Healthcare Enforcement & Investigations

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At Dickinson Wright, our healthcare investigations and enforcement team brings decades of experience handling sensitive legal matters for healthcare providers, organizations, and professionals. Our attorneys work regularly with federal and state agencies, helping clients address government investigations, regulatory compliance issues, and enforcement actions.

We assist clients across the full range of healthcare sectors — from hospitals and academic medical centers to pharmaceutical companies, device manufacturers, and physician practices — providing practical guidance and defending against allegations of fraud, abuse, and regulatory violations.

Who We Represent

Our team has successfully represented healthcare professionals, executives, practices, and organizations facing investigations by federal, state, and local agencies. We regularly defend clients in matters involving:

  • Allegations of Medicare, Medicaid, and Tricare fraud

  • Anti-Kickback Statute and Stark Law violations

  • False Claims Act investigations

  • Wire fraud, conspiracy, and other federal criminal charges

  • Regulatory violations and administrative enforcement actions

We also have extensive experience negotiating global settlements to resolve multi-agency investigations and minimize ongoing legal and financial exposure.

Government Agencies We Work With

Our attorneys frequently interact with a wide range of regulatory and enforcement bodies, including:

  • U.S. Department of Justice (DOJ)

  • Federal Bureau of Investigation (FBI)

  • U.S. Department of Health and Human Services (HHS)

  • Office of Inspector General (OIG)

  • Centers for Medicare & Medicaid Services (CMS)

  • Food and Drug Administration (FDA)

  • U.S. Department of Veterans Affairs (VA)

In addition, many members of our team are former federal and state prosecutors or have served in roles with the U.S. Attorneys’ Offices, Securities and Exchange Commission (SEC), and local enforcement agencies.

Our Services

We advise healthcare clients on a broad range of legal matters, including:

  • Compliance with Anti-Kickback Statute, Stark Law, Beneficiary Inducement Law, False Claims Act, and reimbursement issues (coverage, coding, and payment under Medicare and Medicaid)

  • Regulatory compliance, licensure, certification, inspections, and provider enrollment

  • Navigating government investigations — from initial document requests and subpoenas to witness interviews, negotiation of settlements, and, when necessary, trial

  • Representation in civil, criminal, and administrative healthcare enforcement actions

  • Negotiating and advising on Corporate Integrity Agreements (CIAs) and compliance programs

Our integrated approach helps clients manage risk, resolve investigations efficiently, and maintain their ability to deliver patient care in a highly regulated industry.

Representative Matters

 

–Secured no charges for the CEO of a New York Stock Exchange-listed health care industry company in a federal criminal investigation and a parallel SEC investigation.


–Obtained probation sentence for the owner of a health care medical equipment company indicted in a federal criminal case in Eastern District of New York for conspiring to overbill Medicare for durable medical equipment.


–Investigated a $6 million Medicaid and education fraud scheme, alleging improper Medicaid billing for special education services and the diversion of federal and state education funds for personal expenditures.

 

Represented the owner of a durable medical equipment company alleged to have improperly inflated Medicare/Medicaid claims.

 

Investigated a non-profit charter school for submitting millions of dollars in false claims to Medicaid for special education services.


–Investigated representations by medical device manufacturers regarding the efficacy of devices.

 

Represented specialty pharmacy owners in an embezzlement matter.

 

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