April 1, 2023

Volume XIII, Number 91


Edgar Bueno

Edgar has more than 20 years of experience defending clients under investigation by the government. He focuses his practice on civil, criminal, and administrative matters involving healthcare fraud and abuse. He has extensive experience in defending actions brought under the federal False Claims Act (FCA) and similar state laws. He assists healthcare clients with internal investigations and compliance reviews to identify risk areas in operations or in billing. He counsels clients on business arrangements for compliance with the Anti-Kickback Statue and the Stark Self-Referral Law. He advises providers on the reporting of Medicare/Medicaid overpayments and the voluntary disclosure process. He counsels clients on OIG program exclusions and payment suspension issues involving CMS. Edgar also has experience in advising clients on HIPAA privacy and handling investigations involving medical record breaches.

Edgar also represents clients who are the subjects or targets of criminal or grand jury investigations. He focuses on achieving dismissals or other favorable outcomes pre-indictment or before charges are filed.

Edgar is a former Assistant U.S. Attorney and Chief of the Civil Division for the U.S. Attorney’s Office for the Southern District of Georgia. There he supervised the entire division and oversaw all aspects of federal court litigation for numerous high-profile cases. He also served as the office’s Affirmative Civil Enforcement (ACE) Coordinator where he focused on federal FCA litigation covering a wide range of subject matters such as healthcare fraud, defense procurement fraud, banking and mortgage fraud, and antitrust issues. Through his leadership, the office saw an unprecedented number of FCA enforcement actions being filed and millions of dollars in recoveries.

A frequent speaker at national and state conferences on fraud and abuse, compliance, and responding to government investigations, Edgar has served as an instructor at the Department of Justice training center (NAC) and the Federal Law Enforcement Training Center (FLETC). He has twice been recognized by the Office of Inspector General for the U.S. Department of Health and Human Services for exceptional achievement in fighting healthcare fraud.

Articles in the National Law Review database by Edgar Bueno