Ed Rauzi knows how government programs pay the health care industry, including hospitals, nursing facilities, pharmacies, physicians and home health agencies. He defends health care providers against whistleblower allegations and lawsuits, designs and implements corporate compliance plans, and oversees and conducts internal investigations when necessary. Ed monitors emerging health care issues and advises clients of the potential implications for their operations.
Practice Highlights
- Assisted hospital in responding to pneumonia upcoding investigation and negotiating and implementing Corporate Integrity Agreement
- Assisted hospital system in investigating Stark issue, drafting and submitting voluntary disclosure and negotiating and implementing Corporate Integrity Agreement
- Assisted oncology contractor in investigation of modifier use in claims submission, negotiation of settlement with assistant U.S. attorney (with no Corporate Integrity Agreement)
- Assisted hospital in responding to whistleblower complaint and member of team that obtained summary judgment dismissing lawsuit
- Assisted hospital in investigating disproportionate share payments issue and negotiating Corporate Integrity Agreement