Healthcare Fraud Defense
Federal and state investigations, False Claims Act defense, and criminal healthcare fraud cases.
Appealing an OIG Exclusion
OIG exclusions carry a five-year mandatory minimum for program-related convictions, and the appeal runs through an ALJ hearing, no…
Aggravated Identity Theft in Healthcare Prosecutions
How 18 U.S.C. § 1028A adds a mandatory, consecutive two-year term to a healthcare fraud sentence, and which billing conduct trigge…
Anti-Kickback Violations as FCA Predicates
The 2010 ACA amendment made AKS violations automatic false claims, and the tainted claim theory multiplies FCA damages across ever…
Ability to Pay in FCA Settlement Negotiations
DOJ requires a certified financial disclosure before crediting an ability-to-pay claim in an FCA settlement, and a flawed filing c…
A Search Warrant at Your Practice: The First Hour
Scope review, staff instructions, privilege assertion, and preserving the seizure record: what to do in the first hour of a federa…
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…