Medicare or the insurance company twice or more for the same service by filing two slightly different versions of the same bill.
  • Unbundling. In many cases, bills for medical services are bundled together to avoid hefty costs. However, “unbundling” these bills, or staggering bill submissions over time, results in a higher payout, which makes this a type of healthcare fraud.
  • Unnecessary or excessive service. Unnecessary claims occur when patients file claims that do not apply to their condition, while excessive service claims occur when a person files a greater claim than what’s needed for his or her level of care.
  • Kickbacks. These refer to any type of reward or gift used to convince medical professionals into using a specific type of medical service so that the patient can file a greater claim.
  • Upcoding. This process involves billing for services that cost more than the actual procedures performed or medical equipment and items used.

Speak with your South Carolina fraud attorney to discuss what category your case falls under and how you can best defend yourself against the charges.

Contact a South Carolina healthcare fraud lawyer today

Jack B. Swerling, Attorney at Law provides free initial consultations to all healthcare fraud clients across South Carolina. To schedule yours, call the firm at 800-701-0599 or contact Mr. Swerling online through the firm website.

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Jack Swerling In The News >>

  • Jack Swerling, Derrick Mobley and Alissa Wilson were successful in having a Judge rule after an extensive hearing, that the defendant was immune from prosecution based on the “Stand Your Ground” law in a murder prosecution. The Judgment was handed down on March 29, 2021.
  • Jack Swerling, Gregory Harris and Alissa Wilson obtained a Not Guilty Verdict in Lexington County on March 3, 2022. An Orthopedic Surgeon was charged with Involuntary Manslaughter in the accidental shooting death of a friend.
  • “When Jack is on my docket, I tell my law clerks, ‘You do not want to miss this. You are seeing one of the greatest trial lawyers in the state’s history.'” -South Carolina Circuit Court Judge
  • Jack was selected to Super Lawyers Magazine Top Ten List for 2019. Each year Super Lawyers recognizes the top lawyers in South Carolina via a selection process involving peer evaluations, independent research and professional achievement. The South Carolina lawyers who receive the highest points during this selection process are further recognized in the South Carolina Super Lawyers Top Ten List.
  • USA v. FRANK*: In a child pornography case, Swerling was successful in obtaining a 22 level variance reducing the defendant’s sentence from 8 years to 6 months.
  • STATE v. BORIS: The defendant was found not guilty by reason of insanity in a case where the defendant was involved in a shoot-out with 3 police officers.
  • STATE v. TYGER: Jack Swerling obtains a not guilty verdict in a criminal sexual conduct case in Beaufort County.
  • Pre Trial Dispositions: STATE v. DWAYNE: Mr. Swerling successfully argued for the dismissal of stalking and unlawful use of telephone charges brought against a prominent businessman in Florence County.
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