Health Care Fraud & Abuse
Defending against health care fraud and abuse claims asserted by the Department of Justice and/or qui tam relators requires specialized expertise.
Burke O'Neil attorneys have the requisite expertise, both from past service in the Department of Justice Civil Frauds as well as extensive private practice experience. The firm represents pharmaceutical companies, handling both litigation and internal investigations. Our experience allows us to handle these matters in an efficient and cost effective manner. Below is a sample of the matters our attorneys have handled in the past.
- Defended durable medical equipment distributors against government allegations relating to Medicare coding and billing
- Defended pharmaceutical companies against government allegations relating to false and misleading promotional activities
- Defended mental health providers against government allegations relating to Medicaid "spend down" provisions
- Defended physicians against government allegations relating to drug diversion
- Defended pharmaceutical and hospital companies against government allegations relating to overcharging
- Conducted internal investigations relating to health care fraud and abuse issues for hospital and pharmaceutical clients
- Advised pharmaceutical, hospital, and durable medical equipment clients on entering into corporate integrity agreements and participating in voluntary disclosure programs and protocols
- Advised pharmaceutical, hospital, and durable medical equipment clients on complying with the self-referral, anti-kickback, and other fraud and abuse laws and regulations
- Prosecuted nationwide hospital company and other health care providers for filing false cost reports, upcoding diagnoses, and billing for medically unnecessary services
- Prosecuted nursing homes and rehabilitation companies for overbilling for therapy services provided to skilled nursing facilities
