Fraud & False Claims Act
Prosecuting fraud and abuse claims and qui tam cases requires specialized expertise.
Our past with in the Department of Justice civil frauds division as well as our private practice affords us the required skills to prosecute fraud and abuse cases in many areas. Although our corporate experience began with defense work, we now handle both litigation and internal investigations. Our practice is now focused on representing those harmed by wrongdoing.Our diverse experience allows us to handle these matters in an efficient and cost effective manner. Below is a sample of the matters our attorneys have handled in the past.
- Defended durable medical equipment distributors against government allegations relating to Medicare coding and billing
- Defended pharmaceutical companies against government allegations relating to false and misleading promotional activities
- Defended mental health providers against government allegations relating to Medicaid "spend down" provisions
- Defended physicians against government allegations relating to drug diversion
- Defended pharmaceutical and hospital companies against government allegations relating to overcharging
- Conducted internal investigations relating to health care fraud and abuse issues for hospital and pharmaceutical clients
- Advised pharmaceutical, hospital, and durable medical equipment clients on entering into corporate integrity agreements and participating in voluntary disclosure programs and protocols
- Advised pharmaceutical, hospital, and durable medical equipment clients on complying with the self-referral, anti-kickback, and other fraud and abuse laws and regulations
- Prosecuted nationwide hospital company and other health care providers for filing false cost reports, upcoding diagnoses, and billing for medically unnecessary services
- Prosecuted nursing homes and rehabilitation companies for overbilling for therapy services provided to skilled nursing facilities