Healthcare Litigation & Regulatory Enforcement

Healthcare disputes often involve overlapping legal, operational, and reimbursement concerns. Providers facing audits, payment suspensions, fraud allegations, or licensure actions need counsel that understands the unique pressures these matters create. That’s where Poyner Spruill comes in.

We work closely with healthcare organizations to evaluate risk, develop response strategies, and pursue solutions that allow providers to focus on delivering care while disputes are resolved. We understand that these matters often require immediate action to protect operations, preserve revenue streams, and minimize business disruption, and we aim to resolve disputes efficiently while positioning our clients for long-term success.

We represent a broad range of healthcare providers, including hospitals, physician practices, behavioral health providers, home health and hospice agencies, dentists, chiropractors, durable medical equipment suppliers, and other healthcare organizations.

Drawing on extensive experience with healthcare regulatory frameworks and reimbursement systems, we help clients address complex challenges affecting both their legal obligations and their day-to-day operations, including:

• Medicare and Medicaid audit defense
• Reimbursement disputes and payment recoupment matters
• Reimbursement suspension challenges
• Federal and state healthcare investigations
• False Claims Act defense
• Civil Investigative Demand (CID) responses
• Anti-Kickback Statute and healthcare fraud investigations
• Provider enrollment and participation disputes
• Contract termination disputes involving payors and government programs
• Professional licensing board proceedings
• Administrative hearings and appeals
• Healthcare compliance enforcement matters
• Federal court litigation involving healthcare regulatory disputes
• Injunctive and emergency relief proceedings
• Government enforcement actions

Whether responding to a government investigation, appealing an adverse reimbursement determination, defending against allegations of improper billing practices, or addressing professional licensing concerns, we provide strategic, business-focused guidance designed to protect our clients’ interests and operations.

To learn more about our healthcare litigation experience, please contact one of the related professionals on this page.