When does a healthcare billing, compliance, referral, or business problem become a potential criminal matter?

Chicago federal criminal defense attorney Vadim Glozman joins the Healthcare Consultants Podcast to discuss criminal investigations involving physicians, healthcare providers, practice owners, and other licensed professionals.

Healthcare professionals work in one of the most heavily regulated industries in the country. Billing decisions, medical necessity, documentation, Medicare and Medicaid reimbursement, referral relationships, and compensation arrangements can all receive scrutiny from regulators and law enforcement. When questions move beyond routine compliance and into potential fraud, kickbacks, or other criminal allegations, knowing when to involve experienced criminal defense counsel can become critical.

Glozman discusses federal healthcare fraud investigations involving allegations that services were not performed, were medically unnecessary, or were improperly billed. The conversation also examines the federal Anti-Kickback Statute and the potential risks surrounding certain referral, compensation, and healthcare business relationships.

One of the most important issues for healthcare professionals is recognizing an investigation early. A subpoena, request for records, contact from investigators, questions involving billing practices, or indications that employees or business associates are being interviewed can signal that a matter deserves immediate legal attention.

The discussion also addresses a common instinct among physicians and other professionals: believing that because they have done nothing intentionally wrong, they should simply explain the situation themselves. In a criminal investigation, statements and decisions made early in the process can significantly affect what happens later.

Vadim Glozman explains the value of involving criminal defense counsel before charges are filed and why early representation can be particularly important in complex federal investigations.

For licensed healthcare professionals, the consequences can extend well beyond the criminal case. An investigation or criminal charge may also affect professional licensing, credentialing, reputation, the operation of a medical practice, and a healthcare professional's ability to continue working.

Healthcare and professional licensing attorney Michael V. Favia brings the licensing perspective to the table. Favia's background includes serving as Chief of Medical and Health-Related Prosecutions for the Illinois Department of Professional Regulation, now the Illinois Department of Financial and Professional Regulation (IDFPR).

The episode highlights why criminal defense and professional licensing counsel may need to coordinate when a physician, nurse, pharmacist, dentist, practice owner, or other licensed professional faces potential criminal and regulatory exposure.

TOPICS DISCUSSED

• Federal healthcare fraud investigations
• Criminal defense for physicians and healthcare professionals
• Medicare and Medicaid fraud allegations
• Medical necessity and billing investigations
• Federal Anti-Kickback Statute issues
• Subpoenas and federal investigations
• When to contact a criminal defense attorney
• Professional licensing consequences of criminal investigations
• IDFPR licensing and disciplinary issues
• Protecting a healthcare professional's career and reputation

Dr. Anna Handa, MD, Dip. ACLM, joins the Healthcare Consultants Podcast to discuss one of the most overlooked issues in modern medicine: metabolic dysfunction that exists long before disease is diagnosed.

Many professionals experience fatigue, brain fog, weight gain, and declining performance despite being told their labs are “normal.” In this episode, Dr. Handa explains why that gap exists and how her physician-led, evidence-based CogniBios Framework addresses the root causes rather than managing symptoms.

Drawing from her background in Internal Medicine and Lifestyle Medicine, Dr. Handa walks through the six pillars of metabolic health, including nutrition, movement, sleep, stress, connection, and environmental factors. She provides practical insight into how these systems work together to impact cognitive performance, energy levels, and long-term outcomes.

This Episode Brought to You by The Health Law and Licensing Law Firm of Michael V. Favia & Associates in Chicago and Rolling Meadows.

The conversation also explores how traditional healthcare models often miss early metabolic dysfunction, the most common mistakes high-performing professionals make when trying to optimize their health, and how physicians can rethink care delivery to focus on prevention and performance.

Dr. Handa also shares her perspective as a medicolegal expert witness, offering insight into how clinical standards of care intersect with chronic disease and metabolic health.

This episode is designed for healthcare professionals, consultants, and anyone interested in the future of preventative medicine and performance-driven health.

Learn More About Dr. Anna Handa, MD

In this episode of The Healthcare Consultants Podcast, we sit down with Veronica of Pro Healthcare Inc. to discuss one of the most overlooked but critical components of running a successful healthcare practice: medical billing and provider credentialing.

Many physicians, therapists, behavioral health providers, and other licensed professionals focus heavily on patient care, but underestimate the complexity of getting properly credentialed with insurance carriers and managing the revenue cycle effectively. Without proper credentialing, providers cannot legally bill certain payors. Without clean billing systems, practices risk delayed payments, denials, cash flow problems, and even compliance exposure.

Veronica explains how credentialing works, why it takes longer than most providers expect, and how small documentation errors can significantly delay insurance panel approval. She also discusses the most common billing breakdowns that cost practices money and create unnecessary stress.

This episode is especially valuable for:

• Physicians opening a new practice
• Behavioral health providers expanding into insurance-based services
• Group practices adding new associates
• Healthcare professionals frustrated with denials and slow reimbursements
• Practice owners who want to protect revenue and reduce compliance risk

We also explore how billing inaccuracies and credentialing mistakes can escalate into legal and regulatory issues, and when it may be necessary to consult experienced healthcare counsel.

If you are a healthcare professional looking to strengthen your operational foundation, improve reimbursement flow, and reduce risk, this episode delivers practical insight from the front lines of revenue cycle management.

To learn more about Veronica and Pro Healthcare Inc., visit:
https://www.prohealthcareinc.com/

For healthcare regulatory, licensing, and compliance guidance, contact: Michael V. Favia & Associates https://favialawfirm.com/ 

Buying or selling a privately held business is often the largest financial event in an owner’s life, and most owners do not approach it with a clear understanding of how valuation works, what buyers scrutinize, or what recurring deal issues can derail a transaction.

In this episode of the Healthcare Consultants Podcast, Nick Augustine interviews Matt Friscia of Transworld Business Advisors of La Grange about what he is seeing right now in the market for Main Street and lower middle market deals.

Matt breaks down how buyers and sellers are behaving in today’s environment, which types of businesses are attracting stronger buyer flow, and what problems keep coming up over and over again that business owners can often avoid with the right preparation.

We also discuss what affects the enterprise value of a business, how adjusted EBITDA is commonly calculated in practice, and what valuation multiples are being seen in current transactions. Matt explains why deal structure matters, how lending conditions influence outcomes, and why many owners choose to work with a business broker to manage confidentiality, negotiation leverage, and the overall transaction process.

This episode is useful for business owners, healthcare practice owners, consultants, and advisors who want a clearer picture of how privately held businesses are evaluated and sold, and what steps can improve results well before a company goes to market.

Meet Matt Friscia at Transworld Business Advisors in LaGrange

Sponsored by The Law Offices of Michael V. Favia & Associates

In this episode of the Healthcare Consultants Podcast, we meet Betsy Drake Noxon, Principal of Drake & Co. Consulting, about what it takes for physicians to make the leap from traditional medical practice to a concierge or membership-based model. 

Betsy shares her experience helping doctors reclaim control of their time, income, and quality of life by building independent practices designed for long-term success.

We discuss why more physicians are dissatisfied with high patient loads and low compensation, and how the concierge model can create a more rewarding and sustainable career. Betsy also explains the business, operational, and compliance steps required to set up or transition into this model the right way. 

Listeners will learn how to evaluate whether concierge medicine is the right fit, what pitfalls to avoid, and how to start thinking like an entrepreneur while maintaining high-quality patient care.

Betsy shares practical guidance on staffing, policies, systems, and communication strategies that support smooth operations and compliance.

If you are a physician considering a new path, this conversation will help you understand what it takes to stay independent and build a business that aligns with your values and lifestyle. 

Guest Information:
Betsy Drake Noxon
Principal, Drake & Co. Consulting
Northbrook, Illinois

Drake & Co. is a boutique medical practice consulting firm specializing in private practice launches, operational improvement, staffing, and compliance support for physicians across all specialties. 

Sponsor Host Information:
Michael V. Favia, JD
Principal Attorney, Michael V. Favia & Associates, P.C.
Healthcare Consultants Podcast

In this episode of the Healthcare Consultants Podcast, we welcome author and entrepreneur Samuel Pagán to discuss his new book, The Perception Effect: Unlocking Human Potential Through The Law of Perception.

Drawing on his personal experiences and professional journey, Samuel explains how perception shapes individual behavior, leadership styles, and organizational culture.

The Healthcare Consultants Podcast is brought to you by the healthcare and general practice law firm of Michael V. Favia & Associates, P.C. in Rolling Meadows, Illinois. 

The conversation explores the role of mindset in healthcare consulting, compliance, and patient care, while also addressing practical ways consultants and professionals can recognize limiting beliefs and shift perspectives. Samuel also shares how his experiences with ADHD and dyslexia informed his approach to resilience, leadership, and personal growth.

Listeners will come away with a deeper understanding of how perception influences outcomes in healthcare settings, along with practical strategies for building stronger teams and improving organizational performance.

This discussion highlights how tools for reframing perception can support healthcare consultants, administrators, and professionals in navigating today’s challenges with clarity and purpose.

Samuel Pagán’s book, The Perception Effect, is available now. For more information about Samuel and his work, visit his website or connect with him on LinkedIn.

In this episode of the Healthcare Consultants Podcast, sponsored by the Law Office of Michael V. Favia & Associates, we welcome Andy Schwadere, CEO of Quantum Knight, for a timely and thought-provoking conversation about the future of healthcare data security.

As quantum computing advances and AI-driven hacking grows more sophisticated, the risks to patient privacy, healthcare institutions, and national security continue to increase. Andy brings both his professional role as CEO and his personal perspective as a father to this important discussion about protecting sensitive data and building a safer digital future.

We begin by learning about Andy’s journey, how balancing his leadership role with family life influences his passion for privacy and security, and what inspired him to found Quantum Knight. From there, we explore the company’s mission to set a vision for healthcare data security and to make encryption accessible and practical for both large institutions and individual users.

The conversation moves into industry trends and threats. Andy explains where the gaps lie between regulation and real-world adoption of data security, why so many organizations wait until after a breach to act, and how quantum computing and AI are creating immediate risks that demand urgent attention. We break down what quantum-resistant encryption actually means in simple terms, how it integrates with biometric authentication and real-time protection, and why crypto-agility, which is the ability to quickly adapt to new encryption standards without disruption, is so critical for long-term security.

Listeners will hear real-world examples across industries. Andy shares use cases in healthcare, law firms, education, e-commerce, and even IoT infrastructure like oilfields, where proactive security measures are transforming outcomes. He highlights success stories of organizations that implemented protections before an incident, and also voices frustrations when businesses delay adoption until after a costly and damaging breach.

Looking to the future, Andy outlines what healthcare professionals and business leaders can expect in the next 6 to 12 months with evolving compliance requirements. He also paints a broader picture of how encryption will become a cornerstone of national security, protecting stored data for decades to come against the threat of quantum decryption.

The call to action is clear. Every healthcare provider, business leader, and attorney listening needs to take proactive steps now to secure their data rather than waiting until it is too late. Andy directs listeners to Quantum Knight’s blog and practical use case downloads to begin implementing solutions today.

This episode is essential listening for anyone concerned about the security of healthcare data, patient privacy, or the broader impact of quantum technology and AI on digital infrastructure. Whether you are a healthcare executive, compliance officer, IT director, or attorney advising clients on risk management, you will gain practical insights and actionable steps from this in-depth conversation.

The Healthcare Consultants Podcast is produced and sponsored by the Law Office of Michael V. Favia & Associates, a trusted Chicago-based firm with decades of experience in healthcare law, professional licensing, and regulatory compliance. Learn more about the firm at www.FaviaLawFirm.com.

In this episode of the Healthcare Consultants Podcast, sponsored by the Law Offices of Michael V. Favia & Associates in Chicago, we sit down with the team from Go Technology Group to discuss essential IT strategies for healthcare providers and small to midsize businesses.

We cover today’s most pressing technology topics for healthcare practices, including:

• Cybersecurity best practices to protect patient data
• HIPAA and regulatory compliance support for medical offices
• Strategic IT consulting and long-term technology planning
• Emerging trends in Artificial Intelligence (AI) for small businesses

If you manage a healthcare practice, work in compliance, or provide consulting services to medical professionals, this episode is packed with valuable information on managing risk and keeping your technology secure and compliant.

About Our Guests:

Go Technology Group specializes in providing IT consulting, managed services, and cybersecurity solutions for healthcare and other compliance-driven industries across Chicago and the Midwest. 

John Marta is the Principal and Senior IT Architect at GO Technology Group, a leading managed IT services and cybersecurity provider based in Chicago. With over 20 years of experience, he helps small and mid-sized businesses protect their networks, navigate emerging threats like AI-enabled phishing and ransomware, and build secure, scalable infrastructure. John is Security+ certified and works across industries including education, law, manufacturing, healthcare, and local government.

Learn more about Go Technology Group at: https://gochicagoit.com/ Podcast

Sponsor:

The Healthcare Consultants Podcast is sponsored by the Law Offices of Michael V. Favia & Associates, P.C., serving Chicago healthcare professionals with legal services focused on licensing, compliance, and risk management.

Visit: https://www.favialawfirm.com/

Welcome to the Healthcare Consultants Podcast, sponsored by Michael V. Favia & Associates, P.C. In this thought-provoking episode, we welcome Jamelia Hand, Founder of Vantage Clinical Consulting, LLC, to discuss the real-world impact of addiction and substance abuse.

Jamelia shares her journey of founding Vantage Clinical Consulting, a company that goes beyond discussing addiction to providing tangible solutions for those affected.

Throughout the conversation, we delve into the far-reaching effects of addiction on families, workplaces, and communities, uncovering the biggest misconceptions about its ripple effect. Jamelia also addresses the myth of the “successful addict,” revealing why high-achieving individuals often struggle to acknowledge their addiction, and how to spot signs in yourself or others.

We explore the obstacles that prevent people from seeking help, including the brain chemistry behind addiction, and how shifting your mindset can make all the difference in the recovery process. Finally, Jamelia talks about the excitement of starting a new life in recovery, showing listeners that the journey ahead can be one of empowerment, not fear.

In this episode of the Healthcare Consultant's Podcast, sponsored by the Law Office of Michael V. Favia & Associates, we are honored to welcome Dr. Aditi U. Joshi, a global leader in telemedicine and digital health. Dr. Joshi is a bestselling author, consultant, and emergency medicine physician with extensive experience utilizing health technologies to revolutionize patient care. As the founder of Nagamed Consulting, she works with national and international clients to improve healthcare through evidence-based practices, covering everything from telemedicine to AI and VR. Her groundbreaking book, Telehealth Success: How to Thrive in the New Age of Remote Care, published in 2023, has become an essential resource for healthcare professionals navigating the shift to remote care. Join us as we delve into her insights on the evolving landscape of telemedicine and how healthcare providers can thrive in this new age. Episode Highlights: - Introduction to Dr. Aditi U. Joshi and her work in telemedicine. - Discussion on the impact of digital health technologies on patient care. - Insights from her book Telehealth Success: How to Thrive in the New Age of Remote Care - The future of remote patient monitoring (RPM), artificial intelligence (AI), and virtual reality (VR) in healthcare. - How can healthcare providers adapt to and benefit from these advancements? Don’t miss this insightful conversation with Dr. Aditi U. Joshi as we explore the future of telemedicine and digital health. Whether you’re a healthcare professional, a consultant, or someone interested in the intersection of technology and medicine, this episode is packed with valuable information. Tune in to better understand how to thrive in the rapidly changing healthcare landscape.