False Claims in Healthcare was written by attorneys from and associated with Hooper, Lundy & Bookman—the largest law firm in the country dedicated solely to the representation of healthcare providers and suppliers. Since its inception in 1987, its practice has been exclusively dedicated to understanding the intricacies of the healthcare industry. As a result, the firm’s attorneys represent providers and suppliers in all aspects of their business and regulatory transactions, litigation, arbitration, and dispute resolution needs, as well as advocacy and public policy. The firm has represented clients in many of the landmark appellate cases that have shaped healthcare law over the past two decades.
Since 1979, Lloyd Bookman’s practice has involved exclusively the representation of healthcare providers in a wide variety of reimbursement, regulatory, and transactional matters. In 1987, Bookman, together with Patric Hooper and Robert W. Lundy, formed the national healthcare law firm of Hooper, Lundy & Bookman. As a founding partner, he continues to specialize in the representation of healthcare providers in complex matters. Bookman is a nationally recognized expert on Medicare and Medicaid reimbursement and has served as lead counsel in highly significant cases, including Orthopaedic Hospital v. Belshe, in which the Ninth Circuit ruled that Medicaid hospital outpatient rates must bear a reasonable relationship to costs, and which ultimately led to a $350 million retroactive payment to California hospitals. He was also lead counsel in Alvarado Community Hospital v. Shalala and County of Los Angeles v. Shalala, in which the Ninth and D.C. Circuits held that Medicare outlier payments under prospective payment system were unlawfully set in cases involving 300 hospitals. He continues to successfully represent hospitals and other healthcare providers in major litigation challenging Medicaid rate reductions. Bookman regularly represents providers before the Provider Reimbursement Review Board, state Medicaid agencies, and in federal and state courts in reimbursement disputes.
Paul L. Garcia
Paul L. Garcia is an associate in the Regulatory Department of Hooper, Lundy & Bookman. Garcia began his legal career with the California Department of Health Care Services, where he represented the state’s Medicaid program with respect to finance and reimbursement matters. Garcia’s practice currently involves the representation of healthcare providers and suppliers in a wide variety of reimbursement, regulatory, and litigation matters. Garcia has extensive experience in representing providers and suppliers in the following areas: payment disputes with Medicare and Medicaid, litigation and defense of audits and government investigations, overpayment report and return analysis, and various regulatory and compliance matters.
She has represented a variety of healthcare providers—including hospitals, emergency physician providers, ambulatory surgery centers, labs, pharmacies, and skilled nursing facilities—in disputes in both contracted and noncontracted contexts, seeking to ensure providers are compensated appropriately for the valuable healthcare services they provide. She has also represented provider clients in numerous government investigations, audits, and false claims actions, including those brought by qui tam relators. Gordon has experience representing providers in state court, federal court, in arbitration, and before the medical board.