Charles Dunham represents health care providers and other health-related entities in regulatory compliance, corporate formation and governance, business transactions and acquisitions, and commercial arrangements. He also advises private-equity firms and venture capitalists on investment in the health care industry and health regulatory due diligence reviews of target acquisitions and negotiated transaction documents.
Charles represents a variety of health care clients, including:
- Clinical laboratories and pathology groups
- Telehealth providers and management companies
- Hospitals and health systems
- Physician group practices and networks
- Ambulatory surgery and infusion centers
- Post-acute and long-term care providers
- Health information technology companies
Charles has a depth of experience in fraud and abuse counseling and defense matters, involving the federal Anti-Kickback Statute (AKS), the Physician Self-Referral Law (Stark Law), the False Claims Act (FCA), the Eliminating Kickbacks in Recovery Act (EKRA) and analogous state fraud and abuse laws. He applies this knowledge to advise clients on legal risks and structuring compliant ownership, financial and referral arrangements that are consistent with their business goals.
Charles represents his clients in government investigations and whistleblower (qui tam) actions; government and accreditation organization surveys and sanctions; and commercial payor audits and investigations (SIUs), and unilateral recoupment actions. He also advises on provider participation and enrollment, network and managed care contracting, billing and coding, reimbursement and collections and overpayments, including medical necessity determinations and collection of patient responsibility.
Charles works with a range of health care organizations to develop and implement strong compliance programs and training programs to educate directors, officers and employees. That includes counseling on federal and state health regulatory compliance; conducting internal compliance reviews and risk audits; developing and implementing corrective action strategies; developing compliance manual and control protocols; and performing training and education programs.
Charles takes a professional interest in understanding a client’s business and operations to better counsel and meet the particular legal needs of his client. He is adept at client management and endeavors to set realistic cost estimates and time frames for his clients to receive a quality work product.
- False claims