On Wednesday March 2, 2011, several members of the Office of Inspector General (“OIG”) within the U.S. Department of Health … Read More “OIG Fraud and Abuse Testimony Highlights Medicaid and Medicare Fraud Strike Forces, and Greater Use of Exclusionary Remedies for Officers and Management”
Medline Industries, Inc. and its affiliated charitable foundation, The Medline Foundation, have just settled a whistleblower action brought by Sean … Read More “Medline Settles False Claims Act Allegations for $85 Million In Spite of Government’s Failure to Intervene”
The United States District Court for the Northern District of New York recently dismissed with prejudice a complaint by a … Read More “Federal District Court Clarifies False Claims Act Liability for Regulatory Violations”
The Affordable Care Act of 2010 required the Centers for Medicare and Medicaid Services (CMS) to establish standards for screening Medicare, … Read More “CMS Screening Protocols for Enrolling and Revalidating Providers Effective March 23”
On February 24, 2011, the United States Attorney for the Northern District of Illinois announced a $25 million settlement agreement … Read More “BlueCross and BlueShield Pays $25 Million to Settle Medicaid Fraud Claims”
On March 9, 2011, in the ongoing litigation regarding the constitutionality of President Obama’s Health Care Law, known as the … Read More “Obama Administration Moves for Expedited Appeal of Florida Decision Nullifying Health Care Law”
In a recent New York State decision, the Court of Appeals held that New York Penal Law 170.60, insurance fraud … Read More “NY Court of Appeals: Legislature Must Amend Penal Law to Include Health Care Insurance Fraud”
The American Medical Association (AMA) recently approved a policy for physician’s use of social media. This policy is available here. … Read More “American Medical Association Introduces New Policy on the Use of Social Media”
The New York State Department of Health (DOH) announced that clinical laboratories operating in the state have until April 15, … Read More “April Deadline for Laboratories to Comply with N.Y. Prohibition on EHR Donations”
On February 22, HHS issued a Notice of Final Determination imposing a civil monetary penalty of $4.3 million against Cignet … Read More “$4.3M Civil Monetary Penalty for HIPAA Privacy Violation”