A significant percentage of Miedel & Mysliwiec LLP‘s clients are doctors or other health care providers. Our representations for a client can involve defending providers against insurance companies, regulatory agencies like HHS, and law enforcement civil and criminal investigations. We also coordinate representation for health care professionals facing state licensing issues. Sometimes our representations involve all of these issues. They can also involve representation in New York State, the Southern or Eastern Districts of New York, or in proceedings before the Department of Health and Human Services.
We have responded to “clawback” claims from insurance companies arguing that health care providers were overpaid. We have advocated at the Department of Health and Human Services to prevent a doctor from being excluded as a provider in federal health care programs. We have conducted internal investigations for clients to determine potential liability and respond to audits, subpoenas or other legal proceedings. We have defended against “whistleblower” or government-initiated Civil False Claims Act and health care fraud claims. And, we have successfully defended against criminal investigations and/or charges alleging that clients committed health care fraud.