Criminal Defense Lawyer in Albany, New York
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Medicaid Fraud

Albany Criminal Defense Lawyer Handling Medicaid Fraud Cases

Health care service providers doing Medicaid business with the state and federal government may unknowingly cross a line where business becomes fraud. This is not altogether surprising as the rules and regulations governing Medicaid are extremely complex. At The Law Office of James E. Tyner, PLLC we provide aggressive and experienced criminal defense representation for those charged with Medicaid fraud throughout Albany and surrounding areas.

Our experienced Albany criminal defense lawyer represents medical professionals and health service providers accused of state or federal Medicaid violations, including:

  • Doctor and dentists
  • Nursing homes
  • Health clinics
  • Pharmacists
  • Home-care providers
  • Transportation providers

If you are arrested for, or are under investigation for Medicaid fraud, call our office at 518-783-3800 or email him directly immediately.


Providers of Medicaid-sponsored services often receive seemingly harmless letters or calls from Medicaid fraud investigators. Do not mistake a request for files to be a simple audit. State and federal authorities cracking down on Medicaid abuse could quietly be gathering evidence against you. While you may not even know you violated the law, you can still be charged.

Do not attempt to address these matters on your own. The likelihood of facing criminal charges for Medicaid fraud often comes down to how the case is handled during the initial investigation. Consultation with a skilled attorney is critical. Talk to us before you discuss anything with law enforcement authorities.


  • Submitting a false application for Medicaid. For example, a person applying for Medicaid might deliberately conceal information about income, assets or other insurance.
  • Sharing a Medicaid ID card with someone else in Albany or surrounding areas
  • Borrowing another person’s Medicaid Identification card
  • Buying or selling someone else’s Medicaid ID card
  • Using multiple Medicaid ID cards
  • Committing prescription fraud by forging or changing a prescription in Albany
  • “Doctor shopping” or “pharmacy shopping” in order to obtain multiple prescriptions and get them filled in various locations
  • Reselling items such as prescription drugs or medical supplies that were provided by Medicaid


From claims of overbilling and billing for services never provided, to allegations of receiving kickbacks and filing false insurance claims, we know how to protect your rights. We also handle related charges for insurance fraud, mail fraud and wire fraud.


If you are accused of Medicaid fraud and need to speak with an attorney, contact The Law Office of James E. Tyner, PLLC online or by calling 518-783-3800.

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I have hired James Tyner to assist me with a few speeding tickets in New York State. I paid Mr. Tyner an affordable flat rate fee and I never had to appear in Court, thus not missing any time from work or school. Mr. Tyner was able to negotiate my speeding tickets down to parking tickets and I was able to keep my license clean. I highly recommend Mr. Tyner's office. He and his staff respond quickly to emails/calls, and I was always provided updates in my cases promptly.