O&A’s Expanding Healthcare Fraud and Abuse Unit

Several years ago, O’Connell and Aronowitz formed a Healthcare Fraud and Abuse Unit as an adjunct to its well-established health law practice. The Healthcare Fraud and Abuse Unit focuses on all fraud and abuse issues, both civil and criminal, that impact health care providers.  Recently, the unit was expanded with the addition of Richard A. […]

OIG Fraud and Abuse Testimony Highlights Medicaid and Medicare Fraud Strike Forces, and Greater Use of Exclusionary Remedies for Officers and Management

On Wednesday March 2, 2011, several members of the Office of Inspector General (“OIG”) within the U.S. Department of Health and Human Service (“HHS”), including Inspector General Daniel R. Levinson, headed to Capitol Hill to testify before several House and Senate Committees on the topic of the OIG’s efforts to combat Medicare and Medicaid fraud […]

BlueCross and BlueShield Pays $25 Million to Settle Medicaid Fraud Claims

On February 24, 2011, the United States Attorney for the Northern District of Illinois announced a $25 million settlement agreement with BlueCross and BlueShield of Illinois (BCBS) regarding alleged Medicaid fraud under the False Claims Act.  The government, according to the agreement, alleged that BCBS wrongfully terminated insurance coverage for private duty, skilled nursing  for children needing […]

NY Court of Appeals: Legislature Must Amend Penal Law to Include Health Care Insurance Fraud

In a recent New York State decision, the Court of Appeals held that New York Penal Law 170.60, insurance fraud in the first degree, does not necessarily encompass a fraudulent health care insurance act.  In People v. Boothe, decided on February 24, 2011, the defendant CEO of a managed health care provider was indicted on […]