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Helen R. Trilling

Washington, D.C.

Helen R. Trilling

Widely recognized as a problem solver, Helen Trilling combines deep industry knowledge with an understanding of government enforcement interests to help healthcare clients design competitive business strategies. Working at the forefront of clinical and healthcare reform developments, Helen helps manufacturers and providers assess market opportunities and structure attractive customer offerings while managing compliance risk.

Long before most healthcare companies had "fraud and abuse" concerns on their radar, Helen was helping clients develop compliance programs, and counseling them on anti-kickback, self-referral and false claims risks. As innovation spurs development of new products and services, whether in personalized medicine, companion diagnostics and lab-developed tests, biologics and specialty pharmacies, shared risk plans, healthcare IT, mobile diagnostic and treatment, or other new technologies, Helen's clients rely on her to help identify and evaluate risk in proposed offerings, design mitigation strategies or alternatives, and advocate for regulatory or legislative change where needed.

Helen's vast client base and depth of experience allow her to help clients benchmark against industry norms and evolving expectations of regulators and enforcement officials. Helen also regularly counsels clients on Medicare/Medicaid coverage, reimbursement, and billing, and has experience dealing with a wide variety of other federal and state regulatory issues in healthcare.

Helen's legal career includes stints at the Department of Health and Human Services (DHHS) and in the private sector. Perennially highly ranked by peers and clients, healthcare companies seek Helen out for her broad knowledge of the healthcare industry and regulatory environment, useful insight, and practical advice.

"Helen Trilling is praised by clients for being outstanding in providing practical guidance on a very timely basis."


Representative Experience

Negotiated and assisted clients in implementing Corporate Integrity Agreements in each decade since the earliest imposed in the 1990s.

Assisted biotech company crafting innovative pricing strategy to meet commercial goals and comply with anti-kickback, false claims and pricing laws.

Obtained OIG Advisory Opinions where useful in support of client programs, and Special Fraud Alerts where needed to create a level playing field.

Assisted healthcare IT companies in design of compliant EHR and e-prescribing systems that may include some manufacturer-sponsored features.

Handled hospital internal investigation and first voluntary anti-kickback law disclosure to the DHHS Office of Inspector General.

Regularly furnishes regulatory insight key to defending healthcare investigations, supporting declinations or mitigating settlement penalties.

Regularly works with clients to close compliance program gaps, update policies, develop employee training, and establish monitoring and audit plans.

Regularly helps structure consultant contracts, education/research grants, charitable contributions, business courtesies, patient assistance programs.

Education and admissions


  • J.D., Harvard Law School, 1976
  • A.B., magna cum laude, Harvard-Radcliffe College, 1973


  • Board Member, Women in Law Empowerment Forum
  • Member, American Health Lawyers Association

Bar admissions and qualifications

  • District of Columbia
  • Massachusetts

Court admissions

  • Supreme Judicial Court of Massachusetts
  • U.S. Court of Appeals, District of Columbia Circuit
  • U.S. Court of Appeals, Tenth Circuit
  • U.S. District Court, District of Columbia
  • U.S. District Court, District of Massachusetts
  • U.S. Supreme Court

2006-2011, 2014-2016


Chambers USA


Health Care

Washington, D.C. Super Lawyers


Washington's Top Lawyers: Health Care



Outstanding Fraud and Compliance Lawyer

Nightingale's Health Care News


Most Highly Regarded Firms for Life Sciences

Who's Who Legal

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