HEALTH CARE FRAUD AND ABUSE – GOVERNMENT INVESTIGATIONS
Nixon Law Group attorneys speak the language when it comes to health care investigations and regulatory matters, including issues of licensure, certification, certificates of need, and surveys. We work with the health care staff on the ground all the way up to the CEO of the company to get to the bottom of a government inquiry and find a resolution that makes sense.
The number of health care fraud and abuse investigations has increased steadily over time due to economic pressures and the resulting changes in health care policy. Enforcement tools and entities used by the government to combat health care fraud include:
- Criminal statutes (e.g. the Anti-kickback Statute)
- Civil statutes (e.g. the False Claims Act)
- Administrative authorities (e.g. Office of the Inspector General)
- State authorities (e.g. state statutes and regulations)
Together, these enforcement tools create a complex legal and regulatory arena that is difficult, if not impossible, to navigate without years of experience. That’s where Nixon Law Group comes in. Our attorneys have guided health care clients through investigations by the Office of the Inspector General, the Department of Justice, the Federal Bureau of Investigation, and numerous state Attorney General offices. We handle subpoenas of documents and/or witnesses, communicate with investigators, and negotiate settlements as appropriate. We have also successfully appealed sanctions imposed by federal or state authorities.
Our health care clients include:
- Among the largest long term care companies in the country
- Assisted Living and Continuing Care Retirement Communities
- Hospital chains
- Medical device manufacturers
- Pharmaceutical companies
- Health Care trade associations
