Brian P. Dunphy

Brian P. Dunphy

Mintz Levin

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Latest Posts › Overpayment


Skeletons in the Closet? Beware of Potential Enforcement Actions

With Halloween looming, a discussion of skeletons that may be lurking in a health care provider’s closet is timely. Many of our previous posts, as well as the monthly Qui Tam Updates published by our Health Care Enforcement...more

10/29/2015 - 60-Day Rule Affordable Care Act Anti-Kickback Statute CMS DOJ Enforcement Actions Fair Market Value False Claims Act (FCA) Final Rules Health Care Providers Healthcare Healthcare Fraud Overpayment Physician Compensation Arrangements Qui Tam Relators Safe Harbors Settlements Stark Law Suppliers Third-Party Training

CMS Delays 60-Day Rule, But Overpayment Case Law Emerging

The Centers for Medicare & Medicaid Services (CMS) recently announced a one-year delay in finalizing the long-awaited and closely watched rule addressing the 60-day deadline to return Medicare and Medicaid overpayments (the...more

2/24/2015 - Affordable Care Act Civil Monetary Penalty CMS DHS DOJ Financial Conduct Authority (FCA) Medicaid Medicare Overpayment Physician Medicare Reimbursements Qui Tam Relators Social Security Act

PRIME Act: New Legislation to Curb Health Care Fraud

The United States Senate and House of Representatives recently introduced bipartisan legislation designed to reduce fraud, waste, and abuse in the Medicare and Medicaid programs. The legislation, entitled “Preventing and...more

6/17/2013 - CMS Fraud HHS Information Sharing Medicaid Medicare Overpayment Proposed Legislation Recovery Audit Contractors (RACs) Waste

Updated Self-Disclosure Protocol Clarifies Disclosure Process and Obligations

Individuals and entities subject to the Civil Monetary Penalty Law (CMP) have received clarification regarding the process for disclosing and resolving potentially unlawful conduct involving the federal health care programs...more

4/23/2013 - CMS Damages Disclosure Requirements OIG Overpayment Self-Disclosure Requirements

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