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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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"ASBCA Holds that Transmission Emails are "Part of the Same Transaction" as Mods for Plain Meaning Purposes," Government Contracts Bullet Points (May 24, 2019). Contacts: Brian Tully McLaughlin, Stephen J. McBrady, Skye Mathieson, Michelle D. Coleman
Client Alert/Newsletter
"Take Two: DoD Issues Another Proposed Rule on Performance-Based Payments," Government Contracts Bullet Points (May 23, 2019). Contacts: Elizabeth Buehler, Nicole Owren-Wiest, Catherine O. Shames
Client Alert/Newsletter
"Defective Pricing & the False Claims Act," False Claims Bullet Points (May 21, 2019). Contacts: David Z. Bodenheimer, Brian Tully McLaughlin, Jason M. Crawford
Client Alert/Newsletter
"Foreign Governments Join the Commercial Item Party," Government Contracts Bullet Points (May 20, 2019). Contacts: Nicole Owren-Wiest, Lorraine M. Campos, Elizabeth Buehler, Catherine O. Shames
Client Alert/Newsletter
"Let's Talk FCA: The Lasting Impact of the FERA Amendments (May 2019)," Podcast: Let's Talk FCA (May 20, 2019). Contacts: Brian C. Elmer, Mana Elihu Lombardo, Jason M. Crawford
Client Alert/Newsletter
"Fastest 5 Minutes: EEO-1, SBA, FCA News (May 17)," Podcast: Fastest 5 Minutes in Government Contracts (May 17, 2019). Contacts: Peter Eyre, David B. Robbins
Client Alert/Newsletter
"New Executive Order on IT Supply Chain Takes Aim at Huawei and Others, Poses Significant Implications for Government Contract Supply Chains," Government Contracts Bullet Points (May 16, 2019). Contacts: Paul Freeman, Adelicia R. Cliffe, Peter Eyre, Kate M. Growley, CIPP/G, CIPP/US, Evan D. Wolff
Client Alert/Newsletter
Legal Landmines And Patchworks: The State Of Privacy And Cybersecurity Compliance For Business (May 15, 2019). Author: Paul M. Rosen.
Publications
Kuwaiti Judge Rejects Testimony On Behalf Of Imprisoned Female CEO Newsmaxworld (May 15, 2019)
In the News
"For Whom the Statute Tolls: Ten Years Is Now the Default Statute of Limitations Period for All FCA Cases, High Court Holds," False Claims Bullet Points (May 13, 2019). Contacts: Brian Tully McLaughlin, Gail D. Zirkelbach, Mark R. Troy, Jason M. Crawford, Sarah A. Hill
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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