Health Care Fraud & Abuse

Payers, both private and public, are systematically investigating and auditing providers for potential fraud and abuse, including false claims. Some targets of these investigations and audits have made mistakes; many have not. We help health care providers defend and resolve fraud and abuse complaints.

Macaulay & Jamerson lawyers routinely assist health care providers with the following compliance matters:

  • Anti-kickback
  • Audit preparation
  • Business operations and transaction analysis
    • Reimbursement
    • Discounting
    • Rebates
    • Sales and marketing
    • Advertising
    • Joint ventures
  • Compliance program development or revision
  • False Claims Act
  • Self disclosure
  • Self-referral
  • Stark law

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