Texas Healthcare Fraud Lawyer
Texas Healthcare Fraud Attorney
Healthcare fraud is a highly penalized criminal activity that can often result in substantial fines and jail time. Accusations of healthcare fraud can be serious, affecting both your life and permanent record. If you are facing healthcare fraud charges in Texas, don’t hesitate to hire a Texas healthcare fraud lawyer to assist you through your case.
About Michael Uhl, P.C.
At Michael Uhl, P.C., we are a team dedicated to your defense. Attorney Michael J. Uhl is uniquely equipped to handle your criminal defense case, as he previously served Texas as a federal and state prosecutor for over 20 years. He has won countless cases of varying notoriety in many aspects of white-collar criminal defense, including tax evasion, bank fraud, healthcare fraud, and more.
The right legal counsel can be your key to success. Receive a free case evaluation from Michael Uhl, P.C., today to explore your options.
Healthcare Fraud in Texas
Healthcare fraud is an issue the government is particularly harsh on, and some states have taken it upon themselves to ensure that these crimes result in arrest. In 2025, the Attorney General of Texas used his Medicaid Fraud Control Unit (MFCU) to arrest over 100 people, including medical professionals, and recover over $125 million lost to fraudulent healthcare schemes for the state of Texas.
If you are facing healthcare fraud charges in Texas, you are not alone. The Southern District of Texas was listed in a 2024 US Sentencing Commission report as one of the top five districts in the country for people sentenced for healthcare fraud.
Fraud is a serious crime in America and in Texas, and healthcare fraud is no different. If your case goes beyond your Texas federal district court, Michael Uhl, P.C., is prepared to guide you going forward, advocating for you every step of the way.
Types of Healthcare Fraud
Healthcare fraud is defined as any intentional deception of the healthcare system that results in unauthorized reimbursement or illegal payments. This form of fraud is extremely prevalent, with financial loss reported to be as high as 10% of total healthcare expenditures.
Fraud Committed by Medical Providers
Healthcare fraud schemes among medical providers are not uncommon. A Department of Justice National Health Care Fraud Takedown in 2025 charged 324 individuals, and around 1/3 were doctors or other medical professionals.
Healthcare fraud committed by a medical professional often includes tactics such as double-billing patients, billing for a service that never took place, or charging for a more expensive service.
Fraud Committed by Home Health Agencies
This is a form of healthcare fraud that occurs when a home health agency bills insurance companies, government programs, or the patient for services that were not actually rendered. This may qualify as Medicaid or Medicare fraud if they were included in the government programs that were deceived.
Fraud Committed by Patients and Others
Healthcare fraud committed by patients and other individuals is also highly scrutinized. This kind of fraud includes behavior such as:
- Identity theft
- Impersonating a medical professional
- Forging prescriptions
- Selling prescribed drugs
- “Doctor shopping” or seeking a provider specifically to receive a prescription
Healthcare Fraud Penalties
The penalties for healthcare fraud in Texas can be devastating. Under Texas Penal Code Section 35A.02, healthcare fraud can be considered a misdemeanor or felony offense depending on the amount of money involved. Sentences for a conviction may include long prison terms and steep fines.
In cases of fraud committed by healthcare professionals, prosecutors may also pursue the removal of medical licensing, license suspension, and enrollment in rehabilitation programs. An experienced healthcare fraud lawyer may be able to settle a healthcare fraud case in civil court, avoiding time spent in jail and leaving your license intact.
Why Should I Hire a Healthcare Fraud Lawyer?
A healthcare fraud case can be complex and difficult to navigate without legal counsel. The courts are prone to harsh sentencing when it comes to fraud, making your representation important.
Here are some specific ways a healthcare fraud lawyer may assist your case:
- Identify if there has been an error in the case brought against you, such as billing mistakes misinterpreted as fraudulent behavior.
- Provide years of experience with relevant healthcare legislation and landmark cases to your benefit.
- Minimize penalties by negotiating alternatives to prison and fines.
FAQs
What Is the Difference Between Healthcare Fraud and Abuse?
Healthcare fraud involves the explicit intention of deception to get money from either insurance, the government, or directly from patients. Healthcare abuse is the practice of overcharging or overutilization of materials, but with a lack of criminal intent. A healthcare fraud lawyer may be able to identify if your case qualifies as abuse or waste, rather than fraud.
What Is the False Claims Act?
The False Claims Act (FCA) is a federal law intended to protect the government from fraud. Filing false claims may result in fines up to three times the loss, and under the FCA, every individual bill fraudulently sent to Medicare or Medicaid qualifies as a claim. This can cause fines in such cases to reach exorbitant amounts.
Is Healthcare Fraud a Federal Crime?
Yes, healthcare fraud is a federal crime. Healthcare fraud is considered a federal crime because the funds received fraudulently are mostly from government programs such as Medicaid, Medicare, and Tricare. This form of fraud is heavily supervised and has investigations led by the Federal Bureau of Investigation (FBI) and the Department of Justice (DOJ) frequently.
What Are Common Defenses to Healthcare Fraud?
There are several common defenses to healthcare fraud in Texas. To qualify as fraud, there must be proof that the accused committed the offense knowingly. A lawyer can claim ‘lack of intent,’ meaning the fraudulent behavior was accidental and not intentional. Other defenses might be that you were relying on professional advice or industry standards, or that the billed services were necessary and appropriate.
Contact Michael Uhl, P.C.
A local, experienced lawyer can relieve many of the pressures associated with your healthcare fraud case. To find the legal path to justice that is suited for you, contact Michael Uhl, P.C., today to receive a free case evaluation and hire a healthcare fraud lawyer in Texas.
Texas Healthcare Fraud Lawyer Reviews
★★★★★
“The Best of the Best. Mike is direct & upfront with you from the beginning. His honesty about your situation and a solution is what sets Mike apart from everyone else. If you are in a bad situation , Michael Uhl is your guy.” – Dave S.
★★★★★
“You cannot put a price on liberty. My experience is that Mike is a well connected in the system. It should be noted that as an Adjunct Professor at SMU Law School, he has taught more than a few of the DAs in the area. He is able to get things done. The best attribute of having Mike as my representation was his ability to manage my expectations and not make false promises. He is a straight shooter that lays out your options. His background, as a law professor, makes him very good at simplifying complex legal concepts.” – Maxwell
Texas Healthcare Fraud Resource:
Copyright © 2026 Michael Uhl, P.C. All Rights Reserved.
Digital Marketing By 