Health Law Alliance Welcomes Former Deputy AG to Enhance Healthcare Audit Defense Team

In a strategic move to bolster its Audits and Investigations practice, Health Law Alliance has announced the addition of Brian M. O'Loughlin, JD, RN, a seasoned professional with extensive experience in healthcare law, audits, and fraud investigation. This expansion aims to provide stronger defense mechanisms for healthcare providers amid increasing regulatory scrutiny, particularly from Medicare and Medicaid.

Who is Brian O'Loughlin?

O'Loughlin comes with a unique blend of legal, clinical, and operational expertise, having previously served as Deputy Attorney General in New Jersey. His background also includes work as an auditor and fraud investigator at Qlarant, one of the largest Medicare Unified Program Integrity Contractors (UPICs). His comprehensive knowledge encompasses Medicare audit standards, fraud detection, and various regulations, making him an invaluable asset to the firm.

Having spent years analyzing claims and medical documentation, O'Loughlin has developed keen insights into identifying patterns of fraud, waste, and abuse within healthcare billing. This experience positions him well to address the complexities that healthcare providers often face during audits and investigations.

A Response to Growing Challenges

Health Law Alliance recognizes the urgent need for enhanced support for healthcare providers, as they increasingly encounter audits, revocations, and investigations by federal and state agencies such as the Centers for Medicare & Medicaid Services (CMS). The escalating enforcement activities have placed healthcare providers under significant pressure, whether they are in hospice care, home health services, or specialized medical practices.

Brian O'Loughlin articulates the unique challenges faced by these healthcare entities and the pressing need for legal guidance that understands both the medical and enforcement landscapes. He explains, “The landscape for healthcare providers is shifting. With the surge in audits and the stricter scrutiny of billing practices, having a well-rounded legal team is crucial.”