Gina L. Simms

Gina L. Simms

Ober|Kaler

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Criminal Prosecutions of Health Care Fraud: The Stakes Continue to Rise for Individual Providers

On June 18, 2015, the U.S. Department of Justice (DOJ), in collaboration with the U.S. Department of Health and Human Services (HHS), announced criminal charges against 243 individuals located in 14 states for various health...more

7/29/2015 - Criminal Prosecution DOJ Fraud Health Care Providers Healthcare Fraud HEAT HHS Home Health Care Kickbacks Medicaid Medicare Medicare Part D

Worthless Services Investigations and Settlements: The Enforcement Trend Continues

In recent years, state and federal governments have shown their willingness to criminally pursue skilled nursing home owners and operators for allegedly administering “worthless” or substandard quality of care to their...more

3/31/2015 - Compensatory Damages Criminal Prosecution DOJ Enforcement Actions False Claims Act Fraud Medicaid Medicare Nursing Homes Qui Tam Treble Damages Worthless Services Claims

Worthless Services/Substandard Quality of Care Criminal Prosecutions May Be on the Rise

If you are an operator of a skilled nursing facility (SNF), you might have faced the reality of insufficient medical staff and how it impacts your ability to deliver quality patient care to your residents. Or, you might have...more

7/16/2014 - Criminal Prosecution Enforcement Enforcement Actions Healthcare Indictments Investigations Long Term Care Facilities PHI Quality of Care Standards SNF

PODCAST: How to Respond to a Search Warrant - Ten Practical Steps

Presented by Gina L. Simms and James P. Holloway of Ober|Kaler's Government Investigations and White Collar Defense Group, this podcast provides guidance to health care providers and other corporations on how to respond when...more

12/27/2013 - Law Enforcement Search & Seizure Search Warrant

PODCAST: Responding to a Government Subpoena or Other Document Demand - Six Helpful Hints

Presented by Gina L. Simms and James P. Holloway of Ober|Kaler's Government Investigations and White Collar Defense Group, this podcast provides guidance to health care providers and other corporations on how to respond to a...more

12/27/2013 - Attorney-Client Privilege Document Productions Document Requests Document Retention Policies Subpoenas

WEBINAR: Conducting an Internal Investigation: Managing Messages, Risks and Outcomes

In today’s regulatory environment, the prospect of a health care provider having to conduct an internal investigation is not a matter of “if,” but “when.” Whether an internal investigation is handled effectively or...more

11/15/2013 - Internal Investigations Risk Management

Operative Reports May Lead to False Statement Prosecution

You are a hardworking surgeon who is committed to providing quality care to all of your patients, including your Medicare beneficiaries. Because you are so busy, you routinely dictate your pre-operative and post-operative...more

11/12/2013 - False Statements Healthcare Healthcare Professionals Medicare Operative Documents Physicians Professional Liability

Miranda Eviscerated: How Your Silence During a Government Interview Could Be Used Against You

Can your silence be used against you in a criminal proceeding? Most of us would assume that it cannot because of the Fifth Amendment to the U.S. Constitution and case law interpreting it....more

8/15/2013 - Criminal Prosecution Fifth Amendment Miranda Warnings Right to Remain Silent

Deferred Prosecution Agreements: How an Effective Compliance Program Can Help You Plan for the Unpredictable

During the past several years, prosecutors have increasingly used Deferred Prosecution Agreements (DPAs) against corporations in enforcing white collar criminal statutes. DPAs have enabled companies to avoid the costs and...more

2/27/2013 - Anti-Kickback Statute CMS Compliance Corporate Integrity Agreement Deferred Prosecution Agreements DOJ False Claims Act False Statements Investigations Medicare Overpayment WakeMed

An Ounce of Prevention Is Worth a Pound of Cure Why You Need an Effective Compliance Program

For centuries, health care providers have enlightened patients with the well-known adage: “an ounce of prevention is worth a pound of cure.” A recent set of cases involving a durable medical equipment company and its...more

12/6/2012 - Compliance False Claims Act Fraud Healthcare

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