Sanford Teplitzky is a health care regulatory attorney, with a practice that has emphasis on fraud and abuse, and health care investigations. Mr. Teplitzky represents large health care companies and delivery networks that rely on his experience and deep knowledge of the health care industry to identify and resolve fraud and abuse issues, and to represent them in federal and state investigations.
He advises medical professional and trade associations, negotiates with state and federal authorities, and provides counsel with respect to a broad range of regulatory and legislative issues facing health care clients.
Mr. Teplitzky’s practice primarily focuses on fraud and abuse issues. He has extensive experience in the development and implementation of corporate compliance programs; internal reviews and investigations; due diligence reviews for acquiring and acquired entities; voluntary disclosures; and federal and state governmental investigations arising from False Claims Act whistleblower actions. He is recognized as one of the country’s top attorneys on issues related to the federal Anti-Kickback Statute and the Stark Self-Referral Law.
His clients include hospitals, nursing homes, home health agencies, institutional and retail pharmacies, medical device manufacturers, and individual and large physician practices. Noted by both clients and colleagues for his exceptional, consistent service, Mr. Teplitzky has been selected for BTI Consulting Group’s Client Service All-Stars for Law Firms seven times. In 2013, he was named a “Client Service All-Star MVP.”
Prior to entering private practice, Mr. Teplitzky served as an attorney for the Office of the General Counsel of the Department of Health, Education and Welfare, where he provided legal advice to the Health Care Financing Administration on fraud and abuse, reimbursement and other regulatory issues under the Medicare and Medicaid programs.
Mr. Teplitzky had primary responsibility for developing policies and regulations to implement the Medicare and Medicaid Anti-Fraud and Abuse Amendments of 1977. Instrumental in working with members of Congress to create the OIG advisory opinion process, he is often credited with being the “father” of that process.
As a representative of the American Health Lawyers Association, Mr. Teplitzky worked with the OIG and other national organizations to develop guidelines for members of boards of directors with respect to health care compliance.
Mr. Teplitzky is a prominent member of numerous professional and civic associations. He has served on the board of directors of several Baltimore-area organizations, and served ten years on the Baltimore County Schools Board of Education. He is a former adjunct professor at the University of Maryland School of Law, where he taught a seminar on fraud and abuse for more than ten years.
- Tulane University School of Law, J.D., 1975, with honors
- Washington University, A.B., 1972
- Court of Appeals of Maryland
- U.S. Court of Appeals for the District of Columbia Circuit
- U.S. Court of Appeals for the Eleventh Circuit
- Handled dozens of OIG and CMS voluntary disclosures for both large and small clients on issues relating to the Anti-Kickback Statute, and Stark Law, as well as billing and other regulatory non-compliance.
- Served as a CIA compliance expert for a large publicly-traded company pursuant to its Corporate Integrity Agreement addressing compliance with the CIA and more generally applicable laws.
- Negotiated numerous settlement agreements under the Federal FCA on issues related to the Anti-Kickback Statute, Stark Law and other health care fraud allegations, including billing and reimbursement issues.
- Negotiated dozens of corporate integrity agreements with the OIG.
- Counseled multiple clients relating to the application to propose transactions, including contractural relationships and joint ventures, and specifically, any implications under the Anti-Kickback Statute or Stark Law.
- Member – American Bar Association
- Member – American Health Lawyers Association
- Member – Maryland State Bar Association
- Member – Baltimore Jewish Council (1982 – present)
- Member – The Jewish Federations of North America
- Adjunct Professor – University of Maryland School of Law (2005 – 2014)
- Board of Directors – Baltimore Reads (2009 – 2014)
- Board of Directors – Homeless Persons Representation Project
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