Healthcare Fraud Defense
Federal and state investigations, False Claims Act defense, and criminal healthcare fraud cases.
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…
Breaching a Corporate Integrity Agreement: Stipulated Penalties and Exclusion
Once a problem surfaces under an existing CIA, escalation runs one way: Reportable Event, Stipulated Penalties, Notice of Breach,…
Joint Defense Agreements in Healthcare Investigations
A joint defense agreement extends privilege across separately represented targets, but only for a genuine legal interest, and only…
Board Disciplinary Hearings: Procedure, Evidence, and Witnesses
Board disciplinary hearings test the burden of proof, the investigative file, and the standard-of-care witness, and procedure diff…