Health Care Fraud Litigation

Federal and State authorities increasingly are using civil and administrative statutes and regulations, in conjunction with parallel criminal investigations, to investigate and pursue suspected health care fraud.  Federal authorities do so through the federal False Claims Act, the Anti-Kickback Statute, and the Stark statute and its accompanying regulations.  State authorities use civil remedies embodied in state False Claims statutes and state insurance fraud statutes. 

In addition, private insurance carriers are aggressively using state insurance fraud statutes, many of which allow successful carriers to recover treble damages and attorney fees, to pursue health care providers they suspect of fraudulent billing practices.  Civil judgments and/or administrative sanctions in these cases may result in severe collateral consequences, including debarment, exclusion and suspension from government health care programs and revocation of medical, health care or professional licenses.

Our attorneys, many of whom are former federal or state prosecutors and members of our White Collar Criminal Defense practice group, have defended countless health care providers, executives and businesses.  They are nationally recognized as leaders in the defense of civil and criminal health care fraud cases. This experience is paramount in aggressively litigating the complex issues involved in defending civil fraud and misconduct claims, while still protecting the clients’ rights in any existing or potential parallel criminal proceedings.
For more information about our specialty areas within the Health Care Litigation Group, click on the links below:

Health Care Litigation