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OVERVIEW

Fraud and Abuse Compliance and Defense Better health

Healthcare providers operate in an active enforcement environment. The margin for error in creating, operating and monitoring a business in the healthcare industry has never been smaller and the risks never greater. 

At Barnes & Thornburg, we understand the evolution of the healthcare industry and have assembled a full-service team of highly skilled and veteran attorneys who consistently deliver multi-faceted regulatory advice on fraud and abuse issues such as:

  • Stark Law
  • Anti-kickback statutes
  • False Claims Act
  • Federal criminal and securities laws
  • Foreign Corrupt Practices Act
  • Criminal and civil healthcare fraud statutes
  • Federal and state laws targeting fraud, waste and abuse

Our lawyers are skilled in conducting complex internal investigations involving allegations of fraud, waste, abuse and other regulatory and process failures. Clients turn to us to design and manage robust and effective regulatory compliance and training programs that mitigate the risks inherent in and avoid pitfalls associated with healthcare delivery and reimbursement.

Our white collar team counts among its number six former U.S. Attorneys, more than 20 Assistant U.S. Attorneys and a former member of the U.S. Department of Justice (DOJ) Medicare and Medicaid Strike Force. We have significant and proven skill in defending healthcare providers against actions brought by state and federal enforcement agencies, including the DOJ, the U.S. Department of Health and Human Services Office of Inspector General, the Center for Medicare and Medicaid Services, states' attorneys general, state professional boards, private whistleblowers, the Drug Enforcement Administration and the Securities and Exchange Commission.

We have represented acute care hospitals, providers of mental health services, hospital systems, pharmacy companies, physician clinics, for-profit and nonprofit hospices, and healthcare companies in qui tam actions, Medicare fraud matters, allegations of kickbacks, and government investigations. 

Practice Leaders

John Kelly

John E. Kelly

Partner, Healthcare Department and Healthcare Industry Practice Chair

Washington, D.C.

P 202-831-6731

F 202-289-1330

Heather  Delgado

Heather F. Delgado

Partner
Director of Health Law Resources and Risk Management

Chicago

P 312-338-5905

F 312-759-5646

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