Recent Blog Posts
Key Strategies for Responding to Healthcare Fraud Investigations in California
Healthcare providers in California face stringent regulations aimed at preventing fraud and abuse within the healthcare system. When providers are targeted in a healthcare fraud investigation, the legal and financial consequences can be severe. Common allegations may include billing fraud, kickback violations, upcoding, and violations of the False Claims Act. If you are a… Read More »
Due Diligence Checklist for Healthcare Entity Transactions
When engaging in healthcare entity transactions, whether it’s the acquisition of a medical practice, the merger of healthcare entities, or the purchase of a pharmacy, due diligence is a critical step that cannot be overlooked. The complexities of healthcare law, coupled with the regulatory environment in California, make thorough due diligence essential for mitigating… Read More »
Responding to Accusations: A Guide for Healthcare Professionals Facing License Issues
For doctors, pharmacists, nurses and other healthcare providers, the threat to one’s professional license is not only a threat to their livelihood but also to their reputation and ability to continue practicing in their chosen field. Licensing issues are serious, but with the right kind of help, you stand a good shot at avoiding… Read More »
Sutter Health Secures Victory in $519 Million Whistleblower Case Alleging Double-Billing Healthcare Fraud
In a significant legal development, Sutter Health, a major healthcare provider based in Sacramento, California, recently secured a victory in a whistleblower case that initially alleged $519 million in damages for double-billing and healthcare fraud. This case, part of a broader scrutiny of Sutter Health’s billing practices, underscores the complexities of healthcare fraud litigation… Read More »
The Consequences of Failing a Medicare or Medi-Cal Audit
Medicare and Medi-Cal audits are a routine part of the healthcare landscape, intended to ensure compliance with billing regulations and the proper use of funds. However, for healthcare providers, the prospect of an audit can be daunting, and the stakes are high. Failing a Medicare or Medi-Cal audit can have severe consequences, including financial… Read More »
Defending Against Allegations of Kickback and Self-Referral Violations in California Healthcare
Healthcare professionals operate under rigorous regulations designed to ensure fair practices and maintain the integrity of patient care. However, despite best efforts, allegations of kickbacks and self-referrals, often under the Stark Law and Anti-Kickback Statute, can arise. These allegations can severely impact a healthcare provider’s reputation, professional license, and financial stability. The Law Offices… Read More »
Understanding the Implications of False Claims Act Violations for Healthcare Providers
The healthcare industry is heavily regulated, with numerous laws and regulations in place to ensure that patients receive quality care and that government funds are used appropriately. One of the most significant pieces of legislation in this context is the False Claims Act (FCA), which has far-reaching implications for healthcare providers. Without a proper… Read More »
Legal Aspects of Buying or Selling a Healthcare Practice in California
The decision to buy or sell a healthcare practice is a significant one, with far-reaching implications for your professional and financial future. Whether you are a doctor, pharmacist, or another healthcare provider, understanding the legal aspects of this process is crucial to ensure a smooth transaction and to protect your interests. In this blog… Read More »
Protecting Your Professional License: Legal Strategies for California Healthcare Providers
For doctors, pharmacists, and other healthcare professionals, perhaps nothing is more important than maintaining a professional license. Unfortunately, your medical practice can come under attack from many different corners, and the medical license is often a casualty of such attacks. Below, we discuss some of the legal strategies you can employ to protect your… Read More »
Preparing for and Responding to Medicare and Medi-Cal Audits in California
Healthcare providers in California face a challenging regulatory environment. One of the critical aspects of this environment is the scrutiny imposed by Medicare and Medi-Cal audits. These audits are conducted to ensure compliance with billing and coding practices and to prevent fraud and abuse. The stakes are high, and thorough preparation can be key… Read More »