Strategies helps businesses and individuals solve the complexities of dealing with the government at every level. Our team of specialists concentrate exclusively on government affairs, representing clients nationwide who need assistance with public policy, advocacy, and government relations strategies.
This unique program provides innovative and affordable opportunities to startups and early-stage emerging companies with a solid technology or scientific foundation. We help companies that have a quality management team in place and do not have other significant legal representation.
eMerge’s lawyers and technologists work together to deliver strategic end-to-end eDiscovery and data management solutions for litigation, investigations, due diligence, and compliance matters. We help clients discover the information necessary to resolve disputes, respond to investigations, conduct due diligence, and comply with legal requirements.
Cal Stein, a partner in Troutman Pepper’s White Collar + Government Investigations Practice Group, was quoted in the April 19, 2023 Managed Healthcare Executive article, “For Fraudsters, COVID-19 Is the Sound of Opportunity Knocking.”
CMS enacted COVID-19 testing guidance and regulations, with payments sometimes made to noncontracted laboratories, notes Callan Stein, J.D., a partner with Troutman Pepper, a law firm in Boston. “The government did it out of necessity with a mandate to increase testing access.” But that opened the door to new providers, some of them swindlers.
[…]
To identify potential fraud, the government may look at the raw volume of telehealth visits and average number of hours and days billed. Telehealth providers with high volumes should pay attention to compliance and the medical necessity of all visits, Stein says.
[…]
Federal regulators use data analytics to comb through billing claims and identify patterns, Stein says. “Just because the pattern exists, doesn’t mean there’s fraud,” he says.Practices with legitimate billing patterns outside the norm should be careful about documentation and check that services met medical necessity threshold.
[…]
Government fraud cases, including kick-back allegations, require intent, Stein says. “In my experience, there’s usually not intent. Usually, we’re dealing with conflicting interpretation of complex and sometimes confusing regulations and good faith or differing opinions on how a CPT (Current Procedural Terminology)code ought to be applied,” Stein says. If one particular code is frequently used incorrectly, that mistake could be repeated hundreds or thousands of times.
This just in
Speaking Engagements
Massachusetts Collectors and Treasurers Association: 55th Annual School
August 11 – 14, 2026
University of Massachusetts Amherst
91 Campus Center Way, Amherst, MA 01003
Speaking Engagements
Private Equity in Healthcare: How Sick Is The Patient?
August 4, 2026 | 12:00 PM – 1:15 PM ET
Annapolis Waterfront Hotel
80 Compromise Street, Annapolis, MD 21401
Speaking Engagements
2026 ACI Women Leaders in Life Sciences Law
July 29 – 30, 2026
Seaport Hotel Boston
1 Seaport Ln, Boston, MA 02210
Speaking Engagements
72nd Annual Natural Resources and Energy Law Institute
July 24, 2026 | 4:30 PM – 5:30 PM PT
Seattle, WA
