Health Care Enforcement
Litigation
Defense of Healthcare Providers in Investigations, Enforcement Actions, and Regulatory Disputes
WH Burkley represents healthcare providers, physician groups, hospitals, and related organizations in regulatory investigations, enforcement actions, and healthcare-related disputes. We provide practical, business-focused counsel to help clients manage risk, respond to government scrutiny, and protect operations and reputations.
Healthcare enforcement matters often involve overlapping regulatory, operational, and financial considerations. We work closely with clients to assess exposure, develop coordinated strategies, and guide them through complex investigations and proceedings.
Government Investigations and Enforcement
• Defense in investigations by federal and state agencies
• Responding to subpoenas, civil investigative demands, and audits
• Representation in enforcement proceedings and administrative actions
• Managing parallel civil, regulatory, and potential criminal matters
Regulatory Compliance and Disputes
• Advising on compliance with the Stark Law, Anti-Kickback Statute, False Claims Act, HIPAA, and other healthcare regulatory requirements
• Defense of claims involving improper billing, coding, and reimbursement
• Responding to overpayment demands and recoupment actions
• Addressing Medicare and Medicaid reimbursement disputes
Healthcare Audits and Administrative Proceedings
• Representation in audits and program integrity reviews
• Appeals of reimbursement and coverage determinations
• Defense in administrative hearings and agency proceedings
• Coordinating responses to payer and government reviews
Risk Management and Internal Investigations
• Conducting internal reviews related to compliance concerns
• Advising leadership on regulatory risk exposure
• Developing corrective action and remediation strategies
• Coordinating with compliance officers and healthcare consultants
Our Approach
- Align defense strategy with regulatory requirements and operational priorities
- Move matters forward efficiently across investigations, audits, and proceedings
- Coordinate across legal, compliance, and operational teams
- Focus on resolving matters while minimizing disruption and reputational risk
- Prioritize responsiveness, clear communication, and practical guidance
Why WH Burkley
- Experience representing healthcare providers, physician groups, hospitals, and healthcare organizations in enforcement and regulatory matters
- Strong understanding of reimbursement, billing, privacy, and healthcare compliance requirements
- Ability to manage audits, investigations, administrative proceedings, and related litigation efficiently
- Integration with litigation, regulatory, healthcare, and corporate advisory capabilities
- Responsive, partner-level advocacy focused on operational continuity and risk management
Recognition
Best Law Firms | Cleveland
- Band 1 – Litigation – Bankruptcy
Best Law Firms | Pittsburgh
- Band 1 – Litigation – Bankruptcy
- Band 2 – Litigation – Commercial
Best Law Firms | US
- Band 2 – Litigation – Bankruptcy
*Certain recognitions displayed on this page were earned prior to the formation of WH Burkley LLP and may reflect the accomplishments of our legacy firms, Walter Haverfield LLP and Bernstein-Burkley, P.C.