Health Care Enforcement and Investigations

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Health Care Enforcement & Investigations

Many healthcare entities and professionals rely upon Dickinson Wright to lead them through intricate government inquiries, complex audits, and investigations.  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 advantage is the utilization of our strong connections with government agencies, and our status and reputation of competence and integrity.  Our comprehensive knowledge of all facets of health care law permits us to efficiently manage government investigations and to skillfully negotiate innovative settlements. 

Our Health Care Team combines years of practice which includes fraud and abuse and compliance, explicitly the Anti-Kickback Law, the Stark Law, the Beneficiary Inducement Law, the False Claims Act, Medicare and Medicaid reimbursement, including coverage, coding (i.e., CPT and HCPCS) and payment. Our wide range of regulatory matters includes certification, inspections, surveys, certificate of need, provider-based status, licensure, and changes of ownership.

We manage 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. Inquiries vary from alleged violations of the Anti-Kickback Law by a hospital to alleged violations of the False Claims Act by a large pharmaceutical company.  We handle every aspect of government investigations, from requests for documents or subpoenas, to witness interviews, negotiation with agency personnel, the structuring of plea negotiations and settlements, and trial. This may also entail negotiating corporate integrity agreements or certification of compliance agreements and assisting with related compliance and reporting activities.


Government Relationships and Reputation

To be successful in today’s health care climate, clients need more than top-level legal advice. They need counsel who have strong relationships with the regulators who interpret the law and the authorities and agencies that enforce it.  Our attorneys have built their status as front-runners and have the integrity to recommend resourceful resolutions in the most challenging dilemmas.

Many members of Dickinson Wright’s Health Care Group have years of experience in federal health care enforcement. Our Firm’s lawyers have worked with nearly every health care regulatory and/or enforcement agency, including the Department of Justice, Federal Bureau of Investigation, Department of Health and Human Services, 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.

Our attorneys have worked at the Department of Justice, United States Attorney’s Office, Securities and Exchange Commission, and state and local prosecutor offices throughout the country. 

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