Robinson+Cole’s Health Law group has extensive experience with all facets of health care compliance and fraud and abuse issues. We have provided compliance counsel, assistance, and representation for publicly traded, privately held, nonprofit, for-profit, and other health care provider entities, including hospitals, laboratories, physician hospital organizations, physician groups and individual practices, home health care agencies, hospice and nursing home providers, dialysis suppliers, durable medical equipment suppliers, information technology and medical device companies, and others involved in health care delivery.

Our lawyers have had experience assisting health care providers regarding the application of health care fraud and abuse laws, including the federal Anti-Kickback Statute, Stark Law, Eliminating Kickbacks in Recovery Act, Civil Monetary Penalties Statute, and False Claims Act. Our assistance addresses the full spectrum of health care compliance, including but not limited to audits, self-reporting, and fraud and abuse analysis and defense issues.

We have worked with a broad range of clients in the development and ongoing operation and review of compliance programs, compliance initiatives, counseling regarding appropriate contractual relationships, and other responses to the rapidly evolving health care regulatory landscape. Given the increased risk of and consequences for noncompliance, our team keeps abreast of developments to help clients navigate the complicated layers of laws and regulations. Such assistance ranges from conducting gap analyses and providing advice and counsel on health care compliance on specific issues to determine whether an appropriate compliance response or corrective action may be necessary to responding to fraud and abuse investigations.

Robinson+Cole supports clients in establishing and evaluating compliance programs with particular focus on federal and state fraud and abuse false claims acts, the Anti-Kickback Statute, the Stark Law, and other compliance-related matters. Such counseling includes internal counseling and review in a preemptive manner as well as responding to investigations and other enforcement initiatives. We have supported clients in assessing appropriate structures for compliance programs, including developing written policies and procedures, developing compliance training programs and initiatives, and performing periodic reviews and redesigns of monitoring and reporting systems.

Given our health care lawyers’ collective decades worth of experience, we have guided clients in reviewing and developing a number of voluntary self-disclosure matters as well as in responding to investigative subpoenas and other enforcement actions. While we are focused on prevention before issues arise, we are also well-positioned to respond to government investigations and audits that are becoming increasingly prevalent in the highly regulated health care marketplace.

In addition, Robinson+Cole counsels clients in transactions to promote compliance with federal, state, anti-kickback, and physician self-referral laws. Our experience and background allow us to counsel clients on structuring compliant arrangements at the start of negotiations and as transactions proceed.