Proposed Changes to the Anti-Kickback Statute, Stark Law and Civil Monetary...
On October 9, the Department of Health and Human Services (HHS) released proposed rules (the Proposed Rules) aiming to update the Anti-Kickback Statute (the AKS), Stark Law and Civil Monetary...
View ArticleClik here to view.
Fraudulent Cardiologist Was Very Busy
Suspicious of the practices of one of its cardiologists, a hospital hired an independent expert to investigate. The expert examined records of 12 patients but “could not find support in any of the...
View ArticleClik here to view.
Healthcare Drives False Claims Act Recoveries
Once again, healthcare leads other industries for recoveries by the government and whistleblowers under the False Claims Act. Enforcement actions span the entire health care supply chain. See our...
View ArticleClik here to view.
Healthcare Recoveries Depend on Whistleblowers
The government incentivizes whistleblowers in order to increase healthcare recoveries under the False Claims Act. See our analysis here of how the Act’s qui tam provisions work by Colin Jennings,...
View ArticleClik here to view.
Whistleblowers Look To Capitalize On Stimulus
With their insider access to business operations, whistleblowers will follow stimulus money to learn whether the business abides by the strings attached to that money. Whistleblowers look for an...
View ArticleUpdated HHS Guidance on Provider Relief Fund Payments Could Help Providers...
On May 29, and June 2, the Department of Health and Human Services (HHS) updated its “Provider Relief Fund FAQs” on disbursements made to providers from the $175 billion Provider Relief Fund initially...
View ArticleClik here to view.
CARES Act Medicare Money – View From Former Prosecutors
The CARES Act requires Medicare providers to attest to multiple certifications. Former prosecutors examine how law enforcement may scrutinize these certifications. Marisa Darden, David Maria, and...
View ArticleDOJ Prioritizes Health Care Fraud in the Pandemic
The Department of Justice (“DOJ”) recently announced its largest ever health care fraud and opioid enforcement action. In a coordinated effort, DOJ charged 345 defendants with more than $6 billion in...
View ArticleHHS OIG Introduces Managed Care Strategic Plan
In August, the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services (“HHS”) introduced a new “Strategic Plan for Oversight of Managed Care for Medicare and Medicaid”...
View ArticleFederal Courts Continue to Grapple with Causation in Anti-Kickback-Based...
Courts around the country continue to disagree on the causation standard to be applied in False Claims Act cases based on alleged Anti-Kickback Statute violations. Two recent federal district court...
View Article
