Health Care Compliance

Recent years have witnessed a number of significant false claims actions and settlements, as well as investigations initiated by the Centers for Medicare and Medicaid Services, the Office of the Inspector General, the Department of Justice, local United States Attorneys, State Attorneys General and even private payors. Katten has formalized its long-standing compliance experience through the establishment of a strategic alliance of our Health Care, Corporate and Litigation practices. We assist provider and investor clients in preventing, identifying and responding to claims of health care fraud and provide:

• corporate compliance program advice and counseling;
• investigation, reimbursement and regulatory advice;
• legal audits of billing and reimbursement systems;
• coordination of coding audits;
• investigation, remediation and restructuring efforts in response to compliance risks;
• coordination of response and settlement with government agencies;
• civil and criminal defense of “whistleblower” and enforcement agency lawsuits
• compliance with due diligence audits; and
• voluntary disclosures.

Our clients include suburban, rural and urban community hospitals; teaching hospitals; nursing homes and assisted living facilities; physicians and physician groups; kidney dialysis centers; multi-hospital health care systems; diagnostic imaging supplies; health plans; home health and DME providers; venture capital firms; and managed care organizations.

Professionals