Healthcare Fraud Defense
Federal and state investigations, False Claims Act defense, and criminal healthcare fraud cases.
The FCA Knowledge Standard After SuperValu
The Supreme Court's SuperValu decision ties False Claims Act scienter to what a defendant subjectively knew, not a reasonable read…
Presenting a Defense to DOJ Before the Intervention Decision
What defense counsel submits to DOJ and agency counsel before a qui tam intervention decision, and why the work matters either way…
Voluntary License Surrender While Under Investigation
Boards generally treat a surrender entered mid-investigation as discipline, not resignation, and it stays reportable to national d…
Responding to a Board Subpoena for Patient Records
A stepwise guide to confirming scope, meeting the return date, and producing patient records to a state licensing board without in…
OIG Self-Disclosure Protocol: What a Submission Requires
What a complete OIG Self-Disclosure Protocol submission must contain, how damages are calculated, and what resolution brings once…
Moving to Dismiss an FCA Complaint Under Rule 9(b)
Why the first contested motion in a healthcare qui tam case turns on Rule 9(b) particularity, the circuit split, and what leave to…
Pharmacy Permit Suspension and Revocation
State pharmacy boards can suspend or revoke a store's permit over grounds, notice and hearing rights, and the path back to dispens…
License Probation Terms and Early Termination
A probationary license carries practice restrictions, chart review requirements, reporting duties, and a path to petition for earl…
FCA Liability for Billing Companies and Management Entities
The False Claims Act reaches billing companies that cause a false claim, and an indemnification clause does not decide who the gov…