Compliance & Fraud/Abuse Prevention & Defense

In light of the ever-increasing scrutiny from federal and state regulators, institutional providers and healthcare professionals must assure that their operations are consistent with law and regulation. The development of stringent, complex, and sometimes conflicting laws and regulations governing healthcare make proactive steps, such as the adoption of compliance plans, essential to all healthcare providers.

The firm assists its healthcare clients in developing compliance programs appropriate to their operations. Compliance programs consist of a number of elements, including, but not limited to, standards of conduct, education and training, periodic audits, and appropriate response to audit exceptions. Each element must address the standards applicable to the particular healthcare provider, including such topics as Medicare and Medicaid billing, Medicare provider participation requirements, and health information privacy and security standards.

In addition, the firm provides its clients with guidance on structuring investments and transactions to comply with the various legal requirements governing those matters as well as guidance with respect to regulations governing proper documentation and billing for services. In doing so, the firm occasionally consults with valuation and billing experts on behalf of its clients.

While the firm philosophy and practice is to provide preventative advice to its clients, the firm routinely assists its clients in resolving investigations and litigation involving state and federal regulators, including the United States Department of Justice and the Office of Inspector General of the Department of Health and Human.

Sullivan, Stolier & Resor
(A Professional Law Corporation)

New Orleans Office:
909 Poydras Street, Suite 2600
New Orleans, Louisiana 70112-4000
Phone:  504-561-1044
Fax:  504-561-8606

Lafayette Office
1319 West Pinhook Road, Suite 300
Lafayette, Louisiana  70503
Phone:  337-233-6210
Fax:  337-233-6215

E-mail: attorney@ssrlawfirm.com