Healthcare Fraud Defense
Federal and state investigations, False Claims Act defense, and criminal healthcare fraud cases.
Grand Jury Testimony: Preparing a Provider Witness
How DOJ classifies grand jury witnesses as target, subject, or witness, and what a physician should know before testifying.
Going to Trial in a False Claims Act Case
How FCA trial rates, jury standards, and treble-damages exposure shape the decision to settle or fight a False Claims Act case.
Free EHR and Technology Donations: Kickback Limits
The Stark Law and Anti-Kickback Statute let hospitals donate EHR technology to referring physicians, but only inside strict, easil…
FCA Retaliation Claims Under Section 3730(h)
How Section 3730(h) protects employees who report suspected fraud, and what employers must prove to defend the retaliation count o…
FBI Agents at the Door: What Employees Should Know
FBI and HHS-OIG interviews of practice employees are voluntary. What staff should know in advance about false-statement exposure u…
False Claims Act Exposure in Managed Care
Medicare Advantage risk-adjustment settlements now reach chart-review vendors and provider groups, not just the plan that submits…
Clinical, Coding, and Statistical Witnesses in FCA Litigation
Clinical, coding, and statistical witness testimony, not the paper record alone, typically decides whether an FCA claim is false a…
Data Analytics in Federal Healthcare Fraud Cases
How DOJ and CMS use predictive analytics and claims data to target physicians for fraud investigations, and how a statistics-first…
Deferred and Non-Prosecution Agreements in Healthcare
When DOJ offers a healthcare company a deferred or non-prosecution agreement instead of an indictment, and the obligations that co…