Health Care Fraud and Compliance

Health Care Fraud and Compliance

Fried Frank has a number of leading practitioners with well-recognized expertise in resolving threatened or pending health care fraud proceedings, as well as the collateral litigation they may generate.

Our long history of representing corporate defendants in federal criminal, civil and administrative proceedings involving False Claims Act and fraud allegations, as well as our broad experience in compliance work, have enabled us to be at the very forefront of defending health care entities facing a variety of fraud proceedings, including:

  • criminal investigations
  • administrative exclusion proceedings
  • securities enforcement actions
  • class action litigation

We are frequently called upon to assess regulatory and legal compliance in connection with financings and mergers and acquisitions in a wide variety of health care industries. Our extensive experience defending high-stakes health care fraud matters often enables us to identify significant risks others may not perceive, and to advise potential buyers and lenders on how to effectively quantify, manage, eliminate or disclose those risks.

We also counsel health care clients on an ongoing basis, and handle a range of complex regulatory matters. They include issues arising under the Anti-Kickback Statute, Stark Law, and similar state laws. We assist clients in complying with privacy and security regulations issued under the Health Insurance Portability and Accountability Act of 1996, and have structured health care information technology systems to comply with federal and state privacy laws.

Our compliance reviews have involved a broad cross-section of the health care industry, including:

  • major retail drugstore chains, wholesale pharmacy distributors and specialty pharmacies
  • skilled nursing facilities
  • hospital-based physician practices
  • durable medical equipment suppliers
  • physician practice management companies
  • dialysis providers
  • clinical laboratories
  • Medicare managed care organizations
  • home health agencies
  • alcohol and drug rehabilitation facilities
  • group medical practices
  • ambulatory surgery centers
  • pain management facilities
  • workers compensation service providers

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