Healthcare Fraud Defense
Federal and state investigations, False Claims Act defense, and criminal healthcare fraud cases.
Florida Board of Pharmacy Discipline for Pharmacists and Pharmacies
Florida Board of Pharmacy discipline runs from a signed complaint through a probable cause panel to an administrative complaint, t…
Hospital Peer Review Actions and Reports to the Licensing Board
How a hospital peer review action against a physician's privileges triggers an NPDB report and a board case, and how the fair hear…
The In-Office Ancillary Services Exception Explained
The Stark Law exception that lets physicians bill in-house imaging and labs has three prongs, and failing one makes every referral…
Florida Board of Medicine Probable Cause Panels and Administrative Complaints
How a Florida DOH complaint reaches a Board of Medicine probable cause panel, what an administrative complaint is, and the electio…
The Zafirov Challenge: Is the Qui Tam Mechanism Constitutional?
The Eleventh Circuit rejected the Appointments Clause challenge to qui tam in Zafirov, but left two constitutional questions unres…
Responding to a Voluntary Document Request From Federal Agents
A federal agent's letter or office visit asking for records without a subpoena is not a legal command, but preservation duties can…
Dentist License Investigations: State Dental Board Complaints
What triggers a state dental board complaint, how California, Texas and New York investigate, and what a dentist should say before…
Mandatory Versus Permissive OIG Exclusion: What Triggers Each
Mandatory OIG exclusion follows automatically from certain convictions; permissive exclusion is OIG's discretionary call under a s…
Credentialing and Hospital Privileges After Board Discipline: Answering the Questions
Hospital, payer, and Medicare applications ask about prior board discipline, and NPDB queries verify the answer, with exposure for…