Cases
Representative Matters: Litigation & Defense: In March 2015, won dismissal of a criminal patient abuse complaint brought by a state Medicaid Fraud Control Unit against a skilled nursing facility
national management company, involving the death of an elderly patient in State of New Mexico v. THI of New Mexico at Albuquerque Care Center, LLC
THI of Baltimore Management, LLC (Second Judicial District Court, County of Bernalillo, New Mexico (No. D-0202-CR-2010-03648 - 03649)
Lead counsel representing defendant pharmacy in Thulin v. Shopko Stores Operating Co., LLC, 771 F.3d 994 (7th Cir. 2014), in which the Seventh Circuit Court of Appeals upheld the District Court's (W.D. Wis) dismissed with prejudice of a qui tam FCA case alleging Medicaid pharmacy billing fraud, for failure to state a claim or to properly plead an actionable offense. Prior to the formal litigation we were able to obtain the declination of the Department of Justice
all eight states in which the relator filed state FCA actions
Represented defendant medical device manufacturer in Arnold v. Alphatec Spine, Inc., 2014 U.S. Dist. LEXIS 87079
2014 WL 2896838, in which the District Court (W.D. Ohio) dismissed with prejudice RICO (with underlying kickback allegations)
products liability allegations related to implantation of tissue-growth material as part of spinal device surgery
Counsel for cardiologists in qui tam False Claims Act (FCA) case alleging medical device company kickbacks
Counsel for a physician facing m
atory exclusion which led to the OIG withdrawing its action
Lead counsel in Colorado Heart Institute, LLC v. Leavitt, 609 F. Supp. 2d 30 (D.D.C. 2009), a suit challenging the CMS Stark Law regulations
Counsel to a hospital executive
his management company in United States v. Jones, 475 F.3d 701 (5th Cir. 2007), a criminal related party cost report fraud case reversing the district court's sentencing
restitution order based on a failure of the government's proof
Part of the criminal defense team in the trial of TAP managers in Boston, resulting in a Rule 29 judgment of acquittal for the firm's client
Lead amici counsel to the American Hospital Association, Federation of American Hospitals, Association of American Medical Colleges, American Osteopathic Association,
Missouri Hospital Association in United States v. McClatchey, (217 F.3d 823, 10th Circ. 2000)
United States v. Lahue, (261 F.3d 993, 10th Circ. 2001), cases that challenged the application of the so-called one purpose rule which holds that a provider can be found guilty under the anti-kickback statute if one purpose in paying remuneration is to induce referrals
Compliance & Regulatory: Represented hospitals
other providers in self-disclosures to the OIG, CMS
US Attorneys' Offices for potential Stark Law, Anti-Kickback
FCA violations
Representing academic medical center in its affiliation agreements with community physicians
hospitals
Represented academic physician groups in considering restructuring options to better face health care reform challenges.
Led audit team of an academic medical center's compliance program
Represented numerous cardiology practices in developing strategic relationships with hospitals
Represented national trade association in seeking Stark law regulatory changes