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Health Care Fraud 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:
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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 a clinical laboratory in a Medi-Cal fraud investigation. Matter
resolved with a favorable civil settlement without any criminal charges or
exclusions.