We represented a specialty practice clinic investigated by a U.S. Attorney’s Office in the Northern District of Mississippi for Medicare billing fraud originating from a contractor audit. The contractor referred the case to the U.S. Attorney’s Office to investigate suspicions of possible civil or criminal healthcare fraud, including possible False Claims Act liability. Following numerous meetings with the AUSA, the Government decided not to pursue any fraud claims against the specialty clinic. On administrative appeal, we were successful in reducing the $1.8 million overpayment demand to $0.
Defense of a Specialty Practice Investigated by a U.S. Attorney’s Office
Defense of a Specialty Practice Investigated by a U.S. Attorney’s Office
We represented a specialty practice clinic investigated by a U.S. Attorney’s Office in the Northern District of Mississippi for Medicare billing fraud originating from a contractor audit. The contractor referred the case to the U.S. Attorney’s Office to investigate suspicions of possible civil or criminal healthcare fraud, including possible False Claims Act liability. Following numerous meetings with the AUSA, the Government decided not to pursue any fraud claims against the specialty clinic. On administrative appeal, we were successful in reducing the $1.8 million overpayment demand to $0.