Samantha Kingsbury

Samantha Kingsbury

Mintz Levin

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OIG Issues Favorable Advisory Opinion of Hospital Leasing Arrangement

Last week, the Office of Inspector General (OIG) for the Department of Health and Human Services published Advisory Opinion 15-10 (Opinion). The Opinion addressed a hospital system’s proposal to lease non-clinician employees...more

8/4/2015 - Advisory Opinions Anti-Kickback Statute CMS Healthcare Healthcare Professionals Healthcare Providers HHS Hospitals Leased Employees Management Agreements Medicaid Medicare OIG Patient Referrals

MACRA: Program Integrity and Fraud and Abuse Provisions

On Thursday April 16th, President Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”). Pub.L. 114-10. In two previous posts, we discussed MACRA’s repeal of the Sustainable Growth Rate...more

4/24/2015 - CHIP Health Care Providers Hospitals Medicare Medicare Access and CHIP Reauthorization (MACRA) New Legislation Physician Medicare Reimbursements Physician SGR Formula Physicians

GAO Report Highlights Improper Medicare/Medicaid Payments

Despite the efforts of the Department of Health and Human Services (HHS) to combat fraud and contain costs in federal healthcare programs, Medicare’s fee-for-service program (Parts A and B) and Medicaid were two of the top...more

3/12/2015 - Congressional Investigations & Hearings Fee-for-Service Fraud GAO Healthcare HHS Medicaid Medicare Medicare Part A Medicare Part B

Device Manufacturer Settles False Claims Act Allegations with DOJ for $1.25 Million

The Department of Justice (DOJ) recently announced that ev3 Inc. (which acquired Fox Hollow Technologies, Inc. (“Fox Hollow”), a medical device manufacturer, in late 2007) agreed to pay $1.25 million to resolve allegations...more

2/18/2015 - DOJ False Claims Act Manufacturers Medical Devices Medicare Settlement

Federal Court Rejects Relator’s Swapping Allegations in False Claims Act Case

This week a federal district court in Ohio ruled in favor of Mobilex USA (Mobilex), the country’s largest mobile medical imaging company, on a motion for summary judgment in a False Claims Act (FCA) suit filed by a former...more

8/18/2014 - False Claims Act Healthcare Medicare Medicare Part A Medicare Part B

Serial Relator Getting the Boot?

This past Friday, hospital company HCA Holdings, Inc. asked a federal court judge to dismiss a False Claims Act (FCA) suit filed by whistleblower and former employee, Stephen McMullen. Mr. McMullen worked for an...more

9/5/2013 - False Claims Act Fraud Healthcare Fraud Hospitals Medicare Whistleblowers

Mintz Levin Health Care Qui Tam Update - Recent Developments and Unsealed Cases

Trends and Analysis: ..We have identified 20 health care-related qui tam cases unsealed in July 2013. About a quarter of those were filed in 2013. ..Among the cases unsealed in July, the government has declined to...more

8/20/2013 - Amgen Anti-Kickback Statute False Claims Act FDA Healthcare Hospitals Kickbacks Medicaid Medicare Pharmaceutical Physicians Prescription Drugs Qui Tam Relators Retaliation Sealed Records Stark Law TRICARE Whistleblowers

Health Care Enforcement in 2012: A Year in Review

Last year was another busy year in health care fraud enforcement. In 2012, the Office of Inspector General for the Department of Health and Human Services (HHS-OIG) reported total expected recoveries of $6.9 billion from all...more

2/26/2013 - Anti-Kickback Statute Compliance Criminal Prosecution Durable Medical Equipment Enforcement False Claims Act FCPA Fraud Healthcare HHS Home Health Care Medicare Off-Label Promotion OIG Pharmaceutical Whistleblowers

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