This week the Department of Justice reported it recovered $3 billion from False Claims Act cases in 2019. Of that recovery amount, $2.1 billion resulted from whistleblower, or qui tam, actions. In addition, 633 new qui tam...more
1/27/2020
/ Civil Monetary Penalty ,
Department of Justice (DOJ) ,
Disgorgement ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Medicaid ,
Medicare ,
Pharmaceutical Industry ,
Qui Tam ,
Settlement Agreements ,
State Medicaid Programs ,
Whistleblowers
The U.S. Department of Health and Human Services, Office of Inspector General (OIG), recently published its Spring 2019 Semiannual Report to Congress. The report, released June 3, 2019, covers the period October 1, 2018...more
6/24/2019
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Civil Monetary Penalty ,
Congressional Reports ,
Criminal Prosecution ,
Cybersecurity ,
Department of Health and Human Services (HHS) ,
Exclusion Orders ,
Federal Grants ,
Health Care Providers ,
Healthcare Fraud ,
Home Health Care ,
Information Reports ,
Off-Label Use ,
OIG ,
Opioid ,
Prescription Drugs ,
Provider Payments ,
Public Contracts ,
Quality of Care Standards ,
Refugees
Recent congressional action will have serious ramifications on corporate and individual defendants who are or could be under investigation for violations of federal health care program fraud and abuse laws. Changes...more
3/28/2018
/ Anti-Kickback Statute ,
Bipartisan Budget Act ,
Civil Monetary Penalty ,
Criminal Penalties ,
Criminal Prosecution ,
Deductible Expenses ,
Federal Health Care Programs (FHCP) ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
New Legislation ,
Qui Tam ,
Settlement ,
Tax Cuts and Jobs Act
The Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) published two rules on December 7, 2016, updating certain existing safe harbor regulations, adding new safe harbor rules under...more
12/16/2016
/ Civil Monetary Penalty ,
Department of Health and Human Services (HHS) ,
FQHC ,
Health Care Providers ,
Medicare ,
Medicare Advantage Organizations (MAOs) ,
Medicare Part B ,
OIG ,
Pharmacies ,
Remuneration ,
Rural Areas ,
Safe Harbors