Recent Blog Posts
Protecting Your Practice: How to Avoid Common Pitfalls in Medicare and Medi-Cal Audits
As a healthcare provider in California, your practice is subject to strict oversight from state and federal government agencies that administer Medicare and Medi-Cal. Routine audits are an integral part of these programs to ensure compliance and prevent fraud. However, even honest mistakes can lead to severe consequences, including fines, recoupments, and even criminal… Read More »
Navigating the Disciplinary Process: What to Expect and How to Prepare
For healthcare providers in California, facing a disciplinary proceeding before the Medical Board of California, the California Board of Registered Nursing, or another regulatory agency can be a daunting experience. Whether the complaint stems from allegations of professional misconduct, substance abuse, billing fraud, or other concerns, the outcome of these proceedings can have serious… Read More »
The Impact of the False Claims Act on Healthcare Fraud Cases in California
The False Claims Act (FCA) is a powerful federal law designed to combat fraud against the government. Its reach extends into a wide range of industries, but its impact is particularly significant in the healthcare sector. For healthcare providers and professionals in California, understanding the FCA and its implications is critical, especially given the… Read More »
Civil Investigative Demands by the U.S. Department of Justice
Healthcare providers and organizations face complex regulations and heightened scrutiny from federal agencies, particularly in matters involving allegations under the federal False Claims Act (FCA). A Civil Investigative Demand (CID) from the Department of Justice (DOJ) is a powerful tool used to investigate potential false claims. Understanding what a CID entails, its implications, and… Read More »
Federal Grand Jury Subpoenas and the Importance of Having an Attorney’s Help in Responding
Federal grand jury subpoenas are serious legal instruments that demand immediate and strategic attention. For healthcare providers and others in the medical industry, receiving a subpoena can be especially alarming, as it often signals the government’s interest in investigating potential violations of federal law, such as healthcare fraud, violations of the Anti-Kickback Statute, or… Read More »
The Importance of Legal Representation in Professional License Defense Cases
As a healthcare provider in California, maintaining your professional license is critical to your livelihood and reputation. Whether you’re a doctor, nurse, or another licensed healthcare professional, facing accusations of professional misconduct, negligence, or violations of regulatory standards can jeopardize your ability to practice. When your professional license is at stake, securing experienced legal… Read More »
Key Strategies for Responding to Healthcare Fraud Investigations in California
Healthcare providers in California face stringent regulations aimed at preventing fraud and abuse within the healthcare system. When providers are targeted in a healthcare fraud investigation, the legal and financial consequences can be severe. Common allegations may include billing fraud, kickback violations, upcoding, and violations of the False Claims Act. If you are a… Read More »
Due Diligence Checklist for Healthcare Entity Transactions
When engaging in healthcare entity transactions, whether it’s the acquisition of a medical practice, the merger of healthcare entities, or the purchase of a pharmacy, due diligence is a critical step that cannot be overlooked. The complexities of healthcare law, coupled with the regulatory environment in California, make thorough due diligence essential for mitigating… Read More »
Responding to Accusations: A Guide for Healthcare Professionals Facing License Issues
For doctors, pharmacists, nurses and other healthcare providers, the threat to one’s professional license is not only a threat to their livelihood but also to their reputation and ability to continue practicing in their chosen field. Licensing issues are serious, but with the right kind of help, you stand a good shot at avoiding… Read More »
Sutter Health Secures Victory in $519 Million Whistleblower Case Alleging Double-Billing Healthcare Fraud
In a significant legal development, Sutter Health, a major healthcare provider based in Sacramento, California, recently secured a victory in a whistleblower case that initially alleged $519 million in damages for double-billing and healthcare fraud. This case, part of a broader scrutiny of Sutter Health’s billing practices, underscores the complexities of healthcare fraud litigation… Read More »