T. Jeffrey Fitzgerald

T. Jeffrey Fitzgerald

Polsinelli

Contact  |  View Bio  |  RSS

Latest Publications

Share:

Supreme Court Rejects Government's FCA Implied Certification Theory

The Supreme Court of the United States in Universal Health Services, Inc. v. Escobar et al., weighed in on and embraced the implied certification theory of liability within the False Claims Act (FCA)....more

6/22/2016 - False Claims Act (FCA) False Implied Certification Theory Federal Contractors Health Care Providers Implied Certification Material Misrepresentation Medicaid Medicare Mental Health SCOTUS Universal Health Services Inc v United States ex rel Escobar Unlicensed Medical Providers

60-Day Overpayment Reporting Final Rule—The Rule of Six

On February 12, 2016, CMS published the Reporting and Returning of Overpayments Final Rule (Final Rule). The Final Rule takes effect on March 14, 2016. Overall, CMS appears to have listened to stakeholders and acknowledged...more

2/16/2016 - 60-Day Rule CMS Health Care Providers Medicare Medicare Part A Medicare Part B Overpayment Recovery Time Limits

The OIG Wants You to Know It Is Targeting Physicians - The OIG's June 2015 Fraud Alert

On June 9, 2015, the HHS Office of Inspector General (OIG) issued a Fraud Alert that cautions physicians about questionable medical directorship and office staff arrangements. [Alert available here]. In the Fraud Alert, the...more

6/11/2015 - Anti-Kickback Statute Healthcare Healthcare Fraud HHS Kickbacks OIG Physician Payments Qui Tam

You Are Now on the Clock — Sunshine Act Dispute Window Now Open

Beginning Monday, July 14, 2014, the review, dispute and correction process outlined the National Physician Payment Transparency Program (also known as the "Sunshine Act") opens on CMS's Open Payments website. Physicians and...more

7/16/2014 - Affordable Care Act CMS Health Insurance Hospitals Manufacturers Medical Devices Pharmaceutical Industry Physicians Prescription Drugs Provider Payments Reporting Requirements Sunshine Act

Fourteen Years Later: New OIG Guidance On Excluded Providers

In This Issue: - Exclusion from Federal Health Care Programs - The New Advisory Bulletin - What Providers Should Know - For More Information - Excerpt from Exclusion from Federal Health Care...more

6/3/2013 - Civil Monetary Penalty Disclosure Requirements Excluded Providers False Claims Act (FCA) Healthcare OIG

OIG Issues Advisory Opinion On Co-Management Incentive Compensation Arrangement

On January 7, 2012, the OIG posted Advisory Opinion No. 12-22 to address a co-management arrangement between a hospital and physicians that is designed to align incentives by offering compensation based on quality, service,...more

1/23/2013 - Anti-Kickback Statute Co-Management Compensation Agreements Hospitals OIG Physicians

6 Results
|
View per page
Page: of 1

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:

Sign up to create your digest using LinkedIn*

*By using the service, you signify your acceptance of JD Supra's Privacy Policy.

Already signed up? Log in here

*With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name. Or, sign up using your email address.
×