The Centers for Medicare and Medicaid Services (CMS) and U.S. Department of Justice (DOJ) are scrutinizing health care providers’ Medicare billings for amniotic injections. These injections are only eligible for Medicare...more
8/17/2021
/ Anti-Kickback Statute ,
Billing ,
Centers for Medicare & Medicaid Services (CMS) ,
Civil Investigation Demand ,
Department of Justice (DOJ) ,
Eliminating Kickbacks in Recovery Act of 2018 (EKRA) ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare Fraud ,
Medicare ,
Medicare Fraud
Most health care providers have at least a basic understanding of the Anti-Kickback Statute. This federal law prohibits providers from offering, paying, soliciting, or accepting any form of “remuneration” for patient...more
12/11/2020
/ Anti-Kickback Statute ,
Civil Liability ,
Clinical Laboratories ,
Criminal Liability ,
Criminal Penalties ,
Eliminating Kickbacks in Recovery Act of 2018 (EKRA) ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare Facilities ,
Medicaid ,
Medicare ,
Medicare Part D ,
Noncompliance ,
Patient Referrals ,
Physicians ,
Policies and Procedures ,
Stark Law
Tips on Preparing to Defend Against Allegations of SBA Loan Fraud During the COVID-19 Crisis -
Federal emergency relief legislation—including the Coronavirus Aid, Recovery, and Economic Security Act (“CARES Act”)—has...more
8/28/2020
/ CARES Act ,
Coronavirus/COVID-19 ,
Criminal Conspiracy ,
Criminal Investigations ,
Defense Strategies ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
False Statements ,
FBI ,
Fraud ,
Identity Theft ,
Indictments ,
IRS ,
Loans ,
Mail Fraud ,
Misrepresentation ,
Paycheck Protection Program (PPP) ,
Risk Assessment ,
Risk Mitigation ,
SBA ,
Small Business ,
Small Business Loans ,
Tax Evasion ,
Wire Fraud
While there has been a lot of controversy in the media surrounding the Paycheck Protection Program (PPP), there is no question that the program has served as an invaluable lifeline to many small and medium-sized businesses...more
7/16/2020
/ Audits ,
Bank Fraud ,
Business Ownership ,
CARES Act ,
Civil Liability ,
Criminal Conspiracy ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
False Statements ,
Fraud ,
Government Investigations ,
IRS ,
Paycheck Protection Program (PPP) ,
Penalties ,
SBA ,
Small Business Loans ,
Tax Evasion ,
Treble Damages ,
Wire Fraud