Dept. of Justice › Dept. of Health and Human Services

The United States Department of Justice is a federal executive department established in 1870 by federal statute. The Department is headed by the Attorney General and is responsible for administering and enforcing federal law. The Department is compromised of many different divisions which handle a wide variety of civil and criminal issues.

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News & Analysis as of May 25, 2013

Increased Spotlight on Emergency Department Facility Coding by CMS, HHS and DOJ

by Gregory Brodek | Duane Morris LLP on 5/16/2013

Although the professional component of coding for evaluation and management services ("E&M Services") has been scrutinized over the years, until recently, little attention has been given to coding practices for the facility...more

Health Care Reform Update -- May 6, 2013

by Joseph P. Hammang, Alexander Hecht, Abby Matousek, Jeremy Rabinovitz | Mintz Levin - Health Law on 5/8/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups Scheduled....more

Intermountain Healthcare Settlement – Dangers Of Hospital Agreements With Physicians

by Michael Volkov on 4/30/2013

Hospitals continue to be under the Department of Justice-HHS/Office of Inspector General microscope. DOJ-OIG is a potent combination and carry with them the threat of criminal prosecution, civil false claims enforcement and...more

President Obama’s FY 2014 Budget Proposal - Analysis Related To Administration Funding And Policy Priorities

by Patton Boggs LLP on 4/15/2013

INTRODUCTION - On April 10th, President Obama submitted his FY 2014 Budget Proposal to Congress. In the normal course of events, the President would have unveiled his spending plan in early February as required by law....more

$25.5 Million Settlement Agreement Reached Between Intermountain Health Care, Inc. and the United States Based on Self Disclosure...

by King & Spalding on 4/11/2013

On April 3, 2013, the Department of Justice (DOJ) and Intermountain Health Care, Inc. (Intermountain) entered into a settlement agreement resolving Intermountain’s potential liability under the Stark Law and False Claims Act....more

Health Care Reform Update -- March 25, 2013

by Joseph P. Hammang, Alexander Hecht, Kevin M. Kappel, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 3/26/2013

In This Issue: Leading the News; Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

State Medicaid Enforcement Efforts Net $2.9 Billion in Recoveries for FY 2012

by Mintz Levin - Health Law on 3/7/2013

New state health care fraud recovery statistics reinforce that both the federal and state governments remain committed to health care fraud enforcement and demonstrate that their efforts are paying dividends. Earlier this...more

Federal Healthcare Fraud Enforcement Efforts Yield a 790% Return

by B. Scott McBride, Gregory Saikin | BakerHostetler on 2/28/2013

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

Protecting Your Hospital From Over-Utilization Prosecutions

by Michael Volkov on 2/22/2013

The government has been increasing its focus on healthcare fraud involving “quality” of care. This is an extremely difficult issue, especially for prosecutors. It is very difficult to define “quality” standards and then...more

The Healthcare Industry And The Voluntary Disclosure Process

by Michael Volkov on 2/21/2013

It is always important to consider how different parts of the government handle voluntary disclosures. The FCPA enforcement initiative has been largely the result of the voluntary disclosure process, and the government...more

HHS and DOJ Release Annual Report on Health Care Fraud and Abuse Control Program, Which Recovered $4.2 Billion in FY 2012

by King & Spalding on 2/20/2013

On February 13, 2013, the U.S. Department of Health and Human Services (HHS) and the Department of Justice (DOJ) released their annual report for fiscal year 2012 on the Health Care Fraud and Abuse Control Program (HCFAC). ...more

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Dept. of Justice › Dept. of Health and Human Services

Increased Spotlight on Emergency Department Facility Coding by CMS, HHS and DOJ

Health Care Reform Update -- May 6, 2013

Intermountain Healthcare Settlement – Dangers Of Hospital Agreements With Physicians

President Obama’s FY 2014 Budget Proposal - Analysis Related To Administration Funding And Policy Priorities

$25.5 Million Settlement Agreement Reached Between Intermountain Health Care, Inc. and the United States Based on Self Disclosure...

Health Care Reform Update -- March 25, 2013

State Medicaid Enforcement Efforts Net $2.9 Billion in Recoveries for FY 2012

Federal Healthcare Fraud Enforcement Efforts Yield a 790% Return

Protecting Your Hospital From Over-Utilization Prosecutions

The Healthcare Industry And The Voluntary Disclosure Process

HHS and DOJ Release Annual Report on Health Care Fraud and Abuse Control Program, Which Recovered $4.2 Billion in FY 2012

Report Highlights Record-Breaking Year of Enforcement for HHS and DOJ

OIG Report Calls for More Fraud and Abuse Investigations of Medicare Advantage Plans

Florida-Based Company Settles False Claims Act Lawsuit For $15.3 Million

Navigating the Provider Self-Disclosure Protocol

Private Health Insurance Efforts To Fight Fraud

Plugging The Leak: Tackling The Problem Of Healthcare Fraud

A Message From Donna Clark And Darby Allen On The A To Zs Of Stark Law Compliance

Who is Committing Healthcare Fraud?

Targeting Healthcare Fraud by Data Mining

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