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A July 19 article in Bloomberg BNA's Health Care Fraud Report and other publications, "Nurses Hit Hardest by Medicare and Medicaid Exclusions," discussed the exclusion of nurses and physicians from participation in the Medicare and Medicaid programs.

The Office of Inspector General (OIG) of the Department of Health and Human Services posted an Advisory Opinion today addressing a hospital system's proposal to lease administrative employees...

The HHS OIG recently issued a brief fraud alert reminding physicians that inappropriate compensation arrangements may lead to enforcement actions under the federal anti-kickback statute and Civil Monetary Penalties Law.

On June 9, the Office of Inspector General of the U.S. Department of Health and Human Services issued a fraud alert regarding the risk of liability to physicians arising out of legitimate compensation arrangements...

The Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) is inviting public recommendations for new or modified safe harbor provisions under the federal anti-kickback statute.

On July 20, 2022, the Office of Inspector General issued a Special Fraud Alert cautioning healthcare practitioners about entering into certain types of arrangements with telemedicine companies.

On October 24, the U.S. Department of Justice (DOJ) announced a record-breaking $145 million settlement with Life Care Centers of America Inc. (Life Care), marking the largest settlement with a skilled nursing facility chain in the DOJ's history.

Telehealth's ability to connect patients and providers across vast distances brings undeniable benefits. However, this very advantage creates unique challenges for fraud prevention.

Historically, the federal government has fought corporate healthcare fraud in two ways. First, the Department of Justice ("DOJ") routinely intervenes in civil FCA cases filed by qui tam relators.

An article in Bloomberg BNA's Health Care Fraud Report and other publications, "Trump Budget Anticipates Spending, Net Savings From Fighting Health Fraud," pointed out that while the Trump administration's recent budget request calls for increased anti-fraud funding, HIPAA investigations could languish due to a $6 million cut at the Department of Health and Human Services' ..

Eric Fader was quoted in a January 27 article, "Trump DOJ Likely to Keep Heat on Individuals for Health-Care Fraud," in Bloomberg BNA's Health Care Daily Report and other publications. The article discussed the U.S. Department of Justice's so-called Yates memo which, among other things, encouraged federal prosecutors to focus on individual accountability in enforcement actions against corporations.

Analysis of the DOJ's Reported $3.7 Billion in False Claims Act Recoveries in FY 2017 Reveals Continued Aggressive Use of the False Claims Act by the Government and Qui Tam Relators.

The Republic of Cabo Verde extradited a Colombian national who was indicted for money laundering in connection with an alleged corruption scheme in Venezuela.

Of the $5.69 billion in FY 2014 False Claims Act recoveries, the DOJ collected approximately $5.4 billion from the financial and healthcare industries, which paid out $3.1 and $2.3 billion, respectively.

What impact will the incoming Trump administration have on health care enforcement and False Claims Act cases?

The federal government collected a record-breaking $5.7 billion in False Claims Act (FCA) recoveries in fiscal year (FY) 2014, up from $3.8 billion in FY 2013.

The U.S. Treasury Department's Financial Crimes Enforcement Network issued an administrative ruling that will provide time-limited relief from the Beneficial Ownership Rule for financial products and services ...

Every company that receives federal funds in any form—whether by contract, as a subcontractor, through a federal subsidy program or as a grantee— or that has obligations to the federal government, has reason to focus on the False Claims Act (FCA).