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  • Article

    Health Care Workers May Think Twice Before Becoming A Relator

    The Federal False Claims Act (and many similar state false claims acts) allow an individual—called a "relator"—to file a lawsuit on behalf of the United States Government.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Duane Morris LLP
    Duane Morris LLP
  • Article

    HHS Heat Initiative Continues Fraud Crackdown

    A number of recent cases demonstrate HHS' Health Care Fraud Prevention and Enforcement Action Team's success in cracking down on healthcare provider fraud.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Dickinson Wright PLLC
    Dickinson Wright PLLC
Article

HHS OIG Releases Guidance For Healthcare Boards

On April 20, the U.S. Department of Health and Human Services Office of Inspector General (OIG), in collaboration with the Association of Healthcare Internal Auditors, the American Health Lawyers Association and the Health Care Compliance Association, published a new guidance document for governing boards of healthcare organizations on their obligations concerning compliance oversight.
United StatesFood, Drugs, Healthcare, Life Sciences
Day Pitney LLP
Day Pitney LLP
  • Article

    Khaled Klele Comments On "Operation Nightingale" For Becker's Hospital Review

    Healthcare Partner Khaled J. Klele was quoted in Becker's Hospital Review in its article "Fake nursing degree liability is a hot potato — will hospitals get stuck with it?" ...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Riker, Danzig, Scherer, Hyland & Perretti
    Riker, Danzig, Scherer, Hyland & Perretti
  • Article

    Latest DOJ COVID Crackdown Features Another Defendant Accused Of Abusing Telehealth Waivers

    With its latest announcement this week of a criminal crackdown of 21 defendants for their alleged participation in various health care related fraud schemes, DOJ has underscored its commitment...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Sidley Austin LLP
    Sidley Austin LLP
  • Article

    Lessons From DOJ's Handling Of Rare Medicare Fraud Case

    In an expert analysis published by Law360, Partners Ericka Aiken and Kevin Lamb, and Associate Charlotte Mostertz discuss the US Department of Justice's recently announced criminal indictment related to the Medicare Advantage program and point to the importance of functioning compliance programs.
    United StatesFood, Drugs, Healthcare, Life Sciences
    WilmerHale
    WilmerHale
  • Article

    Manufacturing Trouble: Is cGMP the Next Enforcement Frontier?

    Current Good Manufacturing Practices (''cGMP'') may mark the next frontier in health care fraud enforcement.
    United StatesFood, Drugs, Healthcare, Life Sciences
    WilmerHale
    WilmerHale
  • Article

    Medical Bills Establish Amount In Controversy For Federal Jurisdiction

    Hard to believe, but there are some plaintiffs who shun federal court. You all are as capable as we are of filling in the blank as to why that is so.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Announces Updated Hotline for Reporting Fraud, Waste & Abuse

    The Department of Health and Human Services (DHHS) Office of Inspector General (OIG) announced yesterday a revamped hotline for reporting fraud, waste, abuse and mismanagement involving DHHS programs.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Cooley LLP
    Cooley LLP
  • Article

    OIG, DOJ Announce FY 2017 Health Care Fraud And Abuse Control (HCFAC) Program Recoveries

    Federal health fraud recoveries for FY 2017 totaled $2.6 billion, according to the latest HCFAC program annual report, compared to $3.3 billion in FY 2016.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Enforcement Update

    I had occasion today to look into the Department of Health & Human Services’ Office of Inspector General’s information today and, specifically, some of the recent enforcement announcements.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Fox Rothschild LLP
    Fox Rothschild LLP
  • Article

    OIG Focuses On Medicaid Billing For Pediatric Dental Services

    The Department of Health & Human Services’ OIG released a report of an analysis of Medicaid payments in the State of Louisiana for pediatric dental services.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Fox Rothschild LLP
    Fox Rothschild LLP
  • Article

    OIG Spring 2016 Semiannual Report To Congress Highlights Enforcement/Investigative Accomplishments

    The OIG has issued its Spring 2016 Semiannual Report to Congress, which describes significant enforcement and investigative activities relating to HHS programs during the first half of FY 2016.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    Recent Enforcement Cases In China Life Sciences Compliance

    Chinese regulators have issued updates on enforcement cases targeting former officials who had responsibility for the life sciences industry, including those who served in the National Medical Products Administration (NMPA), which plays a role similar to the U.S. Food and Drug Administration.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Arnold & Porter
    Arnold & Porter
  • Article

    SEC Turns Up The Heat On Issuer Officials

    Two recent SEC enforcement actions demonstrate that the Securities and Exchange Commission remains intently focused on the municipal market...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Foley & Lardner LLP
    Foley & Lardner LLP
  • Article

    Supreme Court To Consider Implied Certification Theory Of FCA

    The Supreme Court has agreed to hear a case involving the implied certification theory under the False Claims Act.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Duane Morris LLP
    Duane Morris LLP
  • Article

    Telehealth Fraud Enforcement: Trends, Predictions, And Best Practices

    Kate Driscoll was a guest on the American Bar Association Health Law Section's "Voices in Health Law" podcast, discussing the rise of telehealth services during the COVID-19 pandemic resulting in ...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Morrison Foerster
    Morrison Foerster
  • Article

    The Trump Administration Proposes A Budget Increase To Fight Healthcare Fraud

    The Trump administration proposed a budget increase of 19 million to aid in the fight against health care fraud. This showcases the continued (and heightened) importance of anti-fraud programs, especially compared to the suggested $18 billion ...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Dickinson Wright PLLC
    Dickinson Wright PLLC
  • Article

    Thirteenth Individual Convicted In Medicare Psychiatric Treatment Fraud

    On September 10, a Houston psychiatrist became the thirteenth individual convicted in relation to partial hospitalization program (PHP) services fraudulently billed to Medicare
    United StatesFood, Drugs, Healthcare, Life Sciences
    McGuireWoods LLP
    McGuireWoods LLP
  • Article

    Tuomey Judgment Upheld In Novel Stark Law And False Claims Act Case

    The Fourth Circuit addressed a number of issues raised by Tuomey on appeal related to the complex procedural history of the case.
    United StatesFood, Drugs, Healthcare, Life Sciences
    BakerHostetler
    BakerHostetler
  • Showing 901–920 of 9620 results

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