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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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"COFC Refuses to Expand Blue & Gold and Requires Army to Consider Performance Risk in Cost Realism Evaluation," Government Contracts Bullet Points (September 20, 2021). Contacts: Anuj Vohra, Robert J. Sneckenberg, William B. O'Reilly, Karla V. Perez Chacon, John E. McCarthy Jr.
Client Alert/Newsletter
"COVID-19 Vaccination and Safety Considerations Following Biden Administration’s New Vaccine Mandate Initiatives," Crowell & Moring Webinar (September 17, 2021). Speakers: Thomas P. Gies, Katie Erno, Janet Walker, Michelle D. Coleman, and Daniel W. Wolff.
Speech/Presentation
"FAR Updated to Conform with Prior SBA Changes to its Regulations," Government Contracts Bullet Points (September 16, 2021). Contacts: Amy Laderberg O'Sullivan, Olivia Lynch, Michael E. Samuels, Zachary Schroeder
Client Alert/Newsletter
“The Next Sixty Years: Trends and Watch Items in Government Contracting,” 60th Annual National Seminar on Government Contracts (September 15, 2021). Speaker: Michelle D. Coleman.
Speech/Presentation
FAR Conformed to the “New” Limitations on Subcontracting Methodology at 13 C.F.R. § 125.6 (September 15, 2021). Authors: Amy Laderberg O'Sullivan, Olivia Lynch, Michael E. Samuels and Zachary Schroeder.
Publications
Assessing Good Faith Efforts to Comply with a Small Business Subcontracting Plan (September 15, 2021). Authors: Amy Laderberg O'Sullivan, Olivia Lynch, Michael E. Samuels and Zachary Schroeder.
Publications
"President Biden Announces Six-Pronged Plan to Combat COVID-19, With Implications for Both the Private and Public Sector," Labor & Employment Law Alert - US (September 10, 2021). Contacts: Peter Eyre, Thomas P. Gies, Eric Su, Daniel W. Wolff, Michelle D. Coleman, Katie Erno, Christine B. Hawes, Kimberley Johnson
Client Alert/Newsletter
"President Biden Announces National Vaccination Strategy: Contractors Are Subject to New Vaccine Requirements," Government Contracts Bullet Points (September 10, 2021). Contacts: Michelle D. Coleman, Stephen J. McBrady, Nicole Owren-Wiest, Peter Eyre, Thomas P. Gies, Skye Mathieson, John Nakoneczny
Client Alert/Newsletter
"GAO Rules that DoD May Not Require a Small Business Joint Venture Itself to Hold Facility Clearance," Government Contracts Bullet Points (September 8, 2021). Contacts: Peter Eyre, Adelicia R. Cliffe, Jonathan M. Baker, Olivia Lynch, Michael E. Samuels
Client Alert/Newsletter
"Fastest 5 Minutes: Proposed DFARS Provisions, Joint Ventures, and OFCCP," Podcast: Fastest 5 Minutes in Government Contracts (September 7, 2021). Contacts: Peter Eyre, M. Yuan Zhou
Client Alert/Newsletter

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Crowell & Moring LLP is an international law firm with offices in the United States, Europe, MENA, and Asia that represents clients in litigation and arbitration, regulatory and policy, and transactional and corporate matters. The firm is internationally recognized for its representation of Fortune 500 companies in high-stakes litigation and government-facing matters, as well as its ongoing commitment to pro bono service and diversity, equity, and inclusion.

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