B. Scott McBride

B. Scott McBride

BakerHostetler

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Kane and the “60-Day Rule”: The Unforgiving World of Medicare and Medicaid Overpayments

The Southern District of New York has spoken on one of the first issues to confront those seeking compliance with the new “60-day rule” under the Affordable Care Act (ACA), and it does not bode well for defendant hospitals...more

8/14/2015 - Affordable Care Act CID Civil Investigation Demand CMS Compliance DOJ False Claims Act Healthcare Healthcare Providers Hospitals Medicaid Medicare Medicare Part A Medicare Part B Medicare Part D Overpayment Overpayment Recovery Time Limits

HHS OIG Creates New Taskforce to Pursue Civil Monetary Penalties and Exclusions

At the annual meeting of the American Health Lawyers Association (AHLA) held this week in Washington D.C., the U.S. Department of Health and Human Services Office of Inspector General (OIG) announced a new legal team...more

7/7/2015 - Civil Monetary Penalty Corporate Integrity Agreement Enforcement False Claims Act HHS OIG

Supreme Court Decision Has Good News and Bad News for Those Facing False Claims Act Litigation

On May 26, 2015, the Supreme Court of the United States (SCOTUS) issued an opinion in a federal False Claims Act (FCA) case that resolves two important procedural points litigants face: the tolling of the six-year statute of...more

6/1/2015 - False Claims Act First-to-File Health Care Providers Healthcare KBR (formerly Kellogg Brown & Root) Popular Qui Tam SCOTUS Statute of Limitations Whistleblowers WSLA

Summer Fraud and Abuse Roundup

The federal government was busy over the summer when it came to decisions and settlements under the Stark Law, anti-kickback law and federal False Claims Act. This article revisits recent developments with respect to...more

8/25/2014 - Anti-Kickback Statute False Claims Act Fraud and Abuse Healthcare Healthcare Fraud Settlement Stark Law Whistleblowers

Paying for Family Vacations With NIH Funds Triggers FCA Lawsuit and Settlement

Northwestern University will pay $2.93 million to settle a federal False Claims Act (FCA) lawsuit brought by a former employee who alleged Northwestern allowed a researcher to submit false claims under certain cancer research...more

8/13/2013 - False Claims Act Fraud NIH Research Funding Travel Whistleblowers

CMS Proposes Increased Rewards for Reporting Fraud and Abuse

The Centers for Medicare and Medicaid Services (CMS) recently published a proposed rule modifying certain provisions in their Incentive Reward Program (IRP) to sweeten the incentives for reporting sanctionable conduct....more

5/7/2013 - CMS False Claims Act Fraud HIPAA Incentives Reporting Requirements Whistleblowers

Sixth Circuit Holds Physician Supervision and Enrollment Issues Are Not Conditions of Payment for Purposes of FCA Liability

The Sixth Circuit Court of Appeals recently issued a decision overturning an $11.1 million False Claims Act (FCA) verdict against MedQuest Associates, Inc. (MedQuest) for submitting claims to Medicare in violation of the...more

4/23/2013 - False Claims Act Medicare MedQuest Physician Payments Physicians Supervision

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