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Healthcare Fraud Defense

Federal and state investigations, False Claims Act defense, and criminal healthcare fraud cases.

Page 22 of 27 · 240 articles
Ability to Pay in FCA Settlement Negotiations
Healthcare Fraud Defense

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…

Anthony MahajanAug 24, 2026
A Search Warrant at Your Practice: The First Hour
Healthcare Fraud Defense

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…

Anthony MahajanAug 24, 2026
Physician License Investigations: Standard of Care and Documentation Cases
Healthcare Fraud Defense

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…

Anthony MahajanAug 1, 2026
Pharmacist License Defense: Common Allegations and Outcomes
Healthcare Fraud Defense

Pharmacist License Defense: Common Allegations and Outcomes

How state pharmacy boards evaluate dispensing error, recordkeeping, and diversion allegations, and the outcomes each type typicall…

Anthony MahajanAug 1, 2026
License Reinstatement: Building the Rehabilitation Record
Healthcare Fraud Defense

License Reinstatement: Building the Rehabilitation Record

A guide for physicians petitioning to reinstate a suspended or revoked license: eligibility windows, rehabilitation evidence, and…

Anthony MahajanJul 31, 2026
National Practitioner Data Bank Reports: Triggers and Disputes
Healthcare Fraud Defense

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…

Anthony MahajanJul 31, 2026
Inside an FCA Investigation: The Defense Timeline
Healthcare Fraud Defense

Inside an FCA Investigation: The Defense Timeline

How a False Claims Act investigation moves from civil investigative demand to DOJ decision, damages workup, and settlement for phy…

Anthony MahajanJul 31, 2026
License Cases That Run Beside Criminal Investigations
Healthcare Fraud Defense

License Cases That Run Beside Criminal Investigations

A medical board complaint and a criminal referral can arise from the same conduct, and a board statement can become evidence again…

Anthony MahajanJul 30, 2026
Monitoring and Impaired-Practitioner Programs: Entry, Terms, and Exit
Healthcare Fraud Defense

Monitoring and Impaired-Practitioner Programs: Entry, Terms, and Exit

Voluntary and board-ordered PHP monitoring differ sharply in confidentiality. Here is what happens when compliance or completion i…

Anthony MahajanJul 30, 2026