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At Dickinson Wright, our Healthcare Fraud & Abuse team has deep experience handling investigations and litigation brought by the Department of Justice, U.S. Attorneys' Offices, the Office of Inspector General (OIG), and state Medicaid fraud authorities. We guide healthcare providers through the maze of federal and state laws, helping them mitigate risks and defend against allegations.
What We Handle
Our team provides comprehensive legal support across a wide range of healthcare fraud and abuse issues, including:
False Claims Act violations
Criminal Healthcare Fraud Statute
Unfair Trade Practices
Anti-Kickback Statutes (federal and state)
Stark Law (Physician Self-Referral Law)
Medicare/Medicaid Fraud investigations
Qui Tam matters and Foreign Corrupt Practices Act violations
Government investigations, including grand jury subpoenas and search warrants
Civil Monetary Penalties Law and Exclusion Authorities
Our Services Include:
We take a proactive approach to ensure healthcare organizations stay compliant and mitigate fraud risks. Our services include:
Transaction Structuring: Minimizing fraud and abuse risks when structuring business transactions, particularly with referral sources.
Government Investigations: Defending clients in government investigations and resolving potential litigation related to fraud and abuse allegations.
Corporate Compliance Programs: Establishing, monitoring, and strengthening compliance programs to prevent violations.
Internal Audits & Investigations: Conducting audits, gap analysis, and internal investigations to identify and address potential compliance issues.
Self-Disclosure & Reporting: Implementing effective self-reporting processes and assisting with voluntary disclosures to mitigate potential penalties.
Negotiations & Training: Negotiating corporate integrity agreements and providing tailored compliance training for staff.
Contract Drafting & Review: Drafting and reviewing contracts and leases to ensure compliance with healthcare fraud and abuse laws.
Our team stays ahead of regulatory changes and trends, ensuring your healthcare organization remains compliant with the latest legal standards. In case of a violation, we assist with remediation, government investigations, and litigation defense.