While our day-to-day compliance work focuses on proactive measures clients can take to achieve and maintain compliance, our team also has significant experience in responding to state and federal fraud and abuse investigations when things go wrong. We have assisted our clients in responding to False Claims Act civil and criminal actions; Medicare and Medicaid billing and coding actions; RAC, MAC, ZPIC, and other payment audits; and FDA and DEA compliance investigations, among others.
Our fraud and abuse team is made up of health care attorneys with regulatory, civil litigation, and white collar criminal defense experience, including attorneys with backgrounds in nursing, clinical research, and accounting and statistics. We draw from this real-world experience, as well as our experience in dealing with federal and state regulatory agencies, auditors, and investigators, when helping our clients evaluate and respond to fraud and abuse allegations. While resolving active fraud and abuse allegations is the first priority, we also examine the underlying policies and behaviors and assist our clients in making changes to reduce opportunities for non-compliant practices in the future.
Whether you have been notified that your organization is under investigation or have identified fraud and abuse concerns through internal assessment, engaging the right counsel is essential. Contact a member of our fraud and abuse team for more information.