Rhoads & Sinon LLP has broad experience with compliance issues faced by institutions and other health care providers, ranging from compliance plan development to specific reimbursement/fraud and abuse experiences, to fraud investigations by state and federal government agencies. In this regard, the firm has:
- structured and implemented compliance programs for hospitals, medical groups, and other health care providers;
- coordinated self-initiated compliance audits;
- represented clients in negotiations with regulatory officials during investigation and settlement phases; and
- structured and negotiated appropriate written settlement agreements.
During internal investigations, the firm is experienced in working closely with hospital boards, senior management and staff, and outside consultants concerning gathering documentation for review and submission to government investigators. Importantly, the firm's involvement in such matters helps ensure the confidentiality and attorney/client privilege of the client's information compiled during the internal investigation, and also provides legal guidance on which critical issues to address and how to handle the findings of the investigation. The firm's attorneys have developed positive working relationships with representatives of federal and state agencies which we believe can help facilitate settlements.
The firm's attorneys have frequently lectured to various trade organizations regarding audits and investigations. Additionally, the firm's attorneys have made numerous presentations about compliance programs to individual health care providers, group practices, hospitals, and managed care organizations.