In what it describes as a “First-of-its-Kind Healthcare Generative AI Investigation”, the Texas Attorney General (AGO) recently reached a settlement agreement with an artificial intelligence (AI) healthcare technology...more
11/6/2024
/ Artificial Intelligence ,
Billing ,
Centers for Medicare & Medicaid Services (CMS) ,
Criminal Investigations ,
Department of Justice (DOJ) ,
False Billing ,
False Claims Act (FCA) ,
False Statements ,
Health Care Providers ,
Health Technology ,
Hospitals ,
Medicare Advantage Organizations (MAOs) ,
Mental Health ,
Proposed Legislation ,
Regulatory Oversight ,
Settlement ,
State Attorneys General ,
Unfair or Deceptive Trade Practices
In early May 2024, the University of Pittsburgh Medical Center (UPMC) agreed to pay $38 million to resolve a False Claims Act case based on alleged Stark Law violations. The size of the settlement in United States ex rel. J....more
6/4/2024
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Justice (DOJ) ,
Fair Market Value ,
False Claims Act (FCA) ,
Health Care Providers ,
Hospitals ,
Patient Referrals ,
Physicians ,
Relators ,
Settlement ,
Stark Law
On February 27, a Minnesota federal court jury ruled in the favor of the U.S. Department of Justice (DOJ) in a False Claims Act (FCA) case based on allegations of Anti-kickback Statute (AKS) violations. The focus of the case...more
3/6/2023
/ Anti-Kickback Statute ,
Bribery ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Fraud ,
Gifts ,
Healthcare Fraud ,
Kickbacks ,
Physicians ,
Whistleblowers
With little warning the Antitrust Division of the U.S. Department of Justice announced on February 3 the withdrawal of three critical pieces of guidance for the health care industry...more
2/13/2023
/ Anti-Competitive ,
Antitrust Division ,
Antitrust Provisions ,
Competition ,
Corporate Practice of Medicine ,
Department of Justice (DOJ) ,
Enforcement Priorities ,
Federal Trade Commission (FTC) ,
Hart-Scott-Rodino Act ,
Health Care Providers ,
Joint Policy Statements ,
Policy Statement