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Healthcare Investigations

Overview

Healthcare Investigations and Defense

When healthcare providers face government investigations or allegations of violating federal and state laws, they need a legal team with more than just a cursory understanding of healthcare laws. Our attorneys regularly assist and guide providers through the complex maze of healthcare regulations, which are increasingly becoming the focus of investigations by government agencies. We assist our clients with properly responding to governmental audits, civil investigative demands, witness interviews, subpoenas and other formal and informal inquiries and help minimize penalties and disruptions to the business.

We defend providers in enforcement actions and initiatives involving:

  • The U.S. Department of Justice
  • U.S. Attorney’s Offices
  • The Department of Health and Human Services
  • The Office of Inspector General (OIG)
  • Various state Medicaid Fraud Control Units
  • The Federal Bureau of Investigation
  • Food and Drug Administration
  • Drug Enforcement Administration
  • Department of Defense
  • Department of Veterans Affairs
  • State Attorney’s General offices

We have litigated and successfully resolved multiple matters with the government in response to alleged violations of the False Claims Act (FCA) and other civil enforcement statues, and assisted clients with negotiating and implementing corporate integrity agreements.

When facing a government inquiry, charge, or dispute involving unique healthcare issues, providers turn to our attorneys. We have successfully defended numerous providers facing investigations, allegations and litigation initiated by governmental entities and private parties related to federal and state laws that carry the risk of civil and criminal penalties and other damages.

    • Settled False Claims Act matter on behalf of provider regarding Medicare partial hospitalization program
    • Litigated wrongful termination matter under the False Claims Act from investigation through the United States Court of Appeals
    • Persuaded Department of Justice not to intervene in qui tam matter against individual specialist provider and resolved matter favorably on behalf of client
    • Successfully resolved False Claims Act matter against Hospital, negotiated corporate integrity agreement, and assisted client with implementing corporate integrity agreement
    • Resolved multi-year investigation and False Claims Act allegations against healthcare management company
    • Defended client against HIPAA violations and resolved matter with Office of Civil Rights
    • Successfully defended and resolved qui tam under the False Claims Act regarding Emergency medical billing
    • Resolved alleged false claims act matter regarding ambulance billing
    • Assisted multiple clients responding to unannounced and announced government audits, site visits, and surveys
    • Defended multiple providers against allegations of unprofessional conduct by the Washington State Department of Health and other agencies
    • Successfully resolved multiple billing disputes and allegations of fraudulent billing by commercial payors
    Our Offices
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