December 3, 2021

Volume XI, Number 337

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Eva Gunasekera

FORMER DOJ SENIOR COUNSEL FOR HEALTH CARE FRAUD, NOW REPRESENTING WHISTLEBLOWERS

  • Former Senior Counsel for Health Care Fraud at the U.S. Department of Justice (DOJ)

  • Member of Taxpayers Against Fraud https://www.taf.org/

  • ember of Federal Bar Association Qui Tam Section https://www.fedbar.org/qui-tam-section/

  • Represented Whistleblowers at another prominent whistleblower firm

  • Former Member of DOJ-appointed Independent Corporate Compliance Monitor and Auditor for Volkswagen under its Plea Agreement and Consent Decree with DOJ, helped VW to establish a first-time Office of Compliance and Whistleblower (WB) System and to evaluate complaints filed through the new WB System

Experience

  • Enforced these laws at the Justice Department:

    • The False Claims Act/The Whistleblower Law

    • The Stark Law—prohibiting financial rewards for physician-self referrals

    • The federal Anti-Kickback Law—prohibiting financial rewards for referrals

  • Deep health care fraud expertise:

    • All federal health care programs (Medicare, Medicaid, TRICARE, FEHB)

    • Analyzing complex health care data sets, including Medicare and Medicaid payment data and trends, to identify potentially fraudulent practices

    • Enforced anti-fraud laws and represent whistleblowers across industries: pharmaceutical manufacturers, health care providers, hospitals, physicians, physician groups, laboratories, managed care, pharmacies, hospice and nursing home providers, financial institutions, government suppliers, small businesses, automotive, small businesses, and defense contractors.

    • Investigations involving parallel criminal proceedings

    • Investigations involving compliance and whistleblower programs of health care organizations, including those subjected to Corporate Integrity Agreements and oversight by Independent Review Organizations, as required by the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG)

  • Prior to joining the Justice Department, worked in private practice at two international law firms. Handled complex commercial litigation and administrative trials.

  • Handled pro bono matters, including the successful defense of an individual seeking asylum and acting as guardian ad litem on behalf of three children.

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Articles in the National Law Review database by Eva Gunasekera

Pages

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