Healthcare Investigations
Facing a Federal or State Healthcare Fraud Investigation?
If you, your practice, or your medical business have been notified of a pending audit, investigation, or enforcement action involving any regulatory agency or government contractor, the time to act is now. At Hendershot Cowart P.C., our Texas healthcare investigation defense lawyers are available to provide the immediate defense you need to protect your practice and reputation.
Heathcare Investigations Practice Areas
- Anti-Kickback Statute
- Appealing a Medicare Enrollment Denial
- Billing for Services Not Rendered
- Civil Investigative Demands
- Compounding Pharmacy Fraud
- Corporate Practice of Medicine Doctrine
- Eliminating Kickbacks in Recovery Act (EKRA)
- False Claims Act
- FDA Investigations
- Health & Human Services Investigations
- Insurance Company SIU Audits
- Managed Care Organization Fraud Investigations
- Medical & Professional License Defense
- Medicare & Medicaid Recoupment
- Medicare Billing Privilege Revocations & Appeals
- Medicare Exclusions
- Medicare Fraud
- Medicare Payment Suspension
- Novitas Audits
- OIG Investigation
- OIG Self-Disclosure Protocol
- RAC (Cotiviti or Performant) Audits
- Stark Law
- UPIC (Qlarant) Audits
Houston Healthcare Investigation Attorneys
Protecting Healthcare Businesses and Professionals in Texas and Across the Nation
Regulators, auditors, and others who initiate healthcare fraud actions are highly sensitive to spotting inconsistencies and unusual patterns, and aggressive in pursuing potential violations. They also work to stay a step ahead: When agencies come knocking on your door, chances are they have already invested significant time investigating your case.
As a firm trusted by clients and colleagues nationwide, we understand the importance of early intervention when it comes to resolving healthcare actions as quickly as possible, mitigating your exposure to penalties, and preventing audits or civil investigations from being referred for criminal prosecution.
Hendershot Cowart P.C. is a nationally recognized healthcare law firm with extensive experience protecting the rights and businesses of physicians and other healthcare providers, suppliers, and facilities.
On This Page
- How Hendershot Cowart P.C. Can Help
- Who We Represent
- Responsive Representation in Medicare Fraud Defense
- Proactive Compliance Services
Read Our blog: What Is Involved in a Healthcare Fraud Investigation?
Because acting quickly is critical to establishing lines of communication with the investigating body and for devising a comprehensive defense strategy, we encourage you to speak with an attorney as soon as possible after receiving notice of any action, audit, or investigation.
How Hendershot Cowart P.C. Can Help
Since 1987, our Houston attorneys have represented thousands of individuals and companies in complex and high-stakes audits, investigations, and other civil and administrative proceedings at both the state and federal level – including those involving:
- STARK Law violations
- Anti-Kickback Statute violations
- False Claims Act violations
- Improper billing practices
- Improper referral arrangements
- Non-compliant billing agreements
- Billing for services not rendered
- Improper supervision for services rendered
- Billing for services under improper credentials
- Failure to properly document medical necessity
- Failure to timely pay an overpayment (60-Day rule)
- Civil Investigative Demands
- OIG investigations and OIG subpoenas
- Telemedicine fraud
- Medical license defense
- Medicare and Medicaid fraud
- CMS exclusions
- UPIC audits
- Prohibition against the Corporate Practice of Medicine (CPOM) Violations
- RAC audits
- Prescription drug fraud
- Compounding pharmacy fraud
- TRICARE audits and investigations
- EKRA (Eliminating Kickbacks in Recovery Act)
Who We Represent
Hendershot Cowart P.C. represents all types of individuals, professionals, and entities facing fraud-related healthcare actions, including:
- Individual physicians and corporate executives
- Physician practices and medical groups
- Hospitals, clinics, and healthcare systems
- Long-term care providers
- Pharmacies, pharmacists, and technicians
- Ambulatory surgical centers
- Medical device manufacturers
- Durable medical equipment (DME) companies
- Diagnostic and testing facilities
- Management service organizations (MSOs)
Our firm has successfully represented clients against audits, investigations, and enforcement actions involving a range of state and federal agencies and administrative entities, including the
- Department of Health and Human Services (HHS)
- Office of Inspector General (OIG)
- Texas Medical Board (TMB) and Texas Board of Nursing (BON)
- Texas Department of Insurance (TDI)
- Centers for Medicare and Medicaid Services (CMS)
- Department of State Health Services
- And other contractors, agencies, and administrative licensing boards
Responsive Representation in Medicare Fraud Defense
If you are facing any fraud allegation, audit, or investigation related to Medicaid or Medicare, our firm is prepared to immediately represent you. Our goals in these cases include:
- Keeping cases civil, rather than criminal.
- Maintaining confidentiality and protecting reputation.
- Reaching good faith resolutions and negotiating fair outcomes.
Learn More About Our Medicare and Healthcare Fraud Services
- Appealing a Medicare Enrollment Denial
- Responding to Civil Investigative Demands (CID)
- Medicare Fraud Investigations
- Medicare Recoupment
- Medicare Billing Privilege Revocations & Appeals
- Medicare Exclusions
- Novitas or Qlarant Audits
- OIG Investigations
- RAC Audits
- TRICARE Fraud
- UPIC Audits
Call to Speak With Our Healthcare Investigations Team Today
Based in Houston, our attorneys serve clients across Texas and the U.S., and are available to discuss your case immediately.
In addition to defense representation, our firm also provides proactive counsel to help clients in the healthcare industry assess regulatory compliance, and create comprehensive training and compliance plans.
Proactive Compliance Services
Consequences associated with healthcare fraud investigations and Medicare enrollment or participation sanctions can be extreme, which is why building a medical business upon a compliant foundation is critical. Limiting risks also requires a front-footed approach, careful planning, and a focus on prevention.
We not only defend clients from audits and investigations. We also help safeguard clients from business disputes and regulatory scrutiny with comprehensive compliance plans and clear, enforceable agreements.
Our Clients Share Their Experiences
Your Stories Drive Us to Continuously Improve
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“I cannot say enough good things about my Lawyer, Mr. David Augustus. His calm, laser-like knowledge of business law allowed me to prevail and teach a few others during the short negotiations. Having the full backing of his law firm also helped greatly.” - L.A.
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“Excellent experience working with Ray to settle our partnership disillusion. He was consistently available and steadfast in his guidance. Highly recommend this firm.” - S.H.
