New York Healthcare Litigation Lawyer

Skilled New York Healthcare Litigation Attorney

Healthcare litigation can happen because of investigations, disputes between parties, or even civil or criminal charges. No matter the issue, many healthcare litigation cases threaten your licensure, certification, business, and reputation. A New York healthcare litigation lawyer helps you protect your interests and advocate for a better outcome.

Work With a Dedicated New York Healthcare Lawyer at Weiss Zarett Brofman Sonnenklar & Levy, P.C.

The experienced team at Weiss Zarett Brofman Sonnenklar & Levy, P.C. has years of experience in healthcare and business law. Healthcare litigation cases can be complex whether you are a healthcare business or an individual provider. Working with our firm makes it easier to understand the cause of an investigation, the process of managing an audit or a dispute, and other issues that are part of a healthcare litigation case.

We can represent you in cases handled by the U.S. District Court for the Eastern District of New York. Our team handles your case so that you can focus on providing support for your patients. If your case is better managed through arbitration or mediation, we help you with that process. But if litigation is needed, we have the experience needed to fiercely defend your interests.

We answer your questions, and you always work with a seasoned attorney on the team directly. Our team knows how serious these cases can be for your career, and we treat your case with the diligence and care it deserves.

What Are Issues That Can Lead to Healthcare Litigation Cases?

There are a range of disputes, investigations, and accusations that might lead to healthcare litigation. At Weiss Zarett Brofman Sonnenklar & Levy, P.C., we can help with many types of cases, including:

OPMC/OPD Investigations

The New York Office of Professional Medical Conduct (OPMC) and the New York Office of Professional Discipline (OPD) conduct investigations into complaints made against medical providers.

These offices exist to protect public safety and health, but complaints can be made by anyone, making them especially frustrating for providers. Providers have to take action to address investigations the OPMC or OPD make based on these complaints, or else they could face serious consequences. Complaints can be made based on:

• Health Insurance Portability and Accountability Act (HIPAA) violations
• Improper documentation of medical and patient records
• Prescription drug and medication diversion
• Professional licensing and certification issues
• Incompetent patient care
• Failure to get informed consent
• Patient discrimination
• Sexual harassment and misconduct
• Use of drugs or alcohol while working

In 2025, there were 805 adverse actions against medical providers in New York, largely over state licensure or certification. Whether you are a medical provider or your business relies on the work of medical providers, these investigations can be very stressful, considering they could threaten the future of your practice.

Reimbursement and Payor Disputes

Medical businesses and providers can face disputes with federal healthcare benefits programs, like Medicaid and Medicare, or private healthcare insurance providers. When these programs and providers deny reimbursement for services rendered, a healthcare business may need to take action to secure fair reimbursement. Health reimbursement litigation may also arise because of accusations of upcoding, double billing, and other billing issues.

Employment and Business Disputes

There are many employment or business disputes that can affect healthcare companies, like:

• Medical staff privileges disputes
• Disagreements over suspensions, terminations, and other corrective actions
• Discrimination and harassment cases
• Misconduct issues
• Wage and hour law regulation disputes
• Contractual violations
• Partnerships and joint ventures issues
• Healthcare business bankruptcies
• Acquisitions and mergers

Many other issues can arise in business transactions, contracts, and employee-employer relationships in the healthcare industry. When these issues can’t be addressed in negotiations or mediation, they may have to proceed to litigation.

Antitrust Cases

The Federal Trade Commission works to prevent anticompetitive conduct in every industry, including the healthcare sector. Antitrust cases can be filed against a healthcare facility, company, payor, physician, or even a large physician practice.

Healthcare Fraud and Abuse Violations

Healthcare fraud and abuse cases can involve:

• False Claims Act violations
• Anti-Kickback Statute violations
• Civil Racketeer Influenced and Corrupt Organizations (RICO) Act cases
• Stark law self-referral violations

There were 340 healthcare fraud cases reported to the U.S. Sentencing Commission in fiscal year 2025, resulting in a median loss of nearly $1.3 million. The Eastern District of New York had the fifth-highest number of individuals sentenced for healthcare fraud.

FAQs

What Is Healthcare Litigation?

Healthcare litigation occurs when disputes involving a healthcare business or provider go to court. These disputes can involve business regulations, employment law, pharmaceutical regulations, antitrust laws, healthcare regulations, and many other issues. Litigation may be about failures to meet regulations, misconduct, contract breaches, or other disagreements that could not be resolved in negotiations.

What Is the Most Common Type of Litigation in Healthcare?

One of the most common types of litigation in healthcare involves employment contract and staff privileging disputes.

Like any other business, healthcare businesses often see disagreements with employees over contracts, wage and hour regulations, corrective actions, compensation, and many other aspects of employment. The healthcare industry has other unique issues because employees and businesses are subject to more requirements for professional conduct, licensing, and more. When disagreements escalate, they may go through litigation.

What Agencies in New York Investigate Healthcare Companies?

There are many agencies in New York that investigate healthcare companies, including federal agencies like the Food and Drug Administration, the Department of Justice, the Department of Health and Human Services, and the Office of Inspector General.

It also includes state agencies like the New York Office of Professional Medical Conduct, the Medicaid Fraud Control Units in New York, the State Office of the Medicaid Inspector General, the State Department of Health, and the New York Office of Professional Discipline.

Why Do You Need to Hire a Healthcare Litigation Lawyer in New York?

You need to hire a healthcare litigation lawyer in New York to help protect your healthcare business, your reputation, and your rights.

Healthcare litigation cases can affect licensure, certification, patients, and the future of your practice. With an attorney, you may be able to prevent the costly process of litigation by dealing with investigations upfront or finding a resolution before a trial. An attorney walks you through the options that impact your specific case.

New York Healthcare Litigation Attorney

Reach out to Weiss Zarett Brofman Sonnenklar & Levy, P.C. today for skilled representation in arbitration, mediation, or litigation.