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Chicago Healthcare Fraud Defense Lawyer

Medicare and Medicaid Audit Defense, White Collar Criminal Defense, False Claims Act, and Military Law

As a Chicago audit defense attorney Michael Rosenblat has successfully represented individuals and businesses facing Medicare Audits, Medicaid Audits, audits conducted by non-governmental insurance companies, government agency contractors, and audits and investigations being conducted by the Department of Justice or local prosecution agencies. His almost 30 years of experience in healthcare audits began as the chief prosecutor of the Illinois Attorney General’s Medicaid Fraud Bureau and his experience and skill in representing those being investigated for any type of billing or practice irregularities has continued to grow. This experience and proficiency syncs seamlessly with representing individuals charged with white collar crimes and in converting this knowhow into representing individuals under the False Claims Act and related qui tam or whistleblower statutes. While as a former active duty United States Army Judge Advocate, he proudly represents active duty, national guard, and reserve officers and enlisted personnel.

Medicare and Medicaid Audit Defense

Any healthcare provider audit often begins with a records or document request from Medicare, Medicaid, or one of their auditing contractors. These requests are often justified by the agencies assertion that there is “credible evidence regarding data analysis findings.” Retaining an experienced Chicago audit defense attorney at this stage can offer the provider with legal guidance regarding the record production and steps moving forward. If Medicare or Medicaid determines that there was an overpayment it is imperative that an experienced audit defense attorney be retained no matter how insignificant the recoupment amount, since multiple small recoupments can lead Medicare to issuing a letter notifying the provider of a suspension of payments and a revocation of billing privileges asserting a high percentage of denied audited claims.

Successful results have included no recoupment actions to recoupments reduced from $1.6 million to a few hundred dollars; $400,000 to $37,500, and over $341,000 to about $2,700.

White Collar Defense

The defense of individuals or companies being investigated or charged with a white-collar crime flows seamlessly from Mr. Rosenblat’s experience as an audit defense attorney and from his experience as a prosecutor in both the Army and at the Illinois Attorney General’s Office where he served as Deputy Chief Criminal Prosecutions. Most white-collar crimes, from health care fraud to embezzlement, involve some financial or claims analysis. As a Chicago white collar defense attorney, Mr. Rosenblat applies the skill, judgment, and excellence that he learned from his over 35 years of experience prosecuting or representing defendants charged with a white-collar crime.

Successful results have included a client not being charged after receiving a letter from a United States Attorney’s Office offering the target an opportunity to plead guilty before the case was brought before the grand jury for indictment; a provider who was issuing fraudulent opioid prescriptions received a deferred prosecution agreement and no adverse action from the Illinois Department of Financial and Professional Regulation; and defendants who pleaded guilty receiving sentences substantially below the Federal Sentencing Guidelines range.

False Claims Act

Michael C. Rosenblat has a thorough understanding of the False Claims Act due to his assignments to the Illinois Medicaid Fraud Control Unit, the Illinois Attorney General’s Special Litigation Bureau, the AG’s Criminal Prosecutions Bureau, and as a private Chicago False Claims Act lawyer prosecuting False Claims Act cases on behalf of whistleblowers. Mr. Rosenblat is the author of Prosecuting a Claim Under the Illinois False Claims Act, which is a chapter in the Employment Termination: Procedures, Grounds, and Challenges 2022 Edition, published by the Illinois Institute for Continuing Legal Education.

Attorney Rosenblat’s False Claims Act clients are typically insiders seeking to stop fraud, waste, and abuse through the False Claims Act and related state statutes. These individuals are known as whistleblowers, relators, or qui tam plaintiffs. Mr. Rosenblat produces winning False Claims Act complaints and extensive disclosures of material evidence that are provided to the government as required by statute.

Successful results include, U.S., ex Rel. Tyson v. Amerigroup Illinois, Inc. which after trial settled for $225 million, and Stericycle which settled for $26.75 million.

Administrative Separations and UCMJ Actions

After completing law school, Mr. Rosenblat enlisted in the Army after having been accepted into Officer Candidate School. Mr. Rosenblat attended basic training at Fort Leonard Wood, and Officer Candidate School at Fort Moore, formerly Fort Benning, in Georgia. After successfully graduating from Officer Candidate School, Mr. Rosenblat was commissioned as a Second Lieutenant and branched infantry. Lieutenant Rosenblat then completed his infantry officer’s course and airborne school. Lieutenant Rosenblat was then assigned as a platoon leader with the 7th Infantry Division, Fort Ord, California. After having served as a platoon leader and in a garrison position, Lieutenant Rosenblat, branch transferred to the Judge Advocate Generals Corps, attended the JAG officers’ course, was promoted to Captain and assigned as a trial counsel, prosecutor, with the 9th Infantry Division at Fort Lewis, Washington. While with the 9th Infantry Division, Captain Rosenblat was deployed with the 593rd Area Support Group to Dharan, Saudi Arabia, as the unit’s Command Judge Advocate. Upon being redeployed to Fort Lewis, Captain Rosenblat was assigned to Trial Defense Services as a military defense attorney.

$25 Million False Claims Act Judgement

Against owner of a home visiting physician company.

7 Not Guilty Verdict in seven trials

Seven not guilty verdict in seven criminal trials.

3-month Sentence for Physician Charge with Health Care Fraud

Government requested 30 months prison sentence.

Administrative Separation Dismissed

Positive UA for cocaine - result NJP and ADSEP dismissed.

Navy Commander Found Not Guilty

O-5 faced 13 counts sent to BOI. No counts supported O-5 retained

Provider Given Deferred Prosecution

Self-prescribing opioids. No adverse action by IDFPR.

Defendant Sentenced to 50% below Guidelines

Range 292-365 mos. Result 144 mos and $43.6 mil.

Over 50% below Guidelines for Bank Fraud

Bank fraud > $550,000: Range 63-78. Sentenced to 26 months.

7 months Home Confinement for Health Care Fraud Conviction

AUSA 37-46 month. Result 7 months home confinement.

Mr. Rosenblat Represents Providers Facing Health Care Fraud or Civil Audits, Clients in White-Collar Criminal Matters, Whistleblowers Under the False Claims Act, and Military Personnel

Meet the Attorney

Michael C. Rosenblat graduated from the University of Illinois, Urbana, and The John Marshall Law School in Chicago, Illinois. Upon graduation from law school, Mr. Rosenblat enlisted in the United States Army (1987 – 1993) and, in 1994 became an Assistant Attorney General with the Illinois Attorney General's Office in Chicago, having served as Deputy Chief...
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Chicago Healthcare Fraud Lawyer Blog

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$25 million False Claims Act Judgment Long awaited victory on a qui tam False Claims Act case filed in 2013. Great job by the AUSA in getting a criminal conviction and civil judgment...

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Our Offices

Northbrook Office
707 Skokie Blvd #600A

Northbrook, IL 60062

Chicago Office
111 W Jackson Blvd #1700a

Chicago, IL 60604

By Appointment Only

Client Reviews

I would like to say Mr. Rosenblat is without a doubt well respected . He took on a difficult case and represented me with honor. I'm forever grateful for what he's done. His due diligence in the matter ensured...

Jasper

Mike is an incredibly effective attorney. I was pleased with how responsive he was to my needs, even responding to my emails and phone calls on the weekend. He handled my situation professionally and everything...

Chrys

Attorney Rosenblat was exceedingly competent, diligent and attentive to my sensitive legal matter, which he resolved with aplomb. I am grateful for his professionalism and would highly encourage others to...

Yevgeniy

Mike is a excellent lawyer I had two cases pending mike got them both dismissed. He knows what he doing and does it well.

Andrew

In my lifetime I have come across many attorneys and none have compared to the level of professionalism and diligence of Michael Rosenblat. This man literally saved my life and I owe him eternal gratitude for...

Boris
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