Prevention, Compliance and Internal Investigations: Health Care
Because of our firm’s extensive experience resolving and quashing problems created by health care compliance issues, clients have sometimes asked our lawyers to counsel them regarding proactive audits, prevention or compliance measures aimed at specific health care issues. We have also helped clients to identify current trends in regulatory enforcement, and we have advised them how to avoid certain health care enforcement pitfalls.
Collora LLP can also provide clients with speakers on various health care enforcement topics for in-house programs. Our speakers can provide audiences with authentic stories and inside views on how the government sources information, investigates leads, identifies targets and gets witnesses to cooperate against those targets. We can paint a true-to-life picture of the difficulties of being a defendant and proving your way out of allegations as well.
Some clients have also asked us to conduct internal investigations, either to identify problems and root them out before they become liabilities, or to isolate and correct problems that have been flagged by the government or third parties.
A prompt and careful internal investigation can be critical to designing an effective remedy for self-correction, and to avoiding a civil or criminal charge in governmental enforcement. An investigation properly performed by outside counsel can also help to preserve attorney-client privilege and other privileges while shielding in-house personnel from charges of obstruction or spoliation.
Health Care/Pharmaceutical Issues
Our lawyers have provided compliance, prevention and/or investigative services to health care providers, biotech companies, medical device companies, and pharmaceutical companies related to:
- Government Billing and Reimbursement Issues
- Insurance Billing and Reimbursement Issues
- Insuring that Corporate Compliance Programs Address Specific “Hot Button” Regulatory Issues
- Internal Investigations of Clinics and Hospitals for Self-Policing and Reporting
- Obtaining Advisory Opinions or Guidance from Relevant Agencies
- Pharmaceutical Promotions Involving Off-label Use
- Preparation for Audits by the Government or Third Party Administrators
- Preparation of Certain Licensing Applications and the Treatment of Related Sensitive Disclosure Issues
- Preparation of Practice Management Plans
- Enforcement of Stark Laws, Anti-kickback Rules or Other Health Care Services Regulations
For more information about other forms of civil advocacy we provide to clients in the health care sector, click on any of the pertinent links below.