We merge our transactional practice with our nationally recognized governmental investigation practice to prevent compliance violations and investigate and defend compliance lapses.
Health care fraud has become one of the top priorities of our current administration.
Our attorneys establish, implement and monitor compliance programs that prevent, detect and correct practices that fail to comply with the complex fraud and abuse laws governing the provision and billing of health care services. And if we identify violations, we quickly prevent further illegal activity and minimize penalties.
An effective compliance program is key to the success of a health care provider’s operations and business ventures. We help to prevent violations of Medicare and Medicaid anti-kickback laws, Stark laws and related self-referral prohibitions, the False Claims Act and other laws presenting risks for potential criminal and civil liability.
Additionally, we counsel and defend clients in connection with investigations and prosecutions of health care fraud allegations by both federal and state entities. We work on many False Claims Act-driven government investigations, including:
- Emergency room E&M coding initiatives
- Laboratory unbundling initiatives
- Pneumonia upcoding reviews
- Laboratory investigations
- Investigational devices issues
- PATH audits and investigations
- DRG 72-Hour Window claims
When necessary, we also negotiate and fulfill the obligations under corporate integrity agreements.
We work with
- Hospitals and health systems
- Medical device manufacturers
- Other health care providers