Managed Care/Health Insurers

Our attorneys have extensive experience in representing third-party payor companies in a broad range of legal matters including general corporate business, reimbursement, compliance and regulatory issues.  We represent a significant number of companies with managed care products as well as industry associations of such firms.  Some examples of the kind of work we do in this area include:

  • Counseling on Medicare and Medicaid reimbursement issues.
     
  • Defense of qui tam actions and federal investigations alleging Medicare fraud by managed care entities.
     
  • Defense of private litigation alleging fraud, breach of contract, and other claims.
     
  • Development of fraud and abuse compliance programs.
     
  • Counseling clients on application of anti-kickback statutes to specific transactions and activities.
     
  • Assisting clients with internal investigations of employee fraud and counseling on appropriate disciplinary action.
     
  • Helping clients develop record retention and other internal policies.
     
  • Drafting provider agreements.
     
  • Antitrust litigation defense and counseling.
     
  • HIPAA patient privacy and data security compliance counseling.