Healthcare Government Enforcement

Healthcare Government Enforcement

Healthcare businesses today face an environment in which regulatory issues can quickly turn into government investigations or enforcement actions. 

Waller's attorneys help clients navigate this dynamic environment in order to avoid having otherwise simple regulatory issues morph into something more. We understand what to expect and how to respond to a government investigation because many of our attorneys actually investigated allegations of fraud and abuse for the government. When faced with a government investigation or enforcement action, our attorneys help clients respond appropriately with strategies aimed at minimizing - or completely avoiding - penalties, negative publicity and disruptions to core business operations.

Waller has successfully represented healthcare organizations, individual providers, boards of directors and executives in federal and state criminal, civil and regulatory enforcement matters across the country. As part of our holistic approach to client service, our attorneys draw from the firm's extensive healthcare regulatory and operations knowledge in order to quickly understand and proactively respond to any government investigation. We know that government action can significantly disrupt a client's business operations. Our attorneys work diligently to quickly and efficiently reach a resolution that allows our clients to get on with their business. 

Our healthcare government investigations attorneys:

  • Include former Assistant United States Attorneys and Department of Justice attorneys who have investigated and prosecuted a multitude of large-scale complex cases while with the government 
  • Have significant experience dealing with the U.S. Department of Justice, U.S. Attorney's Offices, the Department of Health and Human Services, the Office of the Inspector General (OIG), the Food and Drug Administration, Drug Enforcement Administration, state Attorneys General and various state Medicaid Fraud Control Units
  • Have conducted internal investigations and provided counsel on corporate compliance issues and voluntary disclosures 
  • Have litigated cases involving the False Claims Act, Stark Law and Anti-Kickback Statute matters
  • Possess a deep understanding of Medicare and Medicaid reimbursement investigations, audits and appeals involving Zone Program Integrity Contractors (ZPIC), Recovery Audit Contractors (RACs), Medicare Administrative Contractors (MACs) and all manner of state Medicaid contractors

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Cookeville Regional Medical Center resolves false claims allegations

Represented CRMC in a multi-year investigation regarding claims that the medical center violated the Anti-kickback Statute and Stark Law and negotiated a favorable settlement with the Department of Justice.

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Represented a healthcare provider in connection with ongoing False Claims Act investigation conducted by U.S. Attorney's Office for the Western District of Washington regarding payment for genetic testing.

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Large healthcare network undergoes internal investigation

Conducted an internal investigation of a large healthcare network which led to significant internal restructuring and personnel changes.

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Healthcare provider identified as target of federal grand jury investigation

Represented a healthcare provider identified as target of a federal grand jury investigation conducted by the U.S. Attorney's Office for the Northern District of Alabama; matter closed without any charges against client.

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Witnesses deposed in response to CID relating to False Claims Act investigation

Represented witnesses deposed in response to a civil investigative demand (CID) relating to a False Claims Act investigation for a medical practice in South Alabama. The investigation was conducted by U.S. Attorney for the Southern District of Alabama.

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Management services company involved in FCA investigation related to dental claims

Represented a management services company in connection with a federal False Claims Act investigation of dental claims in the Western District of Kentucky.

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