BlueCross BlueShield of North Carolina

Medical billing fraud litigation for Blue Cross and Blue Shield of North Carolina

Represented BlueCross BlueShield of North Carolina as plaintiff in numerous cases against medical providers for billing fraud, one of which more

Multiple Representative Clients

Internal investigations for health care clients *

Represented multiple health care clients in connection with internal investigations and assistance in developing and implementing comprehensive more

False Claims Act investigations for several corporations

Represented corporations in civil and criminal False Claims Act investigations and litigation, including government contracting, tax and healthcare more

Assistance with Department of Justice and Attorney General Civil Investigative Demands for corporate clients

Assisted corporate clients with responses to Civil Investigative Demands issued by U.S. Attorneys’ Offices and state Attorneys General. more

Representative Client

Declination of prosecution in criminal tax matter

Represented a company in criminal tax matter, resulting in Department of Justice declination of prosecution. more

False claims matter for the largest cardiology subspecialty group in the Southeast

Represented the largest cardiology subspecialty group in the Southeast in settlement of health care false claims matter with the Department of more

Investigation by U.S. Attorney's office & HHS into billing practices

Represented a medical group, in an investigation by the U.S. Attorney’s Office and U.S. Department of Health & Human Services concerning medical more

Billing fraud litigation for one of largest health care insurers in North Carolina

Represent one of largest health care insurers in North Carolina in numerous cases pending against medical providers for billing fraud, demonstrating more

Health care litigation for hospital system

Represented hospital system in investigating potential Stark and anti-kickback law violations and subsequently in the preparation and submission of a  more

Litigation for health care institutional system

Represented an institutional health care system in a qui tam action brought by a former staff anesthesiologist who alleged improper billing of more

Insurance recoveries for federal False Claims Act qui tam claims for a home healthcare company

The firm served as lead counsel for a home healthcare company CEO in a matter that included underlying claims more

Class action suit for major hospital

Represented a major hospital in a multimillion dollar, putative class action involving billing practices for managed care more

Fraud investigation into officer malfeasance of a medical group

Led an internal investigation into a fraudulent scheme conducted by an officer of a medical group. more

U.S. Department of Justice

U.S. v. Mountain Health Care *

Supervised investigation and case on behalf the U.S. Department of Justice against Mountain Health Care. Internal investigation related to grand jury  more