Health Care Enforcement & Investigations
Comprehensive Health Care Regulatory Knowledge and Seasoned Trial Lawyers
Enforcement agencies have made detecting and aggressively investigating health care fraud and abuse a top priority. Your involvement in an investigation can potentially lead to ruinous civil fines, incarceration, and other criminal and administrative penalties. At the very least, an investigation can be costly and disrupt your business. Mintz’s Health Care Enforcement Defense Practice has extensive experience defending companies and individuals in civil and criminal matters in federal and state jurisdictions across the country.
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Our Health Care Enforcement Defense Practice's health law, white collar defense, litigation, and employment attorneys have significant experience with government investigations and regulatory compliance. We help clients conduct internal investigations to detect and correct problems before the government becomes involved. And we help create, develop, and review compliance and qui tam avoidance programs — all to reduce the risk of government enforcement actions. We represent clients in federal and state government investigations and litigation nationwide. These matters are initiated by the Criminal and Civil Divisions at the Department of Justice (DOJ), US Attorneys' Offices, the Office of Inspector General for the Department of Health and Human Services, the Drug Enforcement Administration, state attorneys general, the 50 Medicaid Fraud Control Units, and whistleblowers.
- Offering or receiving kickbacks and other financial inducements
- Filing false claims with government health care programs
- Marketing drugs and devices in violation of the federal Food, Drug, and Cosmetic Act
- Receiving overpayments from government health care programs
- Maintaining financial relationships that constitute unlawful conflicts of interest or give rise to prohibited self-referrals
- Academic medical centers
- Clinical laboratories
- Hospice, post-acute care, and home health providers
- Medical device and diagnostics companies
- Managed care organizations
- Manufacturers and distributors
- Hospitals
- Pharmaceutical manufacturers
- Physicians and physician practices
- Retail, specialty, and institutional pharmacies
Team members have served in relevant positions in a variety of government agencies, including the Civil Fraud Section of the DOJ; the Centers for Medicare and Medicaid Services; US Attorneys' Offices; and state attorneys general.
Our team contributes to Mintz’s industry-leading health care blog, Health Law & Policy Matters. We also present frequent webinars on cutting-edge enforcement trends.
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Our experienced Health Care Enforcement & Investigations team includes attorneys with significant experience working with relevant government agencies.