A new federal court decision offers a ray of light to those providers defending false claims actions based on an alleged lack of medical necessity. On September 9, 2019, the United States Court of Appeals for the Eleventh...more
9/13/2019
/ Appeals ,
Bifurcation ,
Defense Strategies ,
Department of Justice (DOJ) ,
Expert Witness ,
False Claims Act (FCA) ,
Federal Contractors ,
Health Care Providers ,
Healthcare Fraud ,
Hospice ,
Interrogatories ,
Judgment Notwithstanding the Verdict (JNOV) ,
Jury Verdicts ,
Medical Necessity ,
Medicare ,
Physicians ,
Reaffirmation ,
Remand ,
Set-Asides
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