• Share
  • Email
  • Print

John H. Lawrence

Associate
+1.919.466.1112
Fax +1.919.869.2380
Mr. Lawrence primarily counsels healthcare clients in responding to governmental investigations and defending False Claims Act lawsuits. He has represented both individuals and companies in investigations involving the Department of Justice, U.S. Attorneys' Offices, and other federal and state agencies. His background also includes significant experience handling complex civil litigation inside and outside of healthcare. In addition to his litigation practice, Mr. Lawrence advises clients on healthcare regulatory matters, including those involving the Stark Law and Anti-Kickback Statute.

 

Professional Background

Prior to joining the firm, Mr. Lawrence was an associate at a Nashville-based law firm where he concentrated his practice on litigation & dispute resolution, compliance & government investigation, and healthcare fraud & abuse. In addition, he was an associate at a law firm in Chattanooga, Tennessee for more than three years, where he practiced with the firm’s Litigation & Risk Management practice group.

Achievements

  • Super Lawyers, Mid-South Rising Star- Business Litigation (2015, 2016, 2017, 2018)

Professional/Civic Activities

  • American Health Lawyers Association
  • North Carolina Bar Association
  • Tennessee Bar Association
  • Council Member, North Carolina Bar Association Health Law Section (2018-Present)

Speaking Engagements

  • Overview of Fraud & Abuse Laws, Tennessee Bar Association 17th Annual Health Law Primer, October 4, 2017
  • The Ethics of a Healthcare Fraud Investigation, South Carolina Bar Association Conference - False Claims Act/Qui Tam Whistleblower Litigation Involving Health Care Providers, April 13, 2018
  • Internal and External Healthcare Fraud Investigations, Healthcare Council of Western Pennsylvania Compliance Committee, September 13, 2018
Government Enforcement Experience
  • Represented academic medical center in qui tam lawsuit filed under the federal False Claim Act for alleged fraudulent pharmacy-related billing practices. Following the Government’s declination, the lawsuit was dismissed.
  • Secured dismissal of qui tam lawsuit filed under the federal False Claim Act against durable medical equipment company.
  • Represented pain management clinic in qui tam lawsuit filed under the federal False Claim Act alleging fraudulent urinalysis billing practices. Representation resulted in declination from Government and successful settlement negotiation with relator resulting in dismissal of matter.
  • Represented large hospice provider in intervened federal False Claims Act lawsuit alleging the provision of medically unnecessary hospice services.
  • Represented physician practice in connection with state criminal investigation into alleged insurance and billing fraud. Following internal investigation into the allegations and communications with state agency, the state agency elected to no longer pursue the matter.

Internal Investigation-Related Experience
  • Represented large regional hospital system in connection with an internal investigation related to alleged improper billing practices at hospital-based clinics and compensation arrangements with physicians raising potential Stark Law and Anti-Kickback Statute issues.
  • Represented specialty pharmacy in connection with an internal investigation surrounding potential kickbacks to physicians and Stark Law violations based on non-monetary compensation practices.
  • Represented laboratory in connection with an internal investigation into contractual relationships with lead generation and telemedicine companies.
  • Represented multiple durable medical equipment companies in internal investigations into contractual relationships with lead generation and telemedicine companies.

Health Care Regulatory Experience
  • Represented university-affiliated hospital in connection with Stark Law Self-Referral Disclosure Protocol (“SRDP”) filing.
  • Represented academic medical center in connection with outpatient pharmacy’s redesign of copay waiver process to ensure effective compliance with the Anti-Kickback Statute and applicable regulations.
  • Represented specialty pharmacy in revisions to policies and procedures surrounding sales practices to ensure Anti-Kickback Statute and Stark Law compliance.

General Litigation Experience
  • Represented subsidiaries of a publicly-traded company in various actions, including those involving product liability and negligence claims.
  • Represented multiple Emergency Communications Districts in federal court action involving claims under a state False Claims Act in reimbursement matter.
  • Represented the estate of a former chief executive officer of a publicly traded company in will contest alleging undue influence.
  • Represented municipality in multiple premises liability and negligence actions.
  • Represented tenant in pro bono capacity in extensive landlord-tenant dispute.