Government Investigations

Each year, the federal and state governments spend tens of millions of dollars investigating allegations of healthcare fraud, waste, and abuse.  And in return, those government entities recover billions of dollars from healthcare providers in settlements and judgments, thus perpetuating an ever-increasing level of government enforcement within the healthcare industry.

Not only does the government have various criminal statutes at its disposal, but it can also bring civil cases under the federal False Claims Act (FCA) and its state counterparts, as well as administrative actions for Civil Monetary Penalties, revocation, and exclusion.

Often, a healthcare provider’s first indication that they are the subject or target of a healthcare fraud investigation is receiving a Civil Investigative Demand (CID) or other type of subpoena for documents or information from the Department of Justice (DOJ), Health & Human Services’ Office of Inspector General (HHS-OIG), or a state agency, or by receiving a knock on the door from a government agent.

It is crucial to obtain effective legal representation before responding to a subpoena or providing information to a government agent. We have been representing healthcare providers in connection with civil and criminal government investigations and enforcement actions for decades. Our attorney roster includes former federal and state prosecutors with years of experience helping healthcare providers navigate such investigations with minimal disruption to their practice and reputation.  Our attorneys pride themselves in their deep knowledge of healthcare regulations, including the False Claims Act, Stark Law, Anti-Kickback Statute, as well as coding and billing issues.

If you need assistance with such a matter, please contact us today.