False Claims Act
- Represented a national mortgage lender in a qui tam action alleging fraud involving refinance loans guaranteed by the Department of Veterans Affairs. After opposing the relator’s efforts to amend his complaint to assert a new, expansive fraud theory, eliminating the client’s alleged exposure in excess of $1 billion, we resolved the case through a modest, non admission settlement well below the cost of defense.
- Represented a leading health care IT company in a landmark False Claims Act case involving the federal government’s “Meaningful Use” electronic health record (EHR) incentive program. The case marked the first time the DOJ had brought FCA claims against an EHR vendor under the program. Negotiated a favorable non-admission civil settlement and first-of-its-kind corporate integrity agreement involving a software quality-assurance monitor.
- Represented a nonprofit emergency services provider in a DOJ False Claims Act investigation regarding the company’s receipt of a Paycheck Protection Program loan. After responding to the civil investigative demand and making a presentation to the government, we resolved the matter on favorable terms requiring only repayment of the loan.
- Represented the CEO of an urgent care chain in a DOJ False Claims Act investigation of alleged upcoding for evaluation and management services provided to patients suffering from COVID symptoms. Working closely with company counsel, the matter was resolved through a favorable corporate non-admission settlement.
- Represented the hospital director (and professor of medicine) at a major university health center in a DOJ False Claims Act investigation involving alleged Medicare overbilling for critical care services. The DOJ declined to intervene, and the whistleblower’s complaint was voluntarily dismissed.
- Represented the founder and CEO of a medical technology company in a DOJ False Claims Act investigation regarding the company’s compensation arrangements with contract sales personnel that allegedly violated the Anti‑Kickback Statute and customer rebate program that allegedly defrauded Medicare.
- Represented the executive director of a hospice company in a False Claims Act investigation and parallel criminal investigation by the U.S. Attorney’s Office into alleged Medicare overbilling and violations of the Anti-Kickback Statute. The client was not sued or charged criminally.
- Represented a technology company in a False Claims Act investigation by the DOJ and Department of Defense regarding alleged violation of the Small Business Administration’s 8(a) regulations. After a lengthy investigation, the DOJ declined to file suit, and the investigation was closed.
- Represented a leading food manufacturer in a DOJ False Claims Act investigation and parallel Department of Defense criminal investigation concerning allegations the company defrauded the U.S. military in connection with contracts to supply food to troops overseas. No charges were filed against the company or any of its employees.
Health Care Fraud
- Represented an urgent care provider in a DOJ criminal investigation of bribery and health care fraud allegations concerning the company’s relationship with a county school district and COVID testing practices. The client was not charged.
- Represented current and former employees of one of the largest for-profit health systems in the U.S. in a DOJ criminal investigation of alleged Anti-Kickback Statute violations based on the relationship between Atlanta-area hospitals and pre-natal clinics. No clients were charged.