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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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"Don’t Let Blockchain (DLT) be the next 5G: Blockchain in China and the U.S.," Crowell & Moring Webinar (September 30, 2020). Presenters: Adelicia R. Cliffe and Michelle Ann Gitlitz.
"All Things Protest: Fiscal Year Focus Areas (September 2020)," Podcast: All Things Protest (September 29, 2020). Contacts: Christian N. Curran, Olivia Lynch, Robert J. Sneckenberg
Client Alert/Newsletter
"Buy 1 Get 2 Free Special on Cyber Regulations: DoD Interim Rule Unveils 3 New Clauses Geared at Cybersecurity Assessments," Privacy Law Alert (September 29, 2020). Contacts: Evan D. Wolff, Kate M. Growley, CIPP/G, CIPP/US, Maida Oringher Lerner, Michael G. Gruden, CIPP/G, Christopher R. Hebdon
Client Alert/Newsletter
"Fastest 5 Minutes: Executive Order on Combating Race and Sex Stereotyping (September 28)," Podcast: Fastest 5 Minutes in Government Contracts (September 28, 2020). Contacts: Trina Fairley Barlow, Peter Eyre
Client Alert/Newsletter
"Information Risk Management & Security," Government Contracts "101" - Back to Basics Webinar (September 25, 2020). Presenters: Kate M. Growley, Evan D. Wolff, and Michael G. Gruden.
"The Basics of Commercial Item Contracting and the GSA FSS Contract," Government Contracts "101" - Back to Basics Webinar (September 24, 2020). Presenters: Adelicia R. Cliffe, J. Chris Haile, Rina M. Gashaw, and William B. O'Reilly.
"Procurement Fraud and Enforcement," Government Contracts "101" - Back to Basics Webinar (September 24, 2020). Presenters: Brian Tully McLaughlin, Rebecca L. Springer, Nkechi A. Kanu, and Matthew Vicinanzo.
"Costs and Pricing: No Contract is Really Final," Government Contracts "101" - Back to Basics Webinar (September 23, 2020). Presenters: Nicole Owren-Wiest, Skye Mathieson, and Charles Baek.
"Data and Patent Rights When Contracting with the U.S. Government," Government Contracts "101" - Back to Basics Webinar (September 23, 2020). Presenters: Jonathan M. Baker, John E. McCarthy, Jr., Christopher D. Garcia, and M. Yuan Zhou.
"Executive Order on Combating Race and Sex Stereotyping Bans Some Diversity Training, Raises Significant Constitutional and Other Questions for Contractors ," Government Contracts Bullet Points (September 23, 2020). Contacts: Trina Fairley Barlow, Adelicia R. Cliffe, Kris D. Meade, Preston L. Pugh, Rebecca L. Springer, Jillian Ambrose
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, Brussels, and Shanghai.

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