On September 18, 2020, the Department of Health and Human Services Office of Inspector General (OIG) issued an unfavorable Advisory Opinion, No. 20-05 (the Opinion), that a pharmaceutical manufacturer’s (Requestor) proposed...more
In FY 2018, the federal government won or negotiated more than $2.3 billion in healthcare fraud judgments and settlements. During that same period, investigations conducted by the Department of Health and Human Services’...more
10/3/2019
/ Anti-Kickback Statute ,
Best Practices ,
Civil Liability ,
Civil Monetary Penalty ,
Continuing Legal Education ,
Criminal Liability ,
Department of Health and Human Services (HHS) ,
Enforcement Actions ,
Fraud and Abuse ,
Government Investigations ,
Health Care Providers ,
Health Insurance ,
Health Plan Sponsors ,
Healthcare Fraud ,
Medicaid ,
Medicare ,
Medicare Advantage ,
OIG ,
Physicians ,
Webinars ,
Wellness Programs ,
White Collar Crimes
Balancing Gene Therapy’s Promise and Price -
Editor’s Note: Exciting advances in science have led to developing treatment breakthroughs, such as gene scripting therapies, that could represent the first potential cures...more
12/20/2016
/ Affordable Care Act ,
Anti-Kickback Statute ,
Civil Monetary Penalty ,
Final Rules ,
Healthcare Reform ,
Hospice ,
MCOs ,
Medicaid ,
Medicare ,
Non-Discrimination Rules ,
OCR ,
OIG ,
Safe Harbors ,
Telehealth