Government Contracts Health Care
A Premier Practice. Crowell & Moring is one of the nation's premier health care law firms, handling the full range of federal civil, criminal, regulatory, and legislative issues confronting the health care industry. We represent Medicare fiscal intermediaries and carriers, Medicare+Choice HMOs, Medicaid HMOs, FEHBP and TRICARE contractors, pharmaceutical companies, and a wide variety of providers.
Government Investigations/Qui Tam. Because our practice over the last 20 years has focused on disputes with government agencies, auditors, and the Inspector General, our attorneys have unparalleled expertise in Government investigations, voluntary disclosures, and defending health care entities in qui tam actions. It is fair to say we wrote the book in this area. Responding to Government Investigations, Health Care Fraud Litig. Rep. (Andrews Pubs), April 1997. It is also true that we have litigated some of the most important cases involving alleged fraud by members of health care industry. E.g., United States ex rel. Body v. Blue Cross and Blue Shield of Alabama, 156 F.3d 1098 (11th Cir. 1998).
Area of Expertise. Our attorneys are uniquely skilled at advising clients on how to respond to and, more importantly, avoid trouble. This includes responding to investigations, defending False Claims Act and qui tam actions, developing compliance programs and training, as well as advising about:
- The Medicare/Medicaid Anti-Kickback Act
- The Stark Rules
- Exclusion & Suspension
- Billing and Claims Processing Requirements
- Coordination of Benefits
- Federal Employees Health Benefits Program
- Upcoding
- Physician Incentive Payments
- Medicare Secondary Payor
- EMTALA
- Medicaid Rebate Act and Veterans Health Care Act of 1992
- Provider Reimbursement Under Medicare and Medicaid
- Pharmacy Benefit Management Contracts
- ERISA Preemption
- Provider and Beneficiary Appeals & Grievance Processes
- Privacy and HIPAA Compliance
- Health Care Mergers and Acquisitions