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Nossaman LLP

Healthcare

Fraud and Abuse

Nossaman provides our healthcare clients with comprehensive representation relating to compliance with federal and state fraud and abuse and other healthcare laws, including the federal Antikickback Statute, the Stark Law, tax-exemption laws, the California Speier Law and the corporate practice of medicine doctrine. Both entities and individual professionals seek our assistance to help them in a variety of criminal, civil and regulatory proceedings. We are particularly successful at resolving preliminary inquiries and formal government investigations.

We help clients to: 

  • Structure contracts and transactions to ensure compliance and take advantage of the various safe harbors and exceptions. 
  • Draft investment documents, leases, services contracts and employment arrangements subject to fraud and abuse laws. 
  • Create and implement corporate compliance plans. 
  • Conduct compliance audits of existing contracts and financial relationships. 
  • Conduct confidential internal investigations. 
  • Conduct and evaluate billing and coding audits. 
  • Comply with federal and state regulations relating to physician-hospital arrangements. 
  • Favorably resolve investigations without any formal civil or criminal complaint being filed. 
  • Successfully challenge Medi-Cal and Medicare fraud and abuse allegations and complaints.
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