Howard L. Pierce
Partner
Blue Back Square, 65 Memorial Road, Suite 340
West Hartford, CT 06107-2434
Direct Tel: 860.760.8423 Tel: 860.760.8400 Fax: 860.760.8401
hpierce@sgllawgroup.com
www.sgllawgroup.com
Howard Pierce is a partner in the firm’s Healthcare Cost Containment Practice Group. Howard has developed a national practice representing some of the largest healthcare payors, self-funded organizations, and property/casualty insurers in healthcare provider overpayment cost containment issues across the United States. He also represents whistleblowers in healthcare qui tam/False Claim Act lawsuits as well as representing whistleblowers who have information about federal tax fraud and tax underpayments involving millions of dollars and may be entitled to a reward from the Internal Revenue Service.
Howard spent 16 years as a federal agent, the last ten of which were as a supervisory investigator with the Office of Inspector General, United States Department of Health and Human Services (Recipient of Special Achievement Award from the United States Department of Justice), concentrating on investigating, criminally prosecuting and seeking civil remedies for violations of Federal Medicare/Medicaid laws. Howard then went on to create and lead the group health claims inappropriate billing deterrence and detection component of the Hartford Life Insurance Company (1990 Corporate Quality Award Recipient) and was also a Corporate Officer and Director of Investigations at Phoenix Mutual Life Insurance Company.
For almost two decades, he has represented clients in claim negotiations and litigation with experience in civil fraud litigation and case development, representing clients before federal regulatory agencies and additional experience in criminal, white collar crime and general litigation. He served as outside litigation counsel for MetraHealth; Medicare DMERC, Region A, Fraud and Abuse Unit.
Howard has represented groups of healthcare payors in major national cases, some recent anti-fraud matters have included: healthcare fraud by psychiatric hospitals, national hospital chains, home care providers, mail-order pharmacies, clinical laboratories, national dialysis providers, and dental groups. He has represented property/casualty insurers in state law-based fraud litigation against medical providers, national durable medical equipment manufacturers and distributors and others engaged in fraud, and he has represented payors in individual cases involving fraudulent activity by regional or small physician/healthcare provider groups.
Howard is currently serving as general counsel to the New England Anti-Fraud Association.
Practice Areas
• Healthcare Cost Containment
• Commercial Litigation
Admitted to Practice
• Connecticut
• United States District Court, District of Connecticut
• United States District Court, Southern District of New York
• United States Supreme Court
Connecticut
Blue Back Square, 65 Memorial Road, Suite 340
West Hartford, CT 06107-2434
Tel: 860.760.8400 Fax: 860.760.8401
New York
330 Madison Ave., Sixth Floor
New York, NY 10017
Tel: 212.653.8865 Fax: 646.495.5009
New Jersey
100 Overlook Center, Second Floor
Princeton, NJ 08540
Tel: 609.375.2602 Fax: 609.375.2001
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