Vedder Price

Health Care Regulatory Enforcement and Fraud Defense Vedder Service

We have substantial experience litigating, investigating and advising on highly complex civil and criminal health care fraud matters.

Our attorneys have deep experience with substantive health care fraud abuse laws and regulations, including the federal Anti-Kickback Statute, the Stark Law, the False Claims Act, and the Food, Drug and Cosmetic Act, among others. With a seasoned former federal health care fraud prosecutor on our bench, we can provide unique insight into the government’s perspective on these matters, and bring a high level of credibility to dealings with regulatory and enforcement agencies at all governmental levels.

Drawing on this experience, we handle a broad array of health care enforcement and related matters, including defending criminal and civil government health care fraud investigations, responding to grand jury and administrative subpoenas and search warrants, defending False Claims Act and whistleblower/qui tam litigation, conducting internal investigations and assisting in voluntary disclosures and providing counseling regarding fraud and abuse laws and compliance programs.

Recent Experience

  • Representing a national hospital system and its employees as witnesses in a grand jury investigation and trial of a transportation provider on federal health care fraud charges
  • Representing the former chief medical officer of a hospital in connection with a grand jury investigation into possible federal health care fraud offenses
  • Conducting investigations and providing guidance related to a broad array of substantive health care matters, including physician compensation arrangements; patient referral practices; medical insurance billing; Medicare and Medicaid fraud and abuse; up-coding and over-billing; unlawful kickbacks; off-label promotion and misbranding of pharmaceuticals, dietary supplements and medical devices; and regulatory compliance
  • Successfully represented a medical billing company and its president in a qui tam lawsuit alleging Medicare fraud in violation of the False Claims Act