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CRIMINAL DEFENSE:
HEALTHCARE FRAUD
SGB's Criminal Defense attorneys represent healthcare facilities and professionals, including doctors, nurses, and administrators, in matters related to compliance and government investigations of healthcare fraud. In our representation of healthcare facilities we have interviewed doctors, nurses, administrators, and clerical staff in order to develop significant knowledge about the day-to-day challenges of running a healthcare facility and remaining in compliance with a host of federal and state regulations. We have worked with some of the best experts in the country to understand the complex maze of regulations that make up the Medicare and Medicaid payment systems. Our work in the healthcare area has resulted in significant dealings with prosecuting agencies at the state and federal level, where we have worked hard to develop a reputation for honesty, directness, and high quality legal analysis. Our experience in the healthcare area and our prior dealings with prosecuting agencies help us provide the best possible defense for clients under investigation in this area. Because some of our cases have been resolved with no charges filed and no publicity, the only cases referred to on this website involve cases that are a matter of public record.
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- Convinced the Department of Justice not to file a False Claims Act lawsuit against a large hospital after showing compelling evidence that Medicare charges over an eight-year period were in substantial compliance with all relevant regulations.
- Obtained a decision not to prosecute several corporate managers in a complex federal investigation of medical billing practices at the University of Washington, based on our demonstration that these billing mistakes lacked any criminal intent.
- Obtained a “not guilty” verdict for a dentist charged with six counts of Medicare fraud for alleged improper billing practices, by demonstrating that there was no intentional fraud and that Medicare's complex and confusing billing regulations led to the errors.
- Obtained dismissal of a 9-count indictment against a doctor falsely accused of federal healthcare fraud for participating in a conspiracy to bill Medicare for unnecessary medical devices.
- Obtained a decision not to prosecute an elder care facility falsely accused of mismanagement and theft of patient funds, by demonstrating that facility employees made a good-faith effort to comply with all regulations and committed no theft of funds.
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