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Health Care Fraud and Abuse Defense

Experience Matters

The health care industry is one of the most heavily regulated and complex industries in America. Health care laws and regulations, as well as the government’s enforcement priorities, change frequently and require constant study and attention. Indeed, the only thing that remains unchanged in the health care industry is the federal government’s intense and unrelenting efforts to combat health care fraud and abuse. The government is now dedicating an unprecedented level of resources to health care fraud initiatives, and is working proactively to bring enforcement actions against all types of health care providers.

When allegations of health care fraud or abuse arise, health care institutions, senior health care executives, and health care professionals should be represented by a health care lawyer with extensive experience defending complex fraud and abuse cases. The statutes and regulations addressing health care fraud and abuse are extraordinarily complex and challenging to navigate without the guidance of a knowledgeable and skilled attorney.  

We Know the Health Care Industry

To effectively defend a health care fraud investigation, an attorney needs more than just an understanding of the complex web of health care laws and regulations. Indeed, our attorneys also understand how health care businesses operate and the unique competitive pressures they face, including the need to recruit top medical talent and maintain revenues in a time of increased regulation and decreased reimbursement rates. Our attorneys speak your language and are uniquely suited to help you develop strategies and approaches that meet strict regulatory requirements, while advancing your critical business goals. We have years of experience representing a myriad of health care providers, including:

We Understand Fraud and Abuse Laws and Government Agencies

At Stumphauzer & Sloman, our attorneys have years of experience handling sophisticated health care fraud and abuse cases. In private practice and previously as federal prosecutors, our lawyers have managed hundreds of health care fraud and abuse cases, from grand jury investigation through jury trial and sentencing, including matters involving:

Our attorneys understand the complex interaction between these laws and the multiple government agencies responsible for their enforcement. All of our firm’s principals have worked as federal prosecutors with the U.S. Attorney’s Office, and attorney Ryan Stumphauzer was the Deputy Chief of the Health Care Fraud Unit at the U.S. Attorney’s Office in the Southern District of Florida.

Based on this experience, we have a keen awareness of how parallel investigations and enforcement proceedings against a health care provider may be instituted by different agencies including the U.S. Department of Justice (DOJ), the U.S. Department of Health and Human Services - Office of the Inspector General (HHS-OIG), the Federal Bureau of Investigation (FBI), and the Florida Attorney General’s Medicaid Fraud Control Unit (MFCU).

When parallel proceedings arise, our attorneys know how to guide clients through simultaneous investigations and enforcement actions. We also understand the various types of civil, criminal and administrative sanctions that each of these governmental entities can impose.

Representative Engagements

We have represented clients in some of the nation’s highest profile health care fraud and abuse investigations. We draw upon our extensive experience and knowledge to design a complete and coordinated defense strategy. Some of our representative engagements include:

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Stumphauzer & Sloman

Our Location

1 SE 3rd Avenue
Suite 1820

Miami, FL 33131

P: (305) 371-9686
Facsimile: (305) 371-9687

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