Healthcare Compliance

Regulation and policy set the standard for healthcare in the United States today. As part of their license to operate, providers strive to stay abreast of and comply with constantly changing legislation governing this important industry. The adverse effects — both financial and reputational — associated with government enforcement actions for non-compliance can be detrimental to a healthcare provider’s ability to achieve its business targets. However, with multiple agencies overseeing the healthcare industry, it is sometimes difficult to know where to begin and how to maintain a comprehensive compliance regimen.

With an experienced group of more than 60 industry-focused lawyers, McGuireWoods has counseled numerous clients in a variety of compliance issues. We regularly help our clients establish guidelines and procedures to encourage compliance at all levels of government and minimize the risks associated with non-compliance. When compliance issues arise, we are able to adeptly and swiftly resolve them so our clients can return to the business of providing healthcare services.

We have broad experience in state and federal fraud cases, investigations, and enforcement proceedings with Medicare Fraud Control units, divisions of state attorneys general offices, the U.S. Department of Health and Human Services, Office of Inspector General, and the U.S. Department of Justice. We have handled Medicaid and Medicare audits and negotiated settlements of government investigations on behalf of numerous clients.