U.S. Treasury Looks to States to Share Information as Part of Insurance Anti-Money Laundering Efforts by Sedgwick LLP on 5/23/2012 The U.S. Treasury Department’s criminal enforcement arm, the Financial Crimes Enforcement Network (FinCEN), has reached individual agreements with the states of Louisiana and California which will allow state insurance...more
Health Law Alert: Massive Criminal Takedown Is Latest Salvo in Government's Intensified Campaign Against Health Care Fraud and... by Ober|Kaler on 5/15/2012 On May 2, 2012, the Justice Department and the U.S. Department of Health and Human Services (HHS) announced a nationwide takedown of 107 individuals for Medicare fraud schemes involving approximately $452 million in false...more
Medicare Strike Force Team Charges 107 Individuals for Approximately $452 Million in False Billing by King & Spalding on 5/9/2012 On May 2, DOJ and HHS announced charges against 107 individuals, including doctors, nurses and other licensed medical professionals, across the country for allegedly participating in Medicare fraud schemes totaling $452...more
Medicare Fraud Strike Force Bust Involves Highest Amount of False Billings in a Single Takedown by Mintz Levin - Health Law on 5/4/2012 2012 is already a record-breaking year in health care fraud enforcement. This week Attorney General Eric Holder and Secretary of the Department of Health and Human Services (HHS) Kathleen Sebelius announced the biggest...more
HHS Plugs Payment Suspensions as Key Tool in Latest Takedown by Morgan Lewis on 5/4/2012 The Medicare Fraud Strike Force's use of a pivotal ACA regulation to suspend payments during criminal investigations signals a turning point in its prosecution strategy. On Wednesday, May 2, U.S. Attorney General Eric...more
RI Court Holds No Coverage for Criminal Proceedings Involving Nightclub Tragedy by Traub Lieberman Straus & Shrewsberry LLP on 5/1/2012 In its recent decision in Derderian v. Essex Insurance Company, 2012 R.I. LEXIS 54 (R.I. Apr. 27, 2012), the Supreme Court of Rhode Island had occasion to consider whether under a general liability policy, an insured was...more
Senate Committee Holds Hearing on Health Care Fraud Enforcement by Mintz Levin - Health Law on 4/26/2012 A hearing titled Anatomy of a Fraud Bust: From Investigation to Conviction held by the Senate Committee on Finance (Committee) on April 24th allowed federal health care agencies to both tout their fraud-fighting successes,...more
Industry Trends in Criminal Health Care Fraud Enforcement -- Part III in a Continuing Series on Health Care Enforcement by Mintz Levin - Health Law on 4/16/2012 This third, and final, installment in the “Year in Review” series examines how criminal health care fraud enforcement has changed in the past year, including the use of non-health-care-related statutes, the focus on specific...more
California Court of Appeal Issues Two Rulings on Bail Bonds by Barger & Wolen on 4/6/2012 During the past two weeks, the California Court of Appeal for the Fifth Appellate District handed down two decisions on the forfeiture of bail bonds. On March 21, 2012, the court in People v. International Fidelity...more
White Collar Crime & Investigations Law Update -- March 2012 by Ruskin Moscou Faltischek on 4/2/2012 In This Issue: "The Second Semester Begins: Outcome of High School SAT Scandal Prosecutions May Hinge Upon Privilege Issues" and "Health Care, Pharmaceutical and Medical Device Fraud Investigations-Unprecedented...more
Virginia Federal Court Grants Summary Judgment In Favor of D&O Insurer by Traub Lieberman Straus & Shrewsberry LLP on 3/23/2012 In its recent decision in Farkas v. Nat'l Union Fire Ins. Co., 2012 U.S. Dist. LEXIS 38696 (E.D. Va. Mar 21, 2012), the United States District Court for the Eastern District of Virginia had occasion to consider the...more
The False Claims Act: The Impact in 2012 -- Part II in a Continuing Series on Health Care Enforcement by Mintz Levin - Health Law on 3/20/2012 This second part in our ongoing series reviewing health care fraud enforcement activities in 2011,i/ and monitoring enforcement in 2012, expands upon our prior discussion in part one (Part One Report) of the federal False...more
Fifth Circuit: Driving in Violation of Criminal Plea Is Not an "Occurrence" Under Texas Law by Sedgwick LLP on 3/16/2012 In Wilkinson v. State Farm Lloyds, 2012 WL 89957 (5th Cir. (Tex.) Jan. 12, 2012), the U.S. Court of Appeals for the Fifth Circuit found that driving past the house of a sexual molestation victim in violation of a criminal...more
Latest Medicare Criminal Fraud Case Alleges $375 Million in Unnecessary or Unrendered Home Health Services by King & Spalding on 3/5/2012 On February 23, 2012, a Dallas-area physician and his office manager, as well as the owners of three home health agencies, were indicted on health care fraud and conspiracy charges stemming from $375 million in allegedly...more
Insuring Against Cybercrime by Orrick, Herrington & Sutcliffe LLP on 2/3/2012 Originally published in THE RECORDER February 3, 2012 edition At the same time as we begin to emerge from recent financial dislocations and economic turbulence — and as we face continued uncertainty in the Eurozone,...more