Fraud and abuse enforcement is an ever-present risk for health care providers. We assist clients in identifying, preventing, and responding to potential fraud and abuse issues related to billing practices, referral relationships, financial arrangements, and coding. Our services include compliance program development, internal investigations, self-disclosures to enforcement authorities, defense against whistleblower (qui tam) actions, and representation during audits and investigations. We help clients understand and manage their obligations under the Stark Law, Anti-Kickback Statute, False Claims Act, and other key regulations, always with the goal of reducing exposure and protecting reputation.
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Areas of Focus
- Billing, Reimbursement, & Payor Disputes
- Business Transactions & Contracting (M&A, Joint Ventures, Physician Alignment)
- COVID-19 & Public Health Compliance Issues
- Employment Law & Workforce Management
- Fraud & Abuse Counseling
- Health Care Litigation & Administrative Proceedings
- Licensing and Credentialing for Facilities & Professionals
- Medical Staff Governance & Bylaw Development
- Real Estate & Facility Leasing
- Regulatory Compliance (HIPAA, Stark, Anti-Kickback, EMTALA, OSHA)
- Risk Management & Internal Investigations
