Skip to content

Healthcare Internal Investigations

In addition to an extensive healthcare practice focused on the regulatory and corporate issues facing healthcare providers of all kinds, Thompson & Knight has substantial expertise regarding healthcare internal investigations. Our focus is on protecting the rights of healthcare providers and organizations, both when they have significant claims against others and when they themselves may be threatened with investigations or lawsuits related to their practice.

Overview

In addition to an extensive healthcare practice focused on the regulatory and corporate issues facing healthcare providers of all kinds, Thompson & Knight has substantial expertise regarding healthcare internal investigations. Our focus is on protecting the rights of healthcare providers and organizations, both when they have significant claims against others and when they themselves may be threatened with investigations or lawsuits related to their practice.

Our attorneys have wide-ranging experience and abilities representing healthcare providers and other individuals and entities who may find themselves either the target of or merely a third-party caught up in a government or private investigation. Thompson & Knight attorneys have represented healthcare providers in each of the following contexts as well:

  • Governmental fraud and abuse investigations;
  • Antitrust investigations and suits (both governmental and private);
  • Allegations of Stark law or anti-kickback violations;
  • Peer review hearings;
  • Licensure denial or revocation;
  • Regulatory and administrative actions; and
  • Responses to third-party, administrative, and grand jury subpoenas and civil investigative demands received from state and federal agencies.

Named among the top firms in Texas for Healthcare in Chambers USA 2019 by Chambers and Partners

Received a first-tier ranking in Dallas for Healthcare Law in U.S. News - Best Lawyers® “Best Law Firms” 2019

Experience

  • Represented a healthcare provider in an investigation of whistleblower claims related to billing practices
  • Have represented a pharmacy benefit manager and other large general and specialty pharmacy companies in internal investigations triggered by internal audits, third-party audits, or whistleblowers
  • Represented a national healthcare contracting services company in a state drug-pricing investigation
  • Represented a large hospital system in a state investigation related to drug pricing and formulary practices
  • Represented a national healthcare company in coordinated federal and state fraud and abuse investigations related to hospital and home-health operations
  • Represented a healthcare provider in defense of a healthcare fraud investigation
  • Have represented various healthcare providers in regard to investigations of audits and fraud
  • Represented a group of physicians in an adjudicatory proceeding before the Federal Trade Commission involving price-fixing allegations
  • Representing a medical device manufacturer in a lawsuit involving claims under the False Claims Act
  • Representing our client, a large hospital system, in an investigation of the system’s designation of certain cardiac imaging labs as “provider-based” facilities
  • Manage a national pharmaceutical company’s response to a Civil Investigative Demand from the Texas Attorney General’s Office requesting documents related to the company’s drug price reporting to the Texas Medicaid Program