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Healthcare Law

This guide is intended to provide assistance to students in the OU Law Graduate Studies Programs. JD students and practitioners utilizing the Donald E. Pray Law Library, Robert M. Bird Health Science Library or OU Libraries may also find the guide useful.

Fraud and Abuse Investigation


These resources covers federal physician self-referral law, commonly known as the Stark Law, and fraud and abuse law. he sources address statutes, regulations, and advisory opinions that define the parameters of physician referrals and anti-kickback laws, analyzing fraud and self-referral issues. Sources also assist users in familiarizing themselves with the False Claims Act and other laws, regulations, and government regulatory actions designed to combat false claims and other types of fraudulent activities.

Database Resources

Westlaw Edge - American Health Law Association Seminar Papers - Fraud and Compliance Forum

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Practical Law on Westlaw Edge - Fraud Abuse & Compliance

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Bloomberg Law - Health Care Fraud Analytics

Bloomberg Law Image from Fraud Analytics

Bloomberg Law - Health Law & Business Portfolios include:

This portfolio closely examines the federal anti-kickback statute that prohibits payments as inducement for referrals of Medicare or Medicaid beneficiaries: the statute's goals and terms, its extensive regulatory exceptions, and its interpretation by regulators and the courts. Potential anti-kickback problems in specific types of health care business arrangements are emphasized throughout the portfolio.

This portfolio examines in detail the federal statute commonly referred to as the Stark law, which places significant restraints on referrals of patients for Medicare-covered designated health services to an entity with which the referring physician (or a member of the physician's immediate family) has a financial relationship. The portfolio analyzes the complex definitions, numerous statutory and regulatory exceptions, and limits on applicability that complicate this statute's seemingly simple prohibition, emphasizing both formal and informal regulatory interpretations as well as the statutory language.

This portfolio analyzes the complex world of health care fraud and abuse enforcement, both criminal and civil: who is investigating, what they are looking for, and the elaborate web of statutes and regulations under which they are proceeding. The portfolio emphasizes, as well, how providers can respond in an enforcement-prone environment, try to avoid compliance problems in the first place, and to minimize the impact if violations occur.

This portfolio address the complex legal issues surrounding False Claims Act litigation in the health care sector. It emphasizes effective strategies for successfully defending False Claims Act lawsuits and allegations commonly asserted against companies and individuals in the health care industry. This portfolio also offers guidance on effectively handling a government investigation, settling FCA claims, and limiting liability through voluntary disclosure of potential False Claims Act violations and provides an analysis of how courts calculate damages and penalties in specific health care situations.

Healthcare Fraud & Abuse

Stark Law