Downey Medicare/Medi-Cal Fraud Lawyers
Accusations of Medicare or Medi-Cal fraud can put your license, livelihood, and reputation at risk. In and around Downey, California, even billing mistakes or compliance gaps can trigger aggressive investigations with potential criminal charges, civil penalties, and professional discipline.
At the Law Offices of Robin D. Perry & Associates, our experienced Downey Medicare/Medi-Cal fraud attorneys act quickly to protect your rights, manage exposure, and build a strategic defense, often before charges are filed.
We’re minutes away from Downey at 100 Oceangate, Suite 525, Long Beach, CA 90802 (near W. Ocean Blvd and Queens Way). From Firestone Blvd, Lakewood Blvd (SR-19), Paramount Blvd, or the I-5/I-605/I-710 corridors, our office is easy to reach. Many clients visit us after stops near Stonewood Center, Downey Landing, Apollo Park, the Columbia Memorial Space Center, or Kaiser Permanente Downey Medical Center.
Call our Medi-Cal fraud defense law firm at 562-216-2944 or use our contact form to get started.
Recent Google Review:
“I was honored to have this firm represent me in my time of need. They were consistent with keeping me in the loop of everything going on, updates, and made me feel secure and comfortable when I was at my lowest. The firm has a great team and treated me with the utmost respect, not sugar coating anything but putting it all out on the table. Most of all they did not judge me. Thank you Mr. Perry for your support and service.”
— Verified Google Review from J.E.
What Is Medicare/Medi-Cal Fraud?
Medicare (federal) and Medi-Cal (California’s Medicaid) are public programs with stringent billing rules. “Fraud” generally means knowingly submitting or causing the submission of false or misleading claims to obtain payment.
Common Downey-area allegations include:
- Billing for services not provided or not medically necessary
- Upcoding/overbilling and unbundling
- Kickbacks/referrals (payments, gifts, or percentage-based arrangements)
- Pharmacy/home health/DME irregularities
- Falsified or altered documentation to justify claims
These issues can arise at hospitals, clinics, group practices on or near Firestone Blvd and Lakewood Blvd, SNFs, home health agencies, and pharmacies serving neighborhoods around Wilderness Park and the Downey Theatre.
Why These Charges Are Serious
Healthcare cases can involve criminal charges (misdemeanor or felony), civil liability (including treble damages under civil statutes), administrative sanctions, and professional discipline (license probation, suspension, or revocation). Collateral consequences may include:
- Restitution, fines, and potential incarceration
- Exclusion from Medicare/Medi-Cal participation
- DEA/CDPH/DHCS actions, provider enrollment termination
- Immigration and employment impacts
Multiple agencies may be involved, including local District Attorneys, the California Department of Health Care Services (DHCS), HHS-OIG, DOJ, and insurer SIU teams.
How Our Downey Medicare/Medi-Cal Fraud Lawyers Defend You
We tailor a defense that fits your practice structure, payer mix, and billing footprint, and we work fast.
Early Intervention
- Communicate with investigators so you don’t make harmful statements
- Manage subpoenas, audits, and overpayment demands
- Preserve EHR access logs, billing exports, EMR metadata, and device data
- Coordinate forensic billing/coding reviews and medical-necessity audits
Targeted Defenses
- Lack of intent / good-faith compliance (errors vs. fraud)
- Medical necessity supported by guidelines and charting
- Coding disputes (CPT/HCPCS modifiers, bundling rules, LCD/NCD interpretations)
- Documentation gaps attributable to EHR transitions or staff turnover—not deceit
- Kickback/Stark safe-harbor or exception arguments
- Suppression motions for unlawfully obtained evidence or coerced statements
- Statistical extrapolation challenges to payer audit math
Strategic Resolutions
- Narrowing the scope of investigations and reducing exposure
- Civil or administrative resolutions, restitution-first frameworks
- Program integrity cures (CAPs, training, outside billing oversight)
- Trial-ready posture when litigation is the best path
Who We Represent
- Physicians, NPs, PAs, nurses, therapists
- Group practices, MSOs, ambulatory centers, DME suppliers
- Pharmacies, home health & hospice, behavioral health providers
- Billing companies and compliance officers
Whether your practice is near Paramount Blvd or Old River School Rd, we understand the local healthcare ecosystem and Los Angeles County procedures.
Frequently Asked Questions
I received a subpoena or audit letter—what should I do first?
Do not contact investigators without counsel. Preserve records and call a lawyer immediately.
Is a billing error the same as fraud?
No. Fraud requires knowing deception. Many cases involve documentation or coding errors that can be resolved without criminal exposure.
Can I avoid charges or license discipline?
Often, yes, through early engagement, corrective action plans, targeted restitution, and narrowing investigative theories.
Contact a Downey Medicare/Medi-Cal Fraud Lawyer
Your first steps can shape the entire case. Get experienced counsel on your side now.
Call 562-216-2944 or message us to schedule a confidential consultation with our Medicare/Medi-Cal fraud lawyers in Downey at the Law Offices of Robin D. Perry & Associates. We’ll protect your rights, your practice, and your future.
