At Dickinson Wright, our Healthcare Fraud, Investigations & Enforcement team provides comprehensive counsel to healthcare providers, organizations, and executives navigating the complex intersection of regulatory compliance, fraud prevention, and government investigations. We help clients mitigate risk, maintain compliance, and defend against allegations of fraud, abuse, or regulatory violations.
What We Handle
- False Claims Act and criminal healthcare fraud matters
- Anti-Kickback and Stark Law compliance
- Medicare, Medicaid, and Tricare fraud investigations
- Qui Tam and whistleblower matters
- Wire fraud, conspiracy, and other federal criminal charges
- Regulatory and administrative enforcement actions
Our Services
- Preventive Compliance: Establishing, monitoring, and strengthening corporate compliance programs; conducting internal audits and gap analyses; advising on transactions to minimize risk.
- Government Investigations & Enforcement Defense: Representing clients in federal, state, and local investigations; responding to subpoenas, grand jury inquiries, and enforcement actions; negotiating settlements and Corporate Integrity Agreements.
- Litigation & Risk Mitigation: Defending clients in civil, criminal, and administrative proceedings; managing multi-agency investigations; providing tailored compliance training.
- Strategic Advisory: Advising on regulatory requirements, licensure, certification, inspections, and provider enrollment; assisting with self-disclosure and voluntary reporting.
Who We Represent
Hospitals, physician practices, academic medical centers, pharmaceutical and medical device companies, non-profit organizations, and healthcare executives.
Why Dickinson Wright
Our team combines former federal and state prosecutors with seasoned healthcare attorneys, giving clients unparalleled insight into enforcement priorities and investigative processes. We navigate the full spectrum of healthcare legal challenges to protect our clients’ operations, reputations, and patient care missions.
Representative Matters
- Secured no charges for the CEO of a publicly listed healthcare company in a federal criminal and parallel SEC investigation.
- Obtained a probation sentence for the owner of a durable medical equipment company indicted in federal court for Medicare overbilling.
- Investigated and resolved a $6 million Medicaid fraud and education funding scheme, including improper billing for special education services.
- Represented the owner of a durable medical equipment company alleged to have inflated Medicare/Medicaid claims.
- Investigated misrepresentations by medical device manufacturers regarding device efficacy.
- Represented specialty pharmacy owners in an embezzlement matter.
- Negotiated multi-agency settlements and Corporate Integrity Agreements to minimize client exposure and maintain compliance.
