Healthcare Fraud Defense
Federal and state investigations, False Claims Act defense, and criminal healthcare fraud cases.
State False Claims Acts and Parallel Recoveries
State False Claims Acts let attorneys general pursue Medicaid fraud independent of DOJ, creating exposure a federal settlement alo…
Consent Orders: Reading the Long-Term Consequences
A signed consent order triggers a permanent NPDB report, payer credentialing disclosures, and possible OIG exclusion long after th…
PPP Loan Fraud Enforcement Against Healthcare Practices
Certification exposure on 2020 PPP loans stays live through 2030. Recent DOJ judgments against healthcare businesses turn on a sig…
Patient Recruiting and Marketing Arrangements
Percentage-based marketing fees and patient recruiting arrangements can trigger Anti-Kickback Statute and False Claims Act exposur…
Stark Law Violations Feeding False Claims Liability
A Stark Law self-referral violation needs no intent, and billing Medicare for the referred service can turn it into False Claims A…
Parallel Civil and Criminal Healthcare Proceedings
When civil discovery runs alongside a criminal healthcare fraud investigation, sequencing, Fifth Amendment exposure, and stay moti…
Board Interviews: Should You Attend Without Counsel
A medical board's informal interview is a recorded, formal investigative step, and how a physician handles it can decide the case.
Self-Disclosure Versus Waiting for the Qui Tam
OIG's Self-Disclosure Protocol and DOJ's FCA cooperation credit both reward disclosing first, before a qui tam relator files under…
Money Laundering Counts in Healthcare Fraud Indictments
Money laundering counts under 18 U.S.C. 1956 and 1957 can add 20 years of exposure and open forfeiture reaching beyond fraud proce…