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We have represented numerous physicians, mental health
care professionals, hospital executives, clinics and clinical laboratories
in criminal, civil, and licensing matters arising out of health care fraud
allegations.
We have defended numerous health care professionals in
connection with investigations into Medicare, Medi-Cal and third party
insurer billing fraud. These matters typically involve not only the
criminal investigation and charges, but also civil qui tam – False Claim
Act cases, issues of suspension and exclusion from Medicare and other
government programs, and licensing issues before the California Medical
Board or other licensing authority.
Example cases include:
Defense
of a chain of clinics in a multi-million dollar Medi-Cal billing fraud
investigation. Successfully ended the investigation with a favorable civil
resolution involving structured payments, a compliance program and no
program exclusion, and without any individuals being criminally charged.
Representation
of numerous individual physicians and dentists involved in a variety of Medicare
or Medi-Cal billing fraud investigations involving upcoding, miscoding,
and unnecessary procedures.
Cases were resolved civilly, without any criminal charges, program
exclusion or licensing problems.
Representation
of a clinical laboratory in a Medi-Cal fraud investigation. Matter
resolved with a favorable civil settlement without any criminal charges or
exclusions.
Representation
of a prominent San Diego physician in Medical Board Proceeding including
successful writ obtained overturning license revocation.
Defense
of a durable medical equipment provider in a Medicare billing fraud
investigation. Case resolved with civil settlement.
Representation
of numerous physicians, dentists, psychologists and veterinarians in
licensing proceedings.
Representation
of several ophthalmologists accused of Medicare fraud for billing for
unnecessary procedures or upcoding. Cases were ultimately favorably
resolved without any criminal charges and without program exclusions or
licensing problems.
Representation
of several mental health care professionals accused of having improper
sexual relations with patients. Cases all resolved civilly without any
criminal charges
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