Overview The detection and elimination of healthcare fraud and abuse is a top priority for state and federal enforcement agencies. Consequently, providers are constantly investigated and/or charged with intentional deception or misrepresentation against the government. Our Health Care practice attorneys are knowledgeable about laws affecting health care entities and providers, such as Stark and the federal and state anti-kickback laws. Additionally, we are knowledgeable about the investigative and prosecutorial processes and policies of those governmental agencies charged with healthcare fraud and abused investigation and enforcement. Consequently, we are highly experienced in helping clients deal with government enforcement agencies, such as the Department of Justice (DOJ), the Office of the Inspector General (OIG), and state Attorneys General.
Our practice includes representing clients in cases involving, among others:
- Reviewing and analyzing federal and state contracts to counsel client on how to avoid committing fraud and abuse
- Drafting contracts that fit within safe harbors of the federal Anti-Kickback Law and within exemptions of the Stark laws
- Organize and draft initial responses to warrants and audits
- Negotiate dispute resolutions with Office of Inspector General, United States Department of Justice, and state Attorneys General
- Defending providers accused of violating False Claims Act
- Establishing compliance and auditing program designed to prevent fraud and abuse violations
- Defending qui tam related whistleblower cases
- Negotiating Corporate Integrity Agreement.
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