Buchalter’s health care trial attorneys represent clients nationally in federal and state courts as well as in public and private administrative proceedings and alternative dispute resolution forums. Buchalter offers a prominent group of attorneys successful in both the prosecution and defense of civil actions as well as a strong group of attorneys with prosecutorial experience who provide a dominant presence for targeted clients in criminal investigations. Their breadth of experience and successful results include:
- Business practices and control disputes.
- Defense of investigations and allegations of fraud, kickbacks, and corruption, including False Claims Act cases brought by the Office of the Inspector General and the Department of Justice.
- Defense of non-health plan payors in overpayment and reimbursement disputes.
- Defense of providers against private and government payor audits.
- Defense of putative class actions, including those involving against antitrust claims.
- Health plan post-termination payment obligations, including statutory and regulatory continuity of care requirements.
- Intellectual property disputes.
- Large exposure reimbursement cases related to commercial payors as well as Medicare and Medicaid managed care, and involving medical necessity, coding, authorization, insolvency, and/or delegation.
- Leased network, silent PPO, and other third-party payor litigation.
- Medical and other professional licensing, including proceedings before the Medical Board of California, the Board of Psychology, the Board of Behavioral Sciences, the Dental Board, the Board of Registered Nursing, and the Pharmacy Board.
- Medical malpractice.
- Medical staff peer review proceedings.
- MSO and administrative services contractual disputes.
- Private administrative proceedings involving termination and delisting of providers.
- Provider representation in litigation of HIPAA and state law confidentiality compliance disputes.
- Representation before regulatory boards, arbitral bodies, and judiciaries in connection with corporate practice of medicine and corporate practice of dentistry claims.
- Underpaid claims for ancillary, hospital, and professional services.
- Writ of mandate proceedings related to public agency and private administrative proceedings, including challenges to and defense of decisions.