At Mooradian Law, we specialize in guiding healthcare providers and organizations through complex Healthcare Fraud & Abuse matters. We offer personalized, expert legal services to ensure your organization remains compliant, protected, and strategically positioned within the ever-changing regulatory landscape.

Our Expertise

Our team of experienced attorneys is adept at handling a wide range of Healthcare Fraud & Abuse issues, including:

• Fraud and Abuse Investigations: Representing providers and organizations in federal and state investigations involving potential fraud or abuse violations.
• Stark Law and Anti-Kickback Statute Compliance: Advising on relationships and transactions to ensure they meet complex federal requirements.
• Billing and Coding Audits: Assisting with internal reviews and responses to payor audits and overpayment demands.
• False Claims Act Defense: Defending healthcare entities in civil or criminal investigations and whistleblower (qui tam) actions.
• Compliance Program Development: Creating and enhancing compliance plans that reduce risk and demonstrate good-faith efforts to regulators.

Our Services

We provide comprehensive legal support throughout every stage of Healthcare Fraud & Abuse matters, including:

• Internal Investigations: Conducting thorough internal reviews to identify potential compliance risks before they escalate.
• Regulatory Guidance: Ensuring your organization’s operations comply with federal and state laws such as the Anti-Kickback Statute, Stark Law, False Claims Act, and HIPAA.
• Government Response: Representing clients in interactions with the OIG, DOJ, CMS, and other enforcement agencies.
• Risk Mitigation Strategies: Advising on proactive measures to prevent violations and improve compliance culture.
• Training and Education: Providing targeted training for executives and staff to recognize and prevent fraud and abuse.

Frequently Asked Questions 

Q: What types of healthcare entities do you typically represent in fraud and abuse matters?
A: We work with a broad range of healthcare providers, including physician groups, behavioral health organizations, long-term care facilities, surgery centers, telehealth companies, and management service organizations (MSOs).

Q: Do I need legal help if my compliance concerns seem minor?
A: Yes. Even small issues can lead to significant penalties if not addressed properly. Early legal involvement helps identify and correct potential problems before they escalate.

Q: How early should I involve legal counsel in a potential fraud or abuse concern?
A: The earlier, the better. Engaging counsel as soon as an issue arises helps preserve evidence, demonstrate cooperation, and reduce risk exposure.

Q: What makes healthcare fraud and abuse cases different from other compliance matters?
A: These cases often involve overlapping federal and state regulations, criminal and civil liability, and complex intent standards that require experienced healthcare counsel.

Q: Can Mooradian Law assist with compliance program implementation or only defense work?
A: We do both. Our attorneys not only defend clients under investigation but also help design and implement compliance programs to prevent future issues.

Check Out Our Healthcare Fraud & Abuse Blogpost Series 

We’ve created a comprehensive blog series to help healthcare professionals better understand the transactional process. Each post offers practical legal insights designed to support your strategic planning and compliance efforts. 

Fraud & Abuse Series Posts: 

• Practical Compliance Strategies to Minimize Anti-Kickback Statute Risk
• High-Risk Arrangements Under the Anti-Kickback Statute: Marketing, Joint Ventures, and Physician Recruitment
• The Stark Law vs. the Anti-Kickback Statute: Key Differences That Impact Your Business
• Top Enforcement Trends Under the Anti-Kickback Statute: How DOJ and OIG Are Targeting Kickback Schemes
• Safe Harbors Under the Anti-Kickback Statute: Structuring Agreements with Confidence
• The Anti-Kickback Statute Explained: What Every Healthcare Stakeholder Should Know

Why Choose Us?

At Mooradian Law, we pride ourselves on our deep understanding of the healthcare industry and unwavering commitment to client protection.
Our boutique firm structure allows us to provide dedicated, one-on-one attention, ensuring that your Healthcare Fraud & Abuse matters are handled with the utmost care, discretion, and expertise.

Contact us today to learn how we can assist you with your Healthcare Fraud & Abuse needs.