Investigations, Enforcement, and Litigation Attorneys for Virginia Health Care Providers

The health care industry receives special focus from state and federal enforcement agencies for prevention and investigation of fraud. Mellette PC has advised clients on all aspects of investigation and litigation in complex cases involving a wide range of health care fraud or compliance violation allegations and health care litigation, including:

• Federal False Claims Act, Stark self-referral, Anti-Kickback, and Civil Monetary Penalty laws
• HIPAA audits and complaint investigations
• Virginia false claims, anti-kickback, and related laws
• Medicaid human rights regulations
• Improper billing and coding; and
• Business tort and damages claims against health care providers.

Representative prior engagements include:

• Representing a nursing facility on repayment issues
• Representing a physician and group practice in successfully appealing a denial of Medicaid billing privileges
• Representing a provider on self-disclosure following employment of excluded individual brought by state protection and advocacy agencies
• Representing long term care providers on claims monitoring
• Advising physicians on overpayment demands and disclosures