Healthcare Fraud Defense
Federal and state investigations, False Claims Act defense, and criminal healthcare fraud cases.
Successor Liability for False Claims in an Acquisition
Whether an acquirer inherits a target's False Claims Act exposure turns on deal structure, diligence, and the exceptions to succes…
Continuing Education and Licensure Audit Findings
State boards audit CE compliance by random sample. A documentation gap can mean a fine, a cure period, or formal board discipline.
Statistical Sampling as Proof of FCA Liability
Courts increasingly let a sample of claims prove False Claims Act liability, not only damages. Here is how the methodology gets ch…
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…