While an effective compliance program can help ward off government enforcement actions, unfortunately it cannot eliminate potential liability under healthcare fraud laws. When more serious compliance concerns arise, we work with clients to develop strategies for addressing potential violations. Specifically, we have guided clients through self-disclosure protocols with the Centers for Medicare & Medicaid Services, the Office of Inspector General (OIG) and the Department of Justice.
We also represent corporate and individual providers in responding to investigations based on alleged violations of federal or state healthcare laws. Several of our partners have held high-ranking roles in the federal government, including a former senior counsel and team leader in the Office of Counsel to the Inspector General for Health & Human Services; a special assistant U.S. attorney; a former U.S. attorney; a former federal prosecutor and principal deputy assistant attorney general; and former assistant U.S. attorneys.
Our experience includes:
In conjunction with civil settlements, we have negotiated corporate integrity agreements with the OIG. Our partners with former government experience have substantial insight into the government’s thinking and the processes it follows in pursuing cases. We use this knowledge to aggressively defend clients’ positions, either convincing the government to drop its pursuit or negotiating favorable resolutions on behalf of our clients.
They tell you what the risks are, the chances of it happening and how to mediate the risk, which is really helpful.