What to Expect When the Government Comes to Call

(788 Ratings)

Produced on: September 17, 2015

Course Format On Demand Audio

Taught by


Course Description

Time 90 minutes
Difficulty Intermediate

It's a normal day at your client's medical practice/clinic when:

  • Scenario 1: all of a sudden the front door bursts open and a slew of FBI agents stream in – creating chaos and confusion and possible fear among patients and staff. 
  • Scenario 2: the mail arrives with a letter from the licensing board. The letter claims that a violation of some law, rule, or regulation that impacts the license holder’s licensure rights has occurred. The letter provides a 10 – 14 day response period.
  • Scenario 3: the mail arrives with a letter from the Department of Justice or the state Medicaid Fraud Unit, stating the agency is conducting an investigation and requires a list of records from the practice. The letter provides a date certain to respond to the request.

In each scenario, what do you do? Specifically, how do you address the numerous questions that arise, such as:

  • What is the focus of the investigation? 
  • Who is the focus of the investigation?  
  • What are the consequences of each scenario?  

Join Noelle C. Letteri of The Silva Law Firm as she explores each of these scenarios and provides attorneys answers and practice tips that will help clients navigate these complicated and lengthy investigations.


Learning Objectives:

I.     Identify the possible government investigation facing your client

II.    Determine the venue, jurisdiction, and initial attorney response for each scenario

III.   Make contact with the appropriate agency or governing body

VI.   Gather the documentary evidence for each scenario

V.    Proactive preemptory compliance practices to mitigate potential liability



Noelle C. Letteri

The Silva Law Firm

Noelle Letteri has over 15 years of health care, regulatory, administrative, and civil litigation experience. Prior to joining The Silva Law Firm, Noelle was an associate with the Houston based firm Berg and Androphy where she had a nationwide practice of representing whistleblowers in qui tam actions primarily focused on health law issues. 


Noelle initially gained her qui tam experience as an Assistant Attorney General in the Civil Medicaid Fraud Division. During her tenure representing the State of Texas she participated in nationwide qui tam investigations working in conjunction with the United States Attorney Generals and attorneys from the Department of Justice. She interviewed the whistleblowers, issued Civil Investigative Demands, conducted Examinations Under Oath, participated in several large settlement negotiation and drafted corresponding settlement agreements.


Noelle first gained her experience in health care law as lead attorney for the Texas State Veterans Nursing Homes owned by the Texas Veterans' Land Board. Noelle also represented the State of Texas as a Staff Attorney for the General Land Office working on oil and gas matters, open records requests and compliance, open meetings compliance, and representing the agency during several legislative sessions. 



  • Saint Mary’s University School of Law - JD May 1999
  • Senior Associate Editor, St. Mary's Law School Journal
  • University of Vermont - BA 1984  

Bar Admissions:

  • State Bar of Texas 1999
  • Western and Southern Districts of Texas 2008 

Judicial Internship:

  • Honorable Judge Emilio M. Garza
  • Fifth Court of Appeals, San Antonio, Texas 

Professional Membership:

  • State Bar of Texas - Health Law and Women and the Law Sections



Thomas C.

Well done treatment of a boring area

Ricks F.

Very thorough and thoughtful presentation.

Ingrid H.

clear presentation with substantial amount of very practical advice for health care professionals and their lawyers

April G.

The instructor was very good and informative, it's just not my area of law. :)

Kathleen C.

Well done

Baldemar C.

great information on matters that are important to attorneys that should pass clients to competent firms in diff area of interest.

Martin G.

Really, really informative and focused. Thank you.

Chris K.

Excellent advice

Erika M.

Great course

Ellen C.

Very informative

Rebecca L.

Very knowledgable speaker.

Dustin A.

good everything

Gizette T.

Excellent CLE class.

Mark P.

Somewhat general in nature.

Eiji K.

Thank you!

R. Tate Y.

good subject

Belinda B.

Very interesting and gave useful, detailed information,

Jeanne N.

Excellent. Obviously competent. Nicely modulated voice.

Valerie T.

It was far more interesting that I was expecting - very helpful knowledge and client interaction advice. Good ethics discussions.

Michael K.

Very helpful since I am also an RN

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$ 89 Health Care Law In Stock


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