Chris joined Poyner Spruill from the North Carolina Attorney General's Office where he served as Director of North Carolina's Medicaid Fraud Control Unit for 17 years. He is regarded as one of the region's most experienced advisors on healthcare enforcement matters. His private practice focuses on assisting clients with complex criminal and civil matters regarding healthcare reimbursement, Medicaid and Medicare compliance, internal investigations, and responses to government investigations and enforcement actions.
Representative Experience
- Served as the National Association of Medicaid Fraud Control Unit’s Team Leader for several global/multi-state health care negotiations and settlements resulting in recovery of over $200 million for state Medicaid programs.
- As a Deputy Attorney General and Special Assistant US Attorney, represented the state and federal government in numerous criminal and civil false claims cases.
- Advises physicians, hospitals and other providers on Medicaid, Medicare and private reimbursement, fraud and abuse, and corporate compliance related matters.
- Represents individuals in disciplinary matters and hearing before the N.C. Medical Board, N.C. Board of Pharmacy and other healthcare related licensing boards.
- Extensive experience with the N.C. Division of Medical Assistance, N.C. Division of Facility Services, US Department of Health and Human Services’ Office of Inspector General, Centers for Medicare and Medicaid Services, fiscal intermediaries and carriers.
- Represented a Medicaid recipient and his family in an administrative appeal of a Medicaid decision to reduce private duty nursing care resulting in a favorable settlement to provide increased nursing care with an annual reimbursement value over $100,000.
- Successfully defended compounding pharmacy and individual pharmacist owners in a disciplinary action before the N.C. Board of Pharmacy against charges which included numerous alleged violations of FDA and N.C. Pharmacy statutes and rules.
read all representative experience
Prior Legal Experience
Chris's career began as Associate with Quillin, Russ & Worth, PA. He then served as Assistant Attorney General of the Special Prosecutions Section, with an emphasis on white collar and financial fraud cases from 1977 to 1988. He handled complex criminal and civil cases in State and Federal courts as the Special Assistant US Attorney in Raleigh from 1989 to 2005. During this time, he also served as Special Deputy Attorney General and Director of the North Carolina Medicaid Fraud Control Unit.