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
The COVID-19 public health emergency (PHE) will expire at the end of the day on May 11, 2023, which is less than three months away. In the early days of the pandemic, the U.S. Department of Health and Human Services (HHS),...more
2/23/2023
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
False Claims Act (FCA) ,
Health Care Providers ,
Physician Fee Schedule ,
Physicians ,
Public Health ,
Public Health Emergency ,
Stark Law