Paul D. Werner

Paul D. Werner: Attorney with Buttaci Leardi & Werner LLC
Attorney Awards
  • Martindale-Hubbell Peer Reviewed
About Attorney Awards

Biography

Mr. Werner is a 2007 graduate of the Seton Hall University School of Law, where he served as an editor of the Seton Hall Legislative Journal and competed nationally as a member of the Interscholastic Moot Court Board. He is admitted to practice in New Jersey, New York, and Pennsylvania.Mr. Werner joined Buttaci & Leardi, LLC as an Associate Attorney in September 2008. He became a Member of the Firm in January 2012. The Firm changed its name to Buttaci Leardi & Werner LLC on January 1, 2016. Mr. Werner co-manages the Firm’s Civil Litigation practice, and manages the Firm’s Criminal Defense and Regulatory Defense practices.Mr. Werner is a zealous advocate for his clients, both in and out of the courtroom. He has a varied litigation practice, representing physicians and other healthcare providers and organizations in civil litigation, criminal investigations and prosecutions, and professional licensing actions. In that capacity, Mr. Werner regularly handles matters related to post-payment audits, overpayment disputes and litigation, insurance fraud investigations and prosecutions, benefit disputes, and allegations of professional misconduct. Mr. Werner’s post-payment audit practice places special emphasis on the unique and complicated audits conducted by the Centers for Medicare and Medicaid Services and its contractors.Mr. Werner’s civil litigation practice includes a special focus on the defense of complex insurance fraud and False Claims Act investigations and appeals of Medicare audits presented to the Office of Medicare Hearings and Appeals. His civil litigation practice also extends beyond fraud and abuse allegations, and he routinely litigates disputes relating to shareholder and/or ownership disputes, commercial and contract disputes; employer/employee relations, restrictive covenants, insurance coverage and reimbursement disputes, including benefit claims under the Employee Retirement Income Security Act of 1974 (ERISA), and patient collections mattersMr. Werner’s criminal litigation practice focuses on defending healthcare providers and entities in state and federal prosecutions for a variety of healthcare specific crimes. Beyond the underlying gravity of a criminal prosecution, Mr. Werner understands the significant impact that a criminal prosecution, even if resolved positively, can have on licensed professionals. As such, Mr. Werner counsels his clients on the ancillary consequences of criminal prosecutions and resolutions, including but not limited to navigating the pitfalls of potential exclusion by the Department of Health and Human Services and disciplinary proceedings before professional licensing boards.Mr. Werner relies upon his substantial experience in assessing the substantive merits of allegations of insurance fraud or professional misconduct to effectively—and realistically—counsel his clients on how to best respond to scrutiny from either third-party payers or regulatory agencies. He also assists clients with internal investigations into regulatory compliance issues and frequently advises his clients on proactive risk management and regulatory compliance, emphasizing how to proactively avoid payer or regulatory scrutiny in the first place.Beyond Mr. Werner’s litigation practice, he advises clients on multifaceted corporate transactions and structuring, as well as facility licensing matters, especially in the behavior health space.
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Areas of Practice (11)

  • Healthcare
  • Third-Party Payer Audits and Refund Demands
  • Healthcare Litigation
  • Healthcare Regulatory Defense
  • Healthcare Fraud and Abuse
  • Healthcare Risk Management and Compliance
  • Healthcare Reimbursement
  • Healthcare Business Transactions
  • Behavioral Health and Addiction Treatment
  • Multidisciplinary Provider Organizations
  • Healthcare Facility Licensing

Education & Credentials

University Attended:
Trinity College, B.A., 2004
Law School Attended:
Seton Hall University School of Law, J.D., 2007
Year of First Admission:
2007
Admission:
2007, New Jersey; 2007, U.S. District Court, District of New Jersey; 2008, New York; 2009, U.S. District Court, Southern District of New York and U.S. District Court, Southern District of New York; 2011, U.S. Court of Appeals, Third Circuit; 2014, Pennsylvania
Memberships:
New Jersey State Bar Association.
Birth Information:
Hackensack, New Jersey, December 12, 1981
Reported Cases:
Premier Health Center, P.C., et al v. Unitedhealth Group, et al, 2014 U.S. Dist. LEXIS 120589 (Aug. 28, 2014) (Docket 2:11-cv-00425-ES-JAD); Pa. Chiropractic Ass'n v. Blue Cross Blue Shield Ass'n, 09-cv-5619, 2012 U.S. Dist. LEXIS 147026 (N.D. Ill. March 28, 2014); Horizon Blue Cross Blue Shield of NJ v. Transitions Recovery Program, 1:10-cv-03197, 2014 U.S. Dist. LEXIS 44434 (D.N.J. Mar. 27, 2014); Pa. Chiropractic Ass'n v. Blue Cross Blue Shield Ass'n, 09-cv-5619, 2012 U.S. Dist. LEXIS 147026 (N.D. Ill. November 7, 2013); Tri3 Enterprises, LLC v. Aetna, Inc, Case No. 12-2308 (3d Cir. August 16, 2013); Demaria v. Horizon Healthcare Services, 2:11-cv-7298 2013 U.S. Dist. LEXIS 107422 (D.N.J. July 31, 2013); Pa. Chiropractic Ass'n v. Blue Cross Blue Shield Ass'n, 09-cv-5619, 2012 U.S. Dist. LEXIS 147026 (N.D. Ill. October 12, 2012); Premier Health Center, P.C. v. Unitedhealth Group, 11-cv-425 (ES)(CLW), 2012 U.S. Dist. LEXIS 44871 (D.N.J., Mar. 30, 2012); Antell v. United Healthcare Ins. Co. of NY, 1:10-cv-03194-RJS (S.D.N.Y) (March 16, 2012); Lipstein v. United Healthcare Ins. Co., 11-cv-1185, 2011 U.S. Dist. LEXIS 135202 (D.N.J. Nov. 22, 2011); Ass'n of N.J. Chiropractors v. Aetna, Inc, 09-cv-3761, 2011 U.S. Dist. LEXIS 67718 (D.N.J. June 17, 2011); Pa. Chiropractic Ass'n v. Blue Cross Blue Shield Ass'n, 09-cv-5619, 2010 U.S. Dist. LEXIS 49151 (N.D. Ill. May 17, 2010).
ISLN:
921876730

Payment Information

Fixed Hourly Rates
$275 - $550/hr
Contingency Fee
20% - 33%
Credit Cards Accepted
American Express, MasterCard, Visa
Other Information
Free initial consultation, Fixed fees available

Peer Reviews

4.9/5.0 (19 reviews)
Peer Reviewed

  • Legal Knowledge

    4.8/5.0

  • Analytical Capability

    4.8/5.0

  • Judgment

    4.9/5.0

  • Communication

    4.9/5.0

  • Legal Experience

    4.8/5.0

  • 5.0/5.0 Rated by a Attorney on 09/04/23 in Health Care

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  • 5.0/5.0 Rated by a Attorney on 09/04/23 in Litigation

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  • 5.0/5.0 Rated by a Attorney on 08/07/23 in Litigation

    I am working with Mr. Werner on a very complicated litigation in Federal Court where the damages alleged are north of $100M. Mr. Werner is a smart, professional and courteous lawyer who is always well prepared and does an excellent job for his clien... Read more

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  • 5.0/5.0 Rated by a Member on 08/07/23 in Health Care

    Paul and I have not recently squared off in health care matters as my practice has changed, but when we were both active in this space I found Paul to be a diligent and able advocate for his clients.

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  • 5.0/5.0 Rated by a Attorney on 08/07/23 in Health Care

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  • 5.0/5.0 Rated by a Associate on 06/14/17 in Criminal Defense

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  • 5.0/5.0 Rated by a Partner on 03/09/17 in Health Care Fraud

    Paul and I have been opposing counsel on numerous occasions, and have had our disagreements. We each respect the others' talents and abilities and have been able to resolve matters while diligently advocating on behalf of our clients.

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  • 5.0/5.0 Rated by a Managing Partner on 03/09/17 in Health Care

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  • 5.0/5.0 Rated by a Associate on 06/29/15 in Health Care

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  • 5.0/5.0 Rated by a Associate on 09/10/14 in Litigation

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Other Legal Directories

Avvo Client Review
5.0/5.0 (1 review)

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Location

Contact Paul D. Werner

Contact Information:

640-224-3049  Phone

609-799-5180  Fax

www.buttacilaw.com

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