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Lawyer Profile

Image of Mark Hardiman

Mark Hardiman

Nelson Hardiman, LLP
  • Recognized Since:
    2016
  • Recognized in:
    Health Care Law
  • Lawyer Page:
    http://www.nelsonhardiman.com/
  • Website:
    http://www.nelsonhardiman.com
  • Phone:
    (310) 203.2800
  • Location:
    1100 Glendon Avenue, 14th Floor
    Los Angeles, CA 90024

A serial triathlete and marathon runner, Mark Hardiman brings the same rigor and determination in crossing the finish line to successfully resolve the most difficult cases facing his clients. Mark has more than 15 years of experience representing healthcare providers in complex litigation matters, including federal and state criminal investigations, false claims and other civil lawsuits, and administrative proceedings before federal and state agencies. He also regularly advises clients on regulatory compliance issues, including with respect to internal investigations, voluntary disclosures of overpayments, and possible violations of the False Claims Act (“FCA”), federal anti-kickback statute and the Stark Law.

Powerful Defense of Healthcare Providers in Criminal and Civil Fraud Actions

As a veteran trial lawyer and litigator, Mark’s experience includes 22 jury trials, eight appeals before the Federal Circuit Courts of Appeals, and three appeals before the California Court of Appeal. Mark spent more than eight years as a federal prosecutor with the United States Attorney’s Office in Los Angeles, where he prosecuted major fraud and other criminal cases. Before co-founding Nelson Hardiman, Mark was a partner at a law firm dedicated solely to the representation of healthcare providers and suppliers, where he focused on the defense of healthcare criminal and civil fraud actions and investigations.

National Reputation Defending False Claims Act Lawsuits

Mark has established our national reputation for work on behalf of hospitals and other healthcare providers that are sued by whistleblowers and/or the federal government for submitting false claims for medical services and items to Medicare and other federal health care programs in violation of the FCA. He has particular expertise in FCA cases involving alleged lack of medical necessity based on physician decision-making and standard of care violations, kickback and Stark Law violations, and upcoding.

A Broad Range of Healthcare Litigation Experience

Mark has represented hospitals, skilled nursing home facilities, home health agencies, clinical laboratories, physician medical groups, pharmacies, ambulance companies, IDTFs, management companies, and individual providers in federal and state criminal and civil investigations and cases filed throughout the United States:

  • His criminal experience includes defending providers against charges of conspiracy, healthcare and insurance fraud, false statements, kickbacks, unlawful prescribing, elder abuse, and manslaughter, and representing providers who are the targets or subjects of a criminal investigation.
  • His FCA experience includes defending providers against alleged claims involving unnecessary services and non-reimbursable costs, kickbacks and Stark Law violations, improper coding, and services that did not otherwise comply with regulatory payment conditions.
  • His civil litigation experience includes representing providers in payment disputes with managed care plans, and in business disputes involving breach of contract, unfair competition and other claims, both in court and in arbitrations.
  • His administrative litigation experience includes representing providers in Medicare or Medi-Cal administrative proceedings and related court proceedings, including coverage appeals and program exclusion actions, and in voluntary disclosures of possible FCA violations under the U.S. Department of Health & Human Services Office of Inspector General’s Provider Self-Disclosure Protocol and Stark Law violations under the Center for Medicare and Medicaid Services’ Voluntary Self-Referral Disclosure Protocol.

Accolades

Mark was recognized by Best Lawyers in America (Health Care Law) the last three consecutive years and is a four time Southern California Super Lawyers honoree, including from 2015 – 2018. He is also the recipient of Attorney General Janet Reno’s John Marshall Award, the United States Chief Postal Inspector’s Special Award, and twice received the United States Department of Justice Special Achievement Award.

  • Lawyer Bio
  • Client Comments
  • Lawyer Practice Areas
  • Firm Details
  • News & Media
  • Case History

Lawyer Bio

A serial triathlete and marathon runner, Mark Hardiman brings the same rigor and determination in crossing the finish line to successfully resolve the most difficult cases facing his clients. Mark has more than 15 years of experience representing healthcare providers in complex litigation matters, including federal and state criminal investigations, false claims and other civil lawsuits, and administrative proceedings before federal and state agencies. He also regularly advises clients on regulatory compliance issues, including with respect to internal investigations, voluntary disclosures of overpayments, and possible violations of the False Claims Act (“FCA”), federal anti-kickback statute and the Stark Law.

Powerful Defense of Healthcare Providers in Criminal and Civil Fraud Actions

As a veteran trial lawyer and litigator, Mark’s experience includes 22 jury trials, eight appeals before the Federal Circuit Courts of Appeals, and three appeals before the California Court of Appeal. Mark spent more than eight years as a federal prosecutor with the United States Attorney’s Office in Los Angeles, where he prosecuted major fraud and other criminal cases. Before co-founding Nelson Hardiman, Mark was a partner at a law firm dedicated solely to the representation of healthcare providers and suppliers, where he focused on the defense of healthcare criminal and civil fraud actions and investigations.

National Reputation Defending False Claims Act Lawsuits

Mark has established our national reputation for work on behalf of hospitals and other healthcare providers that are sued by whistleblowers and/or the federal government for submitting false claims for medical services and items to Medicare and other federal health care programs in violation of the FCA. He has particular expertise in FCA cases involving alleged lack of medical necessity based on physician decision-making and standard of care violations, kickback and Stark Law violations, and upcoding.

A Broad Range of Healthcare Litigation Experience

Mark has represented hospitals, skilled nursing home facilities, home health agencies, clinical laboratories, physician medical groups, pharmacies, ambulance companies, IDTFs, management companies, and individual providers in federal and state criminal and civil investigations and cases filed throughout the United States:

  • His criminal experience includes defending providers against charges of conspiracy, healthcare and insurance fraud, false statements, kickbacks, unlawful prescribing, elder abuse, and manslaughter, and representing providers who are the targets or subjects of a criminal investigation.
  • His FCA experience includes defending providers against alleged claims involving unnecessary services and non-reimbursable costs, kickbacks and Stark Law violations, improper coding, and services that did not otherwise comply with regulatory payment conditions.
  • His civil litigation experience includes representing providers in payment disputes with managed care plans, and in business disputes involving breach of contract, unfair competition and other claims, both in court and in arbitrations.
  • His administrative litigation experience includes representing providers in Medicare or Medi-Cal administrative proceedings and related court proceedings, including coverage appeals and program exclusion actions, and in voluntary disclosures of possible FCA violations under the U.S. Department of Health & Human Services Office of Inspector General’s Provider Self-Disclosure Protocol and Stark Law violations under the Center for Medicare and Medicaid Services’ Voluntary Self-Referral Disclosure Protocol.

Accolades

Mark was recognized by Best Lawyers in America (Health Care Law) the last three consecutive years and is a four time Southern California Super Lawyers honoree, including from 2015 – 2018. He is also the recipient of Attorney General Janet Reno’s John Marshall Award, the United States Chief Postal Inspector’s Special Award, and twice received the United States Department of Justice Special Achievement Award.

Read more on firm website
  • Bar & Court Admissions
  • Affiliations
  • Award List
  • Additional Information

Bar Admissions:

  • California, State Bar of California
 

Court Admissions:

  • US Court of Appeals for the Ninth Circuit
  • US District Court for the Central District of California
  • US District Court for the Eastern District of California
  • US District Court for the Northern District of California
  • US District Court for the Southern District of California

Affiliations:

  • American Health Lawyers Association - Member
  • California Society for Healthcare Attorneys - Member

Recognized in The Best Lawyers in America for work in:

  • Health Care Law
 

Awards:

  • Recognized by Best Lawyers in America (Health Care Law) 2015, 2016, 2017
  • Recognized by Southern California Super Lawyers in 2015, 2016, 2017, 2018
  • Recipient of Attorney General Janet Reno's John Marshall Award
  • Received the United States Chief Postal Inspector's Award
  • Twice received the United States Department of Justice Special Achievement Award

Additional Information:

Marathon and Ultra-Distance Triathlon Competitor
Mark has completed the Los Angeles Marathon twice, the San Diego Marathon twice, the ChesapeakeMan Ultra-Distance Triathlon, and the Florida Ironman Triathlon, among other races.
 

Lawyer Client Comments

Lawyer Practice Areas

Key: Awarded in Best Lawyers Not Currently Awarded for this Area in Best Lawyers

Firm Details

Nelson Hardiman, LLP
http://www.nelsonhardiman.com
 
Headquarters
1100 Glendon Avenue, 14th Floor
Los Angeles, CA 90024
(310) 203.2800
View Firm Profile

News & Media

Featured Publications

Cover for our Southern California publication Cover for our Southern California publication

Lawyer Case History

False Claims Act (Published Opinion, 2016)

Zeman ex rel. U.S. v. USC University Hosp., 664 Fed. Appx. 641 (9th Cir. 2016)

Medicare Act (Published Opinion, 2017)

Alvarado Hospital, LLC v. Price, 868 F.3d 983 (Fed. Cir. 2017)

Privacy Rights (Review Granted, 2017)

Mathews v. Harris, 7 Cal. App.5th 334 (2017)

Medicare Overpayment (Published Opinion, 2012)

Palomar Medical Center v. Sebelius, 693 F.3d 1151(9th Cir. 2012)

Medicare Fraud (Published Opinion, 2009)

S. v. SDI Future Health, Inc., 568 F.3d 684 (9th Cir. 2009)

False Claims Act (Published Opinion, 2007)

S. ex rel. Hockett v. Columbia/HCA, 498 F.Supp.2d 25 (D.D.C. 2007)

Prescription Fraud (Published Opinion, 1999)

S. v. Jackson, 167 F.3d 128 (9th Cir. 1999)
 
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