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At Bell Nunnally, we understand and appreciate the important role healthcare plays in today’s economy. We have long-term, in-depth experience with the complex web of laws, regulations, and rulings that apply to the daily business of providing healthcare and running companies that are subject to the healthcare laws. Led by a former federal prosecutor, we counsel our clients with a practical focus, working to assist them with regulatory compliance and in response to civil and criminal investigations in ways that are least disruptive to their businesses, while anticipating changes and helping to avert future regulatory scrutiny.

Healthcare fraud cases can progress quickly, and therefore it is paramount to begin preparation as early as possible. The mere reference to healthcare fraud may result in licensing investigations, Medicare and Medicaid audits, and other regulatory and criminal investigations. Our attorneys not only defend those accused of healthcare fraud, but also prepare them for audits and investigations and work when possible to prevent those accusations in the first place.

We operate with a multi-disciplinary approach, working to address not just the acute issues, but the secondary – and not always obvious – issues as well. Our healthcare experience is augmented by the firm’s numerous related practice areas, providing clients with critical perspective and intelligence that enables them to plan for growth and change. 

Regulatory and compliance issues on which we advise healthcare businesses and providers include:

  • Medicare, Medicaid, Tricare and other payor reimbursement audits and investigations (i.e. alleged fraud relating to reimbursement claims)
  • HHS-OIG and DOD investigations
  • Compounding pharmacy investigations
  • Anti-Kickback and Stark claims
  • Antitrust claims
  • False Claims Act and whistleblower matters
  • HIPAA privacy and security protections and violations
  • Medicare and Medicaid compliance
  • Drug and medical device liability defense
  • Commercial disputes
  • Patient Protection and Affordable Care Act matters

Representative clients include:

  • Hospitals and healthcare systems
  • Physicians and physician groups
  • Durable medical equipment suppliers
  • Dentists and dental groups
  • Home healthcare matters
  • Compounding pharmacies
  • Practice management companies