Healthcare Fraud Investigations & Defense

If you are a healthcare provider, facing a government investigation can be stressful, costly, and disruptive to your practice. Investigations often arise suddenly and move quickly, exposing targets to the potential for criminal, civil, and administrative consequences.

We represent healthcare providers of all types and sizes in connection with government investigations, whether criminal, civil, or administrative. The combination of our legal acumen and deep understanding of healthcare allows us to provide a strong defense, often resulting in investigations being closed without any adverse action. Where litigation does become necessary, our attorneys are “litigation ready,” having successfully tried criminal and civil cases in federal and state courts across the country.

Comprehensive Defense in Government Investigations

We regularly defend physicians, practice groups, hospitals pharmacies, laboratories, home health agencies, and various other types of healthcare providers and suppliers in connection with investigations conducted by the Department of Justice (DOJ), U.S. Attorneys’ Offices, Health & Human Services’ Office of
Inspector General (OIG), CMS and its contractors (UPICs, ZPICs, etc.), and state Medicaid Fraud units.

Because our attorneys have previous experience on “both sides” of the investigative aisle, we understand how these agencies build cases and how to respond effectively before allegations harden into formal charges.

False Claims Act & Billing Fraud Matters

A significant portion of our practice involves representing healthcare providers in connection with investigations and litigation under the False Claims Act (FCA), including whistleblower cases brought under the FCA’s qui tam provisions. These cases span the regulatory gamut, from matters involving allegations of billing fraud to alleged violations of the Stark Law and Anti-Kickback Statute (AKS). We defend clients in FCA from the receipt of investigative subpoenas and Civil Investigative Demands (CIDs) through litigation and resolution.

Parallel Proceedings & Licensing Exposure

Healthcare fraud investigations rarely occur in isolation. A single inquiry can trigger criminal prosecution, civil liability, Board action, as well as other administrative consequences such as revocation or exclusion. Because our firm handles all of these types of matters, we are uniquely positioned to coordinate a unified defense strategy that protects our clients’ freedom and their livelihoods.

• Criminal prosecution
• Civil monetary penalties or FCA liability
• Medicare or Medicaid exclusion
• DEA or controlled substance enforcement
• Medical board or professional licensing actions

Because our firm handles criminal defense, civil enforcement, and administrative licensing matters, we are uniquely positioned to coordinate a unified defense strategy that protects both our clients’ freedom and their professional livelihoods.