Durable medical equipment (DME) is particularly important for many Medicare beneficiaries. However, companies that manufacture and sell DME need to be careful because there are strict federal regulations outlining almost...more
7/28/2021
/ Audits ,
Centers for Medicare & Medicaid Services (CMS) ,
Chief Compliance Officers ,
Civil Liability ,
Compliance ,
Compliance Commitees ,
Corrective Action Plans (CAPs) ,
Criminal Liability ,
Department of Health and Human Services (HHS) ,
Disciplinary Proceedings ,
Durable Medical Equipment ,
Employee Training ,
Health Care Providers ,
Healthcare Fraud ,
Medicaid ,
Medicare ,
OIG ,
Physicians ,
Policies and Procedures ,
Standard of Conduct ,
TRICARE
Purpose and Background of the GLBA -
The Gramm-Leach-Bliley Act (“GLBA”), also known as the Financial Services Modernization Act of 1999, is a federal statute enacted by Congress in 1999 that requires financial...more
7/20/2021
/ Auditors ,
Audits ,
Banking Sector ,
Best Practices ,
Compliance ,
Customer Information ,
Data Breach ,
Data Privacy ,
Data Security ,
Financial Institutions ,
Financial Services Industry ,
GLBA Privacy ,
Gramm-Leach-Blilely Act ,
Incident Response Plans ,
Non-Public Information ,
Personal Information ,
Privacy Rule ,
Risk Assessment ,
Safeguards Rule
Clinical laboratories such as respiratory and clinical labs that bill Medicare, Department of Health and Human Services (“DHHS”) programs, and other federal programs are subject to oversight by the Office of Inspector General...more
7/14/2021
/ Chief Compliance Officers ,
Clinical Laboratories ,
Compliance ,
Compliance Commitees ,
Coronavirus/COVID-19 ,
Criminal Prosecution ,
Defense Strategies ,
Department of Justice (DOJ) ,
False Billing ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
Indictments ,
Investigations ,
OIG ,
Policies and Procedures ,
Virus Testing
Law firms process sensitive information on a daily basis. Confidential client data is targeted by hackers and insiders for a variety of reasons including financial gain or retaliatory purposes. When a law firm has a security...more
7/7/2021
/ Best Practices ,
Client Data ,
Compliance ,
Cyber Attacks ,
Cyber Threats ,
Cybersecurity ,
Data Breach ,
Data Protection ,
Data Security ,
Hackers ,
Incident Response Plans ,
Law Practice Management ,
Popular ,
Ransomware ,
Risk Mitigation
The U.S. Food and Drug Administration (FDA) is investigating companies that produce and sell poppy seeds due to growing concerns over contamination with a controlled substance. In doing so, it is collaborating with the Drug...more
6/24/2021
/ Controlled Substances ,
Criminal Conspiracy ,
Criminal Investigations ,
Criminal Prosecution ,
DEA ,
Defense Strategies ,
Drug Distribution ,
FBI ,
Food and Drug Administration (FDA) ,
Food Contamination ,
Intent to Defraud ,
Opioid ,
Regulatory Oversight ,
Seeds ,
Wrongful Death
The Gramm-Leach-Bliley Act (GLBA) is a federal law that establishes various legal requirements for companies that qualify as “financial institutions” under the Act. The GLBA’s definition of a “financial institution” is...more
6/15/2021
/ Civil Liability ,
Compliance ,
Consumer Financial Products ,
Consumer Privacy Rights ,
Data Privacy ,
Data Protection ,
Data Security ,
Federal Trade Commission (FTC) ,
Financial Institutions ,
Financial Services Industry ,
GLBA Privacy ,
Gramm-Leach-Blilely Act ,
Information Security ,
Non-Public Information ,
Notice Requirements ,
Opt-Outs ,
Personal Data ,
Personally Identifiable Information ,
Privacy Policy ,
Safeguards Rule
The U.S. Department of Justice (DOJ) is cracking down on healthcare fraud, and many providers are finding themselves facing serious allegations. This includes criminal allegations in many cases. If these allegations lead to a...more
6/8/2021
/ Arraignment ,
Criminal Prosecution ,
Defense Strategies ,
Department of Justice (DOJ) ,
Discovery ,
Evidence ,
Federal Prosecutors ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
Indictments ,
Motion to Dismiss ,
Physicians ,
Plea Negotiations ,
Pre-Trial Motions ,
Preliminary Hearings
The U.S. Securities and Exchange Commission (SEC) protects investors by enforcing the nation’s securities laws. It can investigate all forms of securities fraud, including fraud committed by securities issuers,...more
6/1/2021
/ Business Entities ,
Corporate Executives ,
Criminal Liability ,
Defense Strategies ,
Document Productions ,
Electronically Stored Information ,
Internal Investigations ,
Investors ,
Privileged Communication ,
Securities and Exchange Commission (SEC) ,
Securities Fraud ,
Securities Violations ,
Subpoenas ,
Testimony
Zone Program Integrity Contractors (ZPICs) and Unified Program Integrity Contractors (UPICs) are federal contractors who work under the direction of the Centers for Medicare and Medicaid Services (CMS) to uncover fraudulent...more
5/25/2021
/ Audits ,
Centers for Medicare & Medicaid Services (CMS) ,
Defense Strategies ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Billing ,
Health Care Providers ,
Healthcare Fraud ,
Medicare ,
Overpayment ,
Provider Payments ,
Underpayment ,
Zone Program Integrity Contractors (ZPICs)
1. AML Laws -
Federal anti-money laundering (“AML”) laws are complex in nature and apply to a broad category of institutions and businesses. One of the most important AML laws is the Bank Secrecy Act, which obligates...more
5/18/2021
/ Anti-Money Laundering ,
Bank Secrecy Act ,
Banking Sector ,
Broker-Dealer ,
BSA/AML ,
Compliance ,
Criminal Investigations ,
Criminal Prosecution ,
Customer Identification Program (CIP) ,
Defense Strategies ,
Due Diligence ,
Financial Institutions ,
Policies and Procedures ,
Popular ,
Reporting Requirements ,
Suspicious Activity Reports (SARs)
As federal agencies and law enforcement investigate pharmacies around the country for health care fraud and kickback schemes, pharmacies should be proactive in understanding their regulatory environment and the importance of...more
5/11/2021
/ Civil Liability ,
Compliance ,
Criminal Liability ,
Government Investigations ,
Healthcare Fraud ,
Kickbacks ,
Pharmaceutical Industry ,
Pharmacies ,
Policies and Procedures ,
Prescription Drugs ,
Regulatory Requirements
The U.S. Securities and Exchange Commission (SEC) investigates companies (and individuals) for a broad range of federal offenses. This includes offenses that are both civil and criminal in nature, and that can carry penalties...more
5/4/2021
/ Civil Liability ,
Corrective Actions ,
Criminal Liability ,
Defense Strategies ,
Enforcement Actions ,
Investigations ,
Securities and Exchange Commission (SEC) ,
Securities Fraud ,
Securities Litigation ,
Securities Violations ,
Subpoenas
Companies of all sizes and in any industry would need effective corporate compliance programs. An effective compliance program not only mitigates risk in terms of reducing the likelihood of mistakes that can lead to...more
4/27/2021
/ Chief Compliance Officers ,
Compliance ,
Compliance Monitoring ,
Corporate Culture ,
Documentation ,
Employee Training ,
Enforcement ,
Internal Audit Functions ,
Internal Reporting ,
Investigations ,
Policies and Procedures ,
Risk Management ,
Risk Mitigation
As the nation’s chief domestic investigative agency, the Federal Bureau of Investigation (FBI) has substantial authority to collect information through a variety of different means. This includes utilizing subpoenas to compel...more
4/20/2021
/ Attorney-Client Privilege ,
Criminal Investigations ,
Criminal Prosecution ,
Deadlines ,
Defense Strategies ,
Evidence ,
FBI ,
Federal Prosecutors ,
Motions to Quash ,
Privileged Documents ,
Self-Incrimination ,
Subpoenas ,
Testimony
It is tax season once again. While the Internal Revenue Service (IRS) has extended this year’s filing deadline to May 17, 2021 for individuals, businesses must still file by April 15, and all U.S. taxpayers must ensure that...more
4/13/2021
/ Cannabis-Related Businesses (CRBs) ,
Conservation Easements ,
Coronavirus/COVID-19 ,
Corporate Fraud ,
Criminal Investigations ,
Criminal Prosecution ,
Cryptocurrency ,
Enforcement Priorities ,
Federal Taxes ,
Filing Deadlines ,
Foreign Financial Assets ,
Gambling ,
Healthcare Fraud ,
Income Taxes ,
Independent Contractors ,
Internal Revenue Code (IRC) ,
IRS ,
Marijuana Related Businesses ,
Offshore Funds ,
Paycheck Protection Program (PPP) ,
Self Employed ,
Small Business ,
Tax Audits ,
Tax Deductions ,
Tax Evasion ,
Tax Fraud ,
Tax Liability ,
Tax Planning ,
Tax Refunds ,
Tax Relief ,
Tax Returns ,
Underpayment ,
Virtual Currency
Medicare pays billions of dollars in fraudulently billed claims each year. To recoup as many fraudulent reimbursements as possible, the Centers for Medicare and Medicaid Services (CMS) relies on various enforcement...more
4/6/2021
/ Centers for Medicare & Medicaid Services (CMS) ,
Defense Strategies ,
Documentation ,
False Billing ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
MACs ,
Medicare ,
Physicians ,
Recovery Audit Contractors (RACs)
The COVID-19 pandemic has created many new enforcement priorities for the U.S. Department of Justice (DOJ). From selling ineffective personal protective equipment (PPE) to companies fraudulently seeking loan forgiveness under...more
3/30/2021
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Controlled Substances ,
Controlled Substances Act ,
Coronavirus/COVID-19 ,
DEA ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Electronic Prescribing ,
Eliminating Kickbacks in Recovery Act of 2018 (EKRA) ,
FBI ,
Health Care Providers ,
Health Clinics ,
Healthcare Fraud ,
Medical Necessity ,
OIG ,
Opioid ,
Pharmaceutical Industry ,
Pharmacies ,
Physicians ,
Policies and Procedures ,
Prescription Drugs ,
Stark Law
Corporate investigations can serve a variety of different purposes. From uncovering accounting fraud to responding to cybersecurity breaches and preparing for litigation, there are various circumstances in which corporate...more
3/23/2021
/ Accounting Fraud ,
Board Members ,
Board of Directors ,
Breach of Duty ,
Bribery ,
Civil Investigation Demand ,
Civil Liability ,
Commercial Litigation ,
Corporate Executives ,
Corporate Investigations ,
Corruption ,
Criminal Liability ,
Cybersecurity ,
Data Breach ,
Employment Discrimination ,
Fiduciary Duty ,
Financial Fraud ,
Harassment ,
Internal Investigations ,
National Security ,
Private Investigators ,
Shareholder Litigation ,
Subpoenas ,
Target Letters ,
Whistleblowers
If you have received a federal indictment, you are facing a serious set of circumstances. Unless you are able to have your indictment dismissed, you will go to trial on federal charges, and you will be at risk for facing...more
3/17/2021
/ Affirmative Defenses ,
Burden of Proof ,
Criminal Convictions ,
Criminal Investigations ,
Criminal Prosecution ,
Defense Strategies ,
Dismissals ,
Evidence ,
Guilty Pleas ,
Indictments ,
Mistrial ,
Plea Agreements
The U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) is tasked with combating fraud under Medicare, Medicaid, and other federally funded healthcare programs. ...more
3/10/2021
/ Clinical Laboratories ,
Compliance ,
Compliance Monitoring ,
Corrective Action Plans (CAPs) ,
Dentists ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Healthcare Facilities ,
Healthcare Fraud ,
Hospitals ,
Internal Audit Functions ,
Medicaid ,
Medical Billing Codes ,
Medicare ,
Nursing Homes ,
OIG ,
Pharmacies ,
Physicians ,
Policies and Procedures
What Is A Target Letter?
Federal investigations are complex, time-consuming, and often a cause of great anxiety for the individuals involved. The government has a variety of tools in its arsenal to gather preliminary...more
3/2/2021
/ Criminal Investigations ,
Criminal Prosecution ,
Defense Strategies ,
Department of Justice (DOJ) ,
Document Productions ,
Evidence ,
Government Entities ,
Government Investigations ,
Grand Juries ,
Subpoenas ,
Target Letters ,
Testimony ,
Witness
The Federal Trade Commission (FTC) is the nation’s chief of consumer protection agencies. In fulfilling its “dual mission to protect consumers and promote competition,” the FTC conducts targeted investigations on unfair or...more
Everything else in the world has changed, why not how we treat our doctors? If a doctor can only bill for a two-minute telemedicine consultation, why should that doctor be held to the ordinary standard of care? If insurance...more
What Is Corporate Intelligence?
Corporate intelligence is defined broadly as the process of acquiring business knowledge from internal and external sources in order to improve the productivity, sales, marketing, and...more
2/10/2021
/ Business Development ,
Business Operations ,
Complex Litigation ,
Compliance ,
Corporate Governance ,
Data Security ,
Due Diligence ,
Internal Controls ,
Internal Investigations ,
Policies and Procedures ,
Risk Assessment ,
Risk Management ,
Third-Party Risk
From investigating cybersecurity breaches to conducting discovery in civil litigation, the practice of digital forensics plays an essential role in many aspects of companies’ compliance, data protection, and risk management...more
2/3/2021
/ Best Practices ,
Cyberforensics ,
Cybersecurity ,
Data Collection ,
Data Management ,
Data Preservation ,
Data Protection ,
Data Storage ,
Discovery ,
e-Discovery Professionals ,
Electronically Stored Information ,
Evidence ,
Information Technology ,
Popular ,
Risk Management