facebook linked in twitter
close

Experience

Following is a selected sampling of matters and is provided for informational purposes only. Past success does not indicate the likelihood of success in any future matter.

  • Won summary judgment in qui tam suit brought by consultant alleging contractor client had overbilled the U.S. Department of Defense
  • Represented academic medical center’s faculty practice plan in voluntary disclosure of Medicare overpayment and related internal investigations
  • Negotiated settlement for academic medical center in qui tam suit involving allegations of inappropriate physician supervision
  • Negotiated settlement for hospital in qui tam suit involving allegations of inappropriate physicians supervising and upcoding
  • Negotiated settlement for healthcare system in qui tam suit involving allegations related to medical necessity for inpatient stays
  • Negotiated settlement for ambulance service provider involving alleged swapping arrangement

We defend clients against whistleblower allegations of submitting false claims to the government, including cases related to Medicare or Medicaid fraud, involving alleged

  • Billing for services not rendered
  • Unbundling
  • Upcoding                               
  • Excessive or medically unnecessary services
  • Duplicate claims
  • Kickbacks

Experienced Qui Tam litigators provide practical perspectives

  • Decades of collective experience
  • Attorney team includes former senior trial counsel for US DOJ (Criminal Division)

Clients range from hospitals to labs to physician groups

Nelson Mullins has successfully defended healthcare providers in qui tam investigations and litigation, including

  • Hospitals
  • Labs
  • Physician Groups
  • Compounding Pharmacies
  • Behavioral Health Providers
  • Staff Nursing Providers
  • Academic Medical Centers
  • Ambulance Service Providers

Nelson Mullins’ qui tam defense team helps clients manage government investigations, negotiate reasonable settlements, and – when necessary – present strong defenses in court

  • Internal Investigations  our Qui Tam Team supervises internal investigations through document review and interviews to help assess potential liability, preserve confidentiality, minimize disruption to business and morale, identify problems, prepare defenses, and recommend corrective actions
  • Compliance program advice we work with our clients’ compliance officers to recommend any necessary disciplinary actions, changes in practice, reorganizations, or refund of overpayments
  • Consultant and expert witness retention – we guide clients on identifying and retaining clinical, billing, coding, IT, public relations, and other kinds of consultants and expert witnesses
  • Ground rules with prosecutors our team has good professional relationships with government prosecutors.  We work with them to try and agree on ground rules, minimize disruption to the client, and resolve issues without litigation
  • Government interview advice and preparation we meet with employees to prepare them for interviews by government investigators
  • Crisis and public relations communications and plan preparation and execution we work with public relations staff and consultants to design and implement internal and external communication plans that protect confidentiality, maintain employee morale, manage crises, promote client messaging, and diffuse negative publicity
  • Negotiations with plaintiffs and regulators to resolve disputes our team has experience negotiating reasonable compromises and settlements with qui tam plaintiffs and government regulators to avoid litigation
  • Negotiations, implementation, and operation of Corporate Integrity Agreements our team has experience negotiating CIAs and advising clients as they implement and conduct operations in compliance with their terms
  • Litigation defense when necessary, our litigation team provides an aggressive, comprehensive defense of our clients

Following is a selected sampling of matters and is provided for informational purposes only. Past success does not indicate the likelihood of success in any future matter.

  • Won summary judgment in qui tam suit brought by consultant alleging contractor client had overbilled the U.S. Department of Defense
  • Represented academic medical center’s faculty practice plan in voluntary disclosure of Medicare overpayment and related internal investigations
  • Negotiated settlement for academic medical center in qui tam suit involving allegations of inappropriate physician supervision
  • Negotiated settlement for hospital in qui tam suit involving allegations of inappropriate physicians supervising and upcoding
  • Negotiated settlement for healthcare system in qui tam suit involving allegations related to medical necessity for inpatient stays
  • Negotiated settlement for ambulance service provider involving alleged swapping arrangement
  • Experience guiding clients toward successful resolution of qui tam investigations and litigation
  • Close professional relationships with state and federal prosecutors
  • Available and accessible attorneys who provide prompt responses to your legal needs

What's New
Idea Exchange
Top