Overview
Healthcare fraud and abuse consulting addresses violations of the False Claims Act, Anti-Kickback Statute, Stark Law, and other federal and state laws governing healthcare billing, referrals, and financial relationships. MDT Expert Consulting provides access to former federal prosecutors, compliance officers, and healthcare billing experts who evaluate whether billing practices, financial arrangements, and business relationships complied with applicable fraud and abuse laws in government investigations, qui tam litigation, and corporate compliance failures.
Pre-Litigation Support
Before litigation or in response to government investigation, healthcare fraud experts help counsel evaluate the strength and scope of potential liability. They review billing records, coding practices, financial arrangements, and compliance program documentation to assess whether the conduct at issue constitutes a cognizable violation and to quantify potential exposure under applicable statutory frameworks.
Litigation Support
In litigation, healthcare fraud and abuse experts assist in interpreting complex billing data, evaluating the adequacy of compliance programs, and assessing whether financial arrangements violated the Anti-Kickback Statute or Stark Law. They help counsel frame discovery around financial records, referral patterns, and compliance documentation.
Arbitration Support
Healthcare fraud and abuse experts in arbitration address commercial disputes involving compliance representations, indemnification obligations, and contractual warranties related to billing practices.