Assisted with the representation of a hospital and hospital system in conducting internal investigation and analysis of liability exposure related to compliance issues with contract hospital coding vendor. Conducted internal investigation for Medicare Advantage Organization related to government investigation into calculation and reporting of patient risk scores. Assisted with the representation of a hospice provider in unsealed qui tam complaint alleging violations of the False Claims Act and Anti-Kickback Statute, resulting in a favorable settlement for our client. Assisted with investigation and defense strategy for skilled nursing facilities in connection with Department of Justice investigations into medical necessity of therapy services. Assisted with the representation of a hospice provider in unsealed qui tam complaint alleging violations of the False Claims Act. Assisted with the representation of a rehabilitation facility in state attorney general investigation related to allegations regarding tampering with case mix index and reimbursement rates. Assisted with the representation of a former president of shipbuilding company charged with criminal wire fraud by the Department of Justice and civil securities fraud by the U.S. Securities and Exchange Commission.
