Health Care Enforcement and Investigations

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To succeed in today’s delicate health care environment, clients need more than top-level legal advice. They need a partner who has strong relationships with the regulators interpreting the law and the authorities and agencies enforcing it. Our attorneys have built a reputation as front-runners in the industry, and have the qualifications necessary to provide resourceful resolutions to even the most challenging dilemmas.

At Dickinson Wright, our comprehensive knowledge of all facets of health care law combined with our strong connections with government agencies allow us to efficiently manage government investigations and to skillfully negotiate innovative settlements for our clients.

Our Clients

We have successfully represented and defended numerous individual health care professionals and practices investigated by federal, state, local, and administrative agencies for various types of wrongdoing, including Medicare/Medicaid/Tricare fraud, violations of the Anti-Kickback and Stark laws, wire fraud, conspiracy, and other types of criminal and regulatory wrongdoing. We have also negotiated many global settlements, a frequently beneficial process for assisting health care entities determining all imminent issues with multiple state and federal bodies.

Our Team

Dickinson Wright's Health Care Enforcement and Investigations team has worked with nearly every health care regulatory and enforcement agency, including the DOJ, FBI, Department of Health and Human Services (HHS), the Office of Inspector General (OIG), the Centers for Medicare & Medicaid Services (CMS), the Food and Drug Administration (FDA), and the Department of Veterans Affairs (VA) to decide and resolve numerous inquiries, investigations, and settlements. Additionally, many of our attorneys have worked at the offices of the United States Attorneys, the Securities and Exchange Commission, and at state and local prosecutor offices throughout the country.

Our Services


• Compliance with the Anti-Kickback Law, the Stark Law, the Beneficiary Inducement Law, the False Claims Act, and Medicare and Medicaid reimbursement, including coverage, coding (i.e., CPT and HCPCS) and payment.

• Regulatory matters, including certification, inspections, surveys, certificates of need, provider-based status, licensure, and changes of ownership.

• Investigations for a wide variety of health care entities and individuals, including academic medical centers, ambulatory surgical centers, device manufacturers, hospices, hospitals, and pharmaceutical companies.

• All aspects of government investigations, from requests for documents or subpoenas to witness interviews, negotiation with agency personnel, the structuring of plea negotiations and settlements, or trial.

• Negotiating corporate integrity agreements or certification of compliance agreements and assisting with related compliance and reporting activities.
 

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