Services

Representative Experience

Successfully Represented Medicaid Providers in Draft Audit Findings

We have successfully prepared documentation and legal arguments on behalf of Medicaid providers in response to Medicaid draft audit findings, reducing the state’s demands for repayment from more than one million dollars to as little as zero dollars.
Successful Defense of Client During Investigation of Alleged HIPAA Violations

Amundsen Davis represented a client during a Department of Health and Human Services (DHHS) Office of Civil Rights (OCR) investigation into various alleged HIPAA violations. The representation expanded into other complex issues requiring diplomacy, legal analysis, and development of new policies to achieve resolution. OCR concluded the complaint investigation in favor of the client.
Obtained Dismissal of a False Claims Act Complaint Involving a Health Care Entity's Medicaid Billing Practices

Amundsen Davis defended a health care entity against a False Claims Act (FCA) complaint involving the client’s Medicaid billing practices. We obtained dismissal of the complaint by successfully arguing that the relator plaintiff failed to plead fraudulent conduct with sufficient particularity.
Successful Defense of a Skilled Nursing Facility in a False Claims Act Complaint

Amundsen Davis defended a skilled nursing facility (SNF) against a False Claims Act (FCA) complaint brought by the Indiana Medicaid Fraud Control Unit (MFCU) involving certain state licensing requirements. We successfully negotiated a resolution of that matter. The MFCU initially sought fines and penalties in excess of $1M and the matter was resolved for less than $100k.