- Represented a large health system in several investigations by the Department of Health and Human Services – Office of Inspector General (HHS-OIG) and the Department of Justice (DOJ). The investigations were resolved favorably.
- Represented a large medical group in a state OIG investigation alleging improper Medicaid billings.
- Represented a prominent academic medical center in an investigation by the state insurance commissioner regarding claims submitted to commercial payors.
- Represented a large medical group in federal and state investigations and actions involving allegations of violations of the corporate practice of medicine prohibition.
- Represented multiple clients in False Claims Act lawsuits that alleged false billings to federal health care programs.
- Represented hospice providers in federal investigations and audits.
- Represented home health agencies in federal and state investigations and audits. Performed compliance program assessments for several hospitals and health systems.
- Conducted internal investigations for multiple health care providers relating to reimbursement, alleged false claims, potential retaliation, physician arrangements, and related issues.
- Represented hospital systems defending against recovery audit contractor and other third-party payor audits.
- Represented the operator of long-term-care facilities in parallel state and federal investigations.
Partner,
- Phone: +1 214 922 3420
- Email: frank.sheeder@alston.com
Frank has been defending members of the health care industry against government agencies, whistleblowers, and other adversaries for more than 30 years. His health care clients across the country are confident that he will advocate assiduously for them in civil, administrative, and criminal matters. He is the co-chair of our Health Care Litigation Team.
- Represented a physician group in a qui tam suit brought by a disgruntled third party.
- Represented a large academic medical center in a DOJ investigation relating to billings to federal health programs.
- Represented a major children’s hospital in regulatory, reimbursement, and fraud and abuse counseling. The hospital ultimately refined its compliance program.
- Represented a physician group in its defense against a health insurer alleging that certain services were medically unnecessary and therefore not reimbursable.
- Represented allied health providers embroiled in parallel state and federal administrative, civil, and criminal investigations into alleged billing for medically unnecessary services.
- Represented a pharmacy provider in an investigation by the DOJ and Drug Enforcement Administration.
- Represented an imaging provider, providing regulatory, reimbursement, and fraud and abuse counseling and advice on strategy and regulatory compliance relating to joint ventures with a health system.
Frank Sheeder focuses his practice on health care enforcement defense and compliance. He has defended clients against civil and criminal fraud allegations brought by federal and state government agencies and other hostile third-party litigants—especially whistleblowers—for more than 30 years. Frank represents clients facing government enforcement initiatives, complex health care litigation, and regulatory compliance matters.
Frank has advised clients from virtually all segments of the health care industry, such as health systems, hospitals, academic medical centers, physician groups, device manufacturers, long-term-care providers, home health agencies, pharmacies, laboratories, and allied health professionals. Those cases generally involve Medicare, Medicaid, Tricare, and other federally funded health care programs. He has also defended putative class actions and civil cases involving parallel criminal proceedings. Frank has been counsel of record in more than 30 criminal cases in federal district court.
Chambers USA has recognized Frank repeatedly, noting that “his extensive work spans the entire nation” and he “maintains a very strong reputation.” Frank was named the Best Lawyers 2013 Health Care Law “Lawyer of the Year” in Dallas. He has been listed in The Best Lawyers in America every year since 2009 and named to the Texas Super Lawyers list in every year since 2006. Frank is a prolific speaker and the author of the treatise Corporate Governance and Compliance for Healthcare.
Languages
- Spanish
Bar Admissions
- Texas
Education
- Boston University (J.D., 1987)
- Duke University (B.A., 1984)
Memberships
- Wolters Kluwer Health Care Advisory Board
- American College of Healthcare Executives (ACHE)
- Health Care Compliance Association (HCCA), past president (2015) and long-standing member of board of directors
- American Health Lawyers Association, Fraud and Abuse, Self-Referrals and False Claims practice group
- American Bar Association
- Dallas Bar Association
- Leadership Dallas Class of 2007