Gregory Saikin

Gregory Saikin

BakerHostetler

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Marketing to Medicaid Beneficiaries: Texas Proposed Rule Highlights Pitfalls for Providers

Earlier this month, the Texas Health and Human Services Commission (Commission) released a proposed rule, 1 TAC § 354.1452 that prohibits certain marketing activity by Medicaid and CHIP providers. The proposed rule has been...more

2/25/2014 - Beneficiaries CHIP Employee Benefits Healthcare HHS Medicaid

Consumer Fraud Complaints Rise With Rollout of Affordable Care Act Exchanges

Criminal Prosecutions Expected in 2014 Related to ACA Fraud - Last month's troubled rollout of HealthCare.gov, the federal marketplace for online health insurance enrollment under the Affordable Care Act (ACA),...more

11/18/2013 - Affordable Care Act Criminal Prosecution Fraud FTC Healthcare

New Survey Underscores Providers' Responsibility for Preventing Medical ID Theft

The Ponemon Institute's recent publication of its fourth annual 2013 Survey on Medical Identity Theft (Survey) confirmed what many in the healthcare industry already knew: identity theft is a serious and often overlooked...more

9/24/2013 - Fraud Healthcare Healthcare Professionals Identity Theft

Illegal Commission Arrangements: Appeals Court Reinstates Jury's Verdict Against Pharmacy Executive

In United States v. Vernon, the Eleventh Circuit Court of Appeals reversed an Alabama district court's judgment of acquittal following a jury's guilty verdict against a pharmacy executive charged with anti-kickback statute...more

8/26/2013 - Anti-Kickback Statute Jury Verdicts Pharmaceutical Reinstatement

Federal Court Cases May Have Some Healthcare Providers Asking for Peace, Not War

Last summer, a federal judge in Houston ruled that the Wartime Suspension of Limitations Act (WSLA), found in Title 18, § 3287 of the U.S. Criminal Code, applied to a civil False Claims Act (FCA) case and suspended the...more

6/14/2013 - False Claims Act Healthcare Fraud Statute of Limitations WSLA

Federal Healthcare Fraud Enforcement Efforts Yield a 790% Return

Last week, the U.S. Department of Health and Human Services (HHS) and the DOJ jointly released a report concluding that, for every dollar spent on healthcare fraud investigations in the last three years, the government...more

2/28/2013 - DOJ Healthcare Healthcare Fraud HHS

10 Fraud and Abuse Enforcement Trends You Can't Afford to Ignore in 2013

To paraphrase a famous quote, "Those who do not learn from history are doomed to repeat it," and providers who ignore the significance of the federal government's healthcare fraud enforcements efforts in 2012 do so at their...more

2/15/2013 - Affordable Care Act C-Suite Executives Compliance Enforcement Actions Fraud Fraud and Abuse HHS HIPAA HITECH Hospitals OIG Pharmaceutical Plea Agreements Sunshine Act

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