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Crowell & Moring is one of the nation's premier health care law firms, handling the full range of federal, civil, criminal, regulatory, and legislative issues confronting the industry. We represent Medicare fiscal intermediaries and carriers, Medicare+Choice HMOs, Medicaid HMOs, FEHBP and TRICARE contractors, pharmaceutical companies, and a wide variety of providers.

Over the last 20 years, our practice has focused on disputes with government agencies, auditors, and the Office of the Inspector General. As a result, our lawyers have unparalleled experience in government investigations, voluntary disclosures, and defense of health care entities in qui tam actions. It is fair to say that we wrote the book in this area: "Responding to Government Investigations," Health Care Fraud Litig. Rep. (Andrews Pubs), April 1997. It is also true that we have litigated some of the most important cases involving alleged fraud by members of the health care industry.

Our lawyers are uniquely skilled at advising clients on how to respond to and, more importantly, avoid trouble. This includes responding to investigations, defending False Claims Act and qui tam actions, developing compliance programs and training, as well as advising on a broad range of legislation and agency policies, including the following:

  • Medicare/Medicaid Anti-Kickback Act
  • Stark rules
  • Exclusion and suspension
  • Billing and claims processing requirements
  • Coordination of benefits
  • Federal Employees Health Benefits Program
  • Upcoding
  • Physician incentive payments
  • Medicare secondary payor
  • Emergency Medical Treatment and Active Labor Act (EMTALA, or anti-dumping act)
  • Medicaid Rebate Act and Veterans Health Care Act of 1992
  • Provider reimbursement under Medicare and Medicaid
  • Pharmacy benefit management contracts
  • ERISA preemption
  • Provider and beneficiary appeals and grievance processes
  • Privacy and HIPAA compliance
  • Health care mergers and acquisitions

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Recent GAO Decision Permits One-sided Discussions as Agency Corrective Action (August 15, 2019). Authors: Eric M. Ransom, Mark A. Ries and Robert J. Sneckenberg.
Publications
DOD's 3D Printing Push Leaves Legal Question Open Law360 (August 14, 2019)
In the News
"Under the Wire: FAR Council Announces Interim Rule to Implement NDAA Procurement Ban on Huawei and Other Chinese Telecommunications Equipment," Government Contracts Bullet Points (August 13, 2019). Contacts: Adelicia R. Cliffe, Paul Freeman, Alan W. H. Gourley, Kate M. Growley, CIPP/G, CIPP/US, Michael G. Gruden, CIPP/G
Client Alert/Newsletter
"Scollick Spotlights Need for Sureties to Understand False Claims Act Risks," Government Contracts Bullet Points (August 12, 2019). Contacts: Jason M. Crawford, David B. Robbins
Client Alert/Newsletter
"Fastest 5 Minutes: DoD OIG, Cybersecurity, CIGIE News (August 9)," Podcast: Fastest 5 Minutes in Government Contracts (August 9, 2019). Contact: Peter Eyre
Client Alert/Newsletter
"Payers, Providers, and Patients – Oh My!: Health Care Compliance Programs," Podcast: Payers, Providers, and Patients – Oh My! (August 7, 2019). Contacts: Jacinta Alves, Payal Nanavati, Joe Records
Client Alert/Newsletter
"An Opening Salvo for Cybersecurity FCA Cases," Government Contracts Bullet Points (August 6, 2019). Contacts: Jason M. Crawford, David B. Robbins, Gail D. Zirkelbach, Brian Tully McLaughlin
Client Alert/Newsletter
"Uncontrolled Information: DoD Audit Finds Contractor Lapses in Protecting Controlled Unclassified Information ," Government Contracts Bullet Points (August 2, 2019). Contacts: Kate M. Growley, CIPP/G, CIPP/US, Evan D. Wolff, Maida Oringher Lerner, Michael G. Gruden, CIPP/G
Client Alert/Newsletter
Living In A Twitter World: Focusing On News That Matters In A Digital Age (August 1, 2019). Author: Paul M. Rosen.
Publications
The Surety Company's Guide To Mitigating False Claims Act Risks (August 2019). Authors: David B. Robbins, and Jason M. Crawford.
Publications

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Crowell & Moring LLP is an international law firm with more than 500 lawyers representing clients in litigation and arbitration, regulatory, and transactional matters. The firm is internationally recognized for its representation of Fortune 500 companies in high-stakes litigation, as well as its ongoing commitment to pro bono service and diversity. The firm has offices in Washington, DC, New York, Los Angeles, San Francisco, Orange County, London, and Brussels.

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