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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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"Fastest 5 Minutes: CMMC, GSA Schedule, and Cost Accounting News (February 14)," Podcast: Fastest 5 Minutes in Government Contracts (February 14, 2020). Contacts: Peter Eyre, David B. Robbins
Client Alert/Newsletter
"Double Take: The DoD OIG Recommends Attempting to Recoup $43 Million in Purportedly Expressly Unallowable Costs Not Previously Disallowed," Government Contracts Bullet Points (February 13, 2020). Contacts: Stephen J. McBrady, Nicole Owren-Wiest, Skye Mathieson, Michelle D. Coleman, Charles Baek, Catherine O. Shames
Client Alert/Newsletter
"Fastest 5 Minutes: How Marijuana Laws Affect Government Contractors (February 12)," Podcast: Fastest 5 Minutes in Government Contracts (February 12, 2020). Contacts: Thomas P. Gies, Trina Fairley Barlow
Client Alert/Newsletter
"New Rules Combating Trafficking in Counterfeit and Pirated Goods Impact E-Commerce," International Trade Bulletin (February 11, 2020). Contacts: John B. Brew, David R. Stepp, Lorraine M. Campos, Paul M. Rosen, Peter Eyre
Client Alert/Newsletter
"ABA Hosts Joint Meeting to Discuss Procurement Collusion Strike Force," Government Contracts Bullet Points (February 11, 2020). Contacts: Shawn R. Johnson, Gail D. Zirkelbach
Client Alert/Newsletter
"Federal Circuit Confirms Qualification as a "U.S.-Made End Product" under the TAA, Does Not Require Substantial Transformation in the U.S.," Government Contracts Bullet Points (February 10, 2020). Contacts: Alan W. H. Gourley, Lorraine M. Campos, Adelicia R. Cliffe
Client Alert/Newsletter
"Let’s Talk FCA: Top False Claims Act Developments of 2019 (February 2020)," Podcast: Let's Talk FCA (February 10, 2020). Contact: Mana Elihu Lombardo
Client Alert/Newsletter
Enhanced Debriefings Work So Why Can't GSA Move Faster To Make Them Permanent? Federal News Network (February 10, 2020)
In the News
"Application of the Spearin Doctrine Entitles Contractor to Recover FCA Litigation Costs," Government Contracts Bullet Points (February 7, 2020). Contacts: Stephen J. McBrady, J. Chris Haile, Nicole Owren-Wiest, Skye Mathieson, Michelle D. Coleman, John Nakoneczny
Client Alert/Newsletter
"Protecting Work Product: When the Threat of Litigation Is Too Remote for Privilege," Government Contracts Bullet Points (February 6, 2020). Contacts: Nicole Owren-Wiest, Stephen M. Byers, Skye Mathieson, Michelle D. Coleman, Charles Baek, John Nakoneczny
Client Alert/Newsletter

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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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