Healthcare Fraud Defense
Federal and state investigations, False Claims Act defense, and criminal healthcare fraud cases.
Physician License Investigations: Standard of Care and Documentation Cases
A standard-of-care investigation turns on the chart, not the encounter. Peer review, NPDB reporting, and documentation gaps shape…
Pharmacist License Defense: Common Allegations and Outcomes
How state pharmacy boards evaluate dispensing error, recordkeeping, and diversion allegations, and the outcomes each type typicall…
License Reinstatement: Building the Rehabilitation Record
A guide for physicians petitioning to reinstate a suspended or revoked license: eligibility windows, rehabilitation evidence, and…
National Practitioner Data Bank Reports: Triggers and Disputes
A National Practitioner Data Bank report can follow a physician for a career. What triggers a report, subject statement rights, an…
Inside an FCA Investigation: The Defense Timeline
How a False Claims Act investigation moves from civil investigative demand to DOJ decision, damages workup, and settlement for phy…
License Cases That Run Beside Criminal Investigations
A medical board complaint and a criminal referral can arise from the same conduct, and a board statement can become evidence again…
Monitoring and Impaired-Practitioner Programs: Entry, Terms, and Exit
Voluntary and board-ordered PHP monitoring differ sharply in confidentiality. Here is what happens when compliance or completion i…
Statistical Sampling in FCA Cases: Where Courts Draw Limits
Courts let sampling size FCA damages routinely, but proving liability by extrapolation turns on representativeness and sample meth…
The 60-Day Overpayment Rule: Identification, Quantification, and Repayment
CMS's 2025 rule replaced reasonable diligence with the False Claims Act's knowing standard for when a Medicare overpayment is iden…