Federal & State Health Care Investigations & Compliance

Health care providers in the United States are subject to myriad regulations, pervasive government investigation, and heightened scrutiny in their business dealings. As health care costs have risen at a higher rate than the general cost of living, both New Jersey and federal law enforcement agencies have increased their investigations into potential health care fraud.

Pashman Stein Walder Hayden offers clients the support of some of New Jersey’s most skilled and respected litigators, with experience in criminal defense as well as civil litigation. Our attorneys have represented clients against governmental and private adversaries, and have appeared before administrative hearing boards and investigative agencies, including in civil enforcement proceedings involving alleged billing improprieties, self-referral violations and Medicaid fraud.

Health care fraud investigations can center around individual doctors, practice groups, and facilities such as hospitals, surgical centers, nursing homes, physicians’ offices, chiropractors, independent diagnostic testing facilities (IDTFs), laboratories, pharmacies, addiction treatment centers and home health care agencies.

Our attorneys have handled complex cases involving a wide range of health care fraud allegations, including:

• Violations of the Anti-Kickback statute and self-referral regulations
• Improper billing and coding
• Improper use of unlicensed individuals and institutional licensing and credentialing issues
• Improper prescribing and distribution of controlled dangerous substances
• Antitrust compliance

Thorough Protection When Much is at Stake

Healthcare related offenses can result in significant monetary penalties, license revocation, and jail time. The attorneys in our Group are proactive and tireless in protecting the rights and livelihoods of our clients. We do not wait for solutions to come to us; we actively seek them out, advocating for our clients at every turn.