Healthcare Fraud Defense
Federal and state investigations, False Claims Act defense, and criminal healthcare fraud cases.
FCA Civil Exposure vs Criminal Charges: Keeping Them Apart
A civil FCA demand and a criminal healthcare fraud charge trigger different statutes, standards, and remedies. Physicians need to…
Corporate Integrity Agreements: Terms, Costs, and Negotiation
A Corporate Integrity Agreement binds a provider for five years, with IRO review, self-reporting duties, and stipulated penalties…
Billing Error or Fraud: Where Enforcement Draws the Line
Civil and criminal healthcare fraud statutes apply different knowledge standards. OIG guidance treats documentation as verificatio…
Stark Law vs the Anti-Kickback Statute: The Differences That Matter
Stark Law imposes strict liability on physician referrals. The Anti-Kickback Statute requires proof of intent. How the exposure di…
A DOJ Target Letter: What Happens in the First 48 Hours
A DOJ target letter signals substantial evidence, not a guaranteed indictment. What happens in the first 48 hours often matters mo…
The Federal Healthcare Fraud Statute (18 USC 1347) Explained
A physician's guide to 18 USC 1347: the elements, intent standard, penalties on conviction, and the line separating it from civil…
Grand Jury Subpoenas in Healthcare Investigations
A guide to document and testimony subpoenas, grand jury secrecy, privilege, and production strategy for physicians facing a federa…
Responding to a Civil Investigative Demand (CID)
How a civil investigative demand works under the False Claims Act, what it can compel, and how to negotiate its scope before respo…
The Anti-Kickback Statute: Remuneration, Intent, and Safe Harbors
A compliance guide to the Anti-Kickback Statute: the statutory elements, the one-purpose intent test, key safe harbors, and market…