Industries & Practices

Compliance, Fraud & Abuse

We protect clients from fraud and abuse violations and stand by them should an investigation occur.

Overview

Many of our attorneys focus specifically on fraud and abuse laws, including the Stark Law, the Anti-Kickback Statute, the Overpayment Statute, the Civil Monetary Penalties Law and the False Claims Act. We are skilled at structuring and implementing contracts, transactions and relationships, including hospital-physician relationships, to both comply with these laws and meet the business goals of the organization. Our team is known for identifying potential problem areas proactively and finding solutions that reduce risk.

Additionally, we help clients resolve potential fraud and abuse compliance concerns. We investigate potential violations, develop corrective action/remediation plans and resolve problems effectively. 

Our attorneys also have significant experience handling litigation related to fraud and abuse law. We have successfully worked with the Department of Justice (DOJ), the United States Attorneys’ Office, the Office of Inspector General (OIG) for the Department of Health and Human Services (HHS), and state attorney generals’ offices to resolve high stakes cases.

Our experience includes:

  • Structuring complex health care transactions, including hospital-physician joint ventures, physician recruitment contracts, professional services contracts and other contractual arrangements
  • Developing alternative structures and solutions to achieve client goals while reducing the risk of violating fraud and abuse laws
  • Restructuring existing contracts and arrangements due to regulatory changes
  • Leading or assisting clients with conducting internal compliance investigations of potential violations of law/compliance concerns
  • Guiding voluntary self-disclosures of noncompliance and overpayments
  • Managing government-initiated matters (audits, investigations, and civil and administrative actions)
  • Defending clients in whistleblower (qui tam) actions
  • Handling Medicare/Medicaid and commercial payor reimbursement issues
  • Providing compliance training to board members, executives and employees

Related Industries & Practices

Experience

Insights & Resources
Resource Center

This resource center sets forth the statutes, regulations and other documentation regarding Medicare and Medicaid fraud and abuse. Information includes the Stark anti-referral requirements and general anti-kickback information. For more information, please visit our Medicare/Medicaid Fraud & Abuse Resource Center.

People
Chris Bennington Chris Bennington Partner
Chris Bennington Partner
Dayton
937.610.4811
cbennington@bricker.com
Shannon K. DeBra Shannon K. DeBra Of Counsel
Shannon K. DeBra Of Counsel
Cincinnati
513.870.6685
sdebra@bricker.com
James F. Flynn James F. Flynn Managing Partner
James F. Flynn Managing Partner
Columbus
614.227.8855
jflynn@bricker.com
Michael K. Gire Michael K. Gire Partner
Michael K. Gire Partner
Columbus
614.227.2318
mgire@bricker.com
Kevin M. Hilvert Kevin M. Hilvert Partner
Kevin M. Hilvert Partner
Columbus
614.227.2398
khilvert@bricker.com
Allen R. Killworth Allen R. Killworth Partner
Allen R. Killworth Partner
Columbus
614.227.2334
akillworth@bricker.com
Diane M. Signoracci Diane M. Signoracci Partner
Diane M. Signoracci Partner
Columbus
614.227.2333
dsignoracci@bricker.com
Claire Turcotte Claire Turcotte Partner
Claire Turcotte Partner
Cincinnati
513.870.6573
cturcotte@bricker.com