Health Care Fraud

Health care providers face increased governmental scrutiny in the form of investigations, regulatory audits, and whistleblower actions. Wyche can help clients facing these challenges.

The Department of Justice (DOJ) is actively pursuing individuals and companies in the health care arena with the cooperation of numerous agencies: Centers for Medicare and Medicaid Services (CMS), Health and Human Services Office of the Inspector General (HHS OIG), the Federal Bureau of Investigation (FBI), and state Medicaid Fraud Control Units (MFCU).

Additionally, DOJ has created highly aggressive Health Care Fraud Strike Forces across the country. These strike forces use advanced data analysis techniques to identify and target “hot spots” – cities with high levels of billing fraud.

DOJ is using these resources to target a wide range of health care providers: doctors, hospitals, pharmacies, laboratories, marketers, durable medical equipment companies, call centers, pain centers, and telemedicine providers.

At Wyche, we understand that you are running a business that is focused on your patients and that an investigation or Grand Jury subpoena is disruptive and potentially intimidating.  We can level that playing field. Our team stays abreast of rapidly changing health care laws and regulations.  In addition, we have worked with the agents and prosecutors who focus on health care fraud; these government agents know and respect us and our intellectual and legal abilities.   We strive to efficiently address the government’s concerns and to protect the interests of on our clients and their companies.

Our team also can provide guidance on Stark, Anti-Kickback and HIPAA compliance, commercial contracts, antitrust matters, certificate of need, licensing, medical staff, peer review, physician employment, patient care, physician/patient privilege, telemedicine regulation, and other issues that are unique to the Health Care field.