The New York State Office of the State Comptroller (“OSC”) recently announced that five audits of the State Department of … Read More “NYS Medicaid Audits of State Department of Health Identify $706.6 Million in Unnecessary Overpayments While the State is Faced With Budget Gap in the Billions”
The United States Department of Health and Human Services (HHS) Office of Inspector General (OIG) announced on July 27, 2020, … Read More “US HHS OIG Identifies Millions in New York Medicaid Payments to Managed Care Organizations for Deceased Medicaid Beneficiaries”
The federal False Claims Act (“FCA”) states that any person who knowingly submits a false claim to the government will … Read More “U.S. Department of Justice and Congress Focus on False Claims Act Cases Against Nursing Homes”
Governor Cuomo signed a bill on June 17, 2020 amending Section 741 of the New York Labor Law to increase … Read More “Increased Protections for Certain Whistleblowers in Health Care”
A recent federal/state multi-agency investigation revealed that, according to the investigators, several owners and operators of medical transportation companies based … Read More “Multi-Agency Investigation Uncovers Medicaid Transportation Fraud in the North Country”
Prosecutions related to Medicare kickback schemes and genetic testing continues despite the pandemic with several new cases. In the fall … Read More “Amid Pandemic, Vigilance Against Health Care Fraud Still Continues”
The United States Department of Health and Human Services (HHS) Office of Inspector General (OIG) released its Semiannual Report to … Read More “US HHS OIG Releases Semiannual Report to Congress”
As laboratories across the country work to adapt to the new environment that COVID-19 has presented, they are navigating a … Read More “FDA Enforcement – Serology Testing for COVID-19”
On March 30, 2020, the U.S. Department of Justice for the District of New Jersey announced the arrest of Erik … Read More “COVID-19 Testing and Illegal Kickbacks – Another Warning Lesson”
The first enforcement under the Eliminating Kickbacks in Recovery Act (EKRA) was announced on January 10, 2020. EKRA is part … Read More “FIRST GUILTY PLEA UNDER EKRA”