Sara Lord on Centers for Medicare & Medicaid Services (CMS)

Is There a Constitutional Limit to Excessive Fines in False Claims Act Cases? Eleventh Circuit Says a Million Dollar Fine for a...

In late December, the U.S. Circuit Court of Appeals for the Eleventh Circuit issued its decision in Yates v. Pinellas Hematology & Oncology, P.A. The appellate court affirmed the district court’s imposition of damages and...more

2/2/2022 / Appeals , Centers for Medicare & Medicaid Services (CMS) , Certification Requirements , CLIA , Clinical Laboratory Testing , Damages , Eighth Amendment , Excessive Fines Clause , False Claims Act (FCA) , Healthcare Fraud , Penalties , Reimbursements , Statutory Violations

AGG Food & Drug Newsletter - January 2022

Arnall Golden Gregory LLP's Food & Drug Newsletter is a monthly update of legal and regulatory issues that affect the FDA-regulated community and highlights articles from members of our Food & Drug practice, as well as from...more

COVID Investigations Raise Questions About Oversight and Enforcement Before the Pandemic

On September 3, 2020, Special Agents of the Federal Bureau of Investigation, Department of Health and Human Services Office of Inspector General, and the Internal Revenue Service, along with investigators from the...more

9/16/2020 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Government Investigations , IRS , Nursing Homes , Skilled Nursing Facility

A Second Judge Gives United Health A Partial FCA Victory Based On Materiality

On February 12, 2018, a second judge in the Central District of California, Judge Michael W. Fitzgerald, dismissed, with leave to amend by February 26, 2018, counts in a False Claims Act (FCA) case alleging that UnitedHealth...more

2/21/2018 / Centers for Medicare & Medicaid Services (CMS) , False Claims Act (FCA) , Health Care Providers , Medicare , Medicare Advantage , Physicians , Qui Tam , Risk Adjustment Formula

AGG Food & Drug Newsletter - September 2016

Arnall Golden Gregory LLP's Food and Drug Newsletter is a monthly update of legal and regulatory issues that affect the FDA-regulated community, including regular updates on legislative initiatives from AGG’s Washington, DC...more

9/23/2016 / 510(k) RTA , Centers for Medicare & Medicaid Services (CMS) , Draft Guidance , Food and Drug Administration (FDA) , Medical Devices , Office of Foreign Assets Control (OFAC)

AGG Food & Drug Newsletter - April 2016

Arnall Golden Gregory LLP's (AGG) Food and Drug Newsletter is a monthly update of legal and regulatory issues that affect the FDA-regulated community, including regular updates on legislative initiatives from AGG’s...more

4/22/2016 / Abbott Laboratories , All Natural , Biotechnology , Centers for Medicare & Medicaid Services (CMS) , Co-payments , Drug Pricing , Enforcement Actions , False Claims Act (FCA) , Federal Trade Commission (FTC) , Food and Drug Administration (FDA) , Investors , Medicare Part B , Misleading Impressions , Natural Products , Personal Care Products , Pharmaceutical Industry , Prescription Drugs , Securities and Exchange Commission (SEC) , Securities Fraud

OIG Continues its Focus on GIP Abuse: What Hospice Providers Need to Know

On March 31, 2016, the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) issued a report on hospice billing for general inpatient care (GIP). According to the OIG, hospices billed Medicare for...more

4/19/2016 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Health Care Providers , Hospice , Inpatient Billing , Medicare Part D , OIG , Physician Medicare Reimbursements , Skilled Nursing Facility

OIG Workplan Series Installment One - What Does the OIG’s 2016 Work Plan Mean for Hospitals?

The Department of Health and Human Services’ Office of Inspector General (“OIG”) recently released its 2016 Work Plan. The Work Plan may offer evidence of a growing shift in the agency’s priorities, particularly with regard...more

11/11/2015 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Hospitals , Medicare , OIG , Work Plans

Millennium Health and DOJ Settle False Claims Act Allegations for $256 Million

On October 19, 2015, the Department of Justice (DOJ), through the United States Attorney’s Office for the District of Massachusetts, announced that Millennium Health (formerly Millennium Laboratories) had agreed to resolve...more

10/27/2015 / Centers for Medicare & Medicaid Services (CMS) , Civil Monetary Penalty , Corporate Integrity Agreement , Department of Health and Human Services (HHS) , Department of Justice (DOJ) , Drug Testing , False Claims Act (FCA) , Kickbacks , Medicaid , Medicare , OIG , Qui Tam

HHS OIG Steps Up The Pressure On SNFs And Therapy Services; Intensifies Calls For Changes To Medicare Payment System

On September 30, 2015, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued its fifth report in five years on billings for therapy services in SNFs. The Medicare Payment System For...more

10/13/2015 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Medicare , Medicare Payment Reform , OIG , Skilled Nursing Facility

Hospitals Accused of Violating the False Claims Act Through Ownership of the PPO For Their Self-Funded Employee Health Plans

On August 27, 2015, following notification by the government that it had decided not to intervene, the United States District Court for the Middle District of North Carolina, ordered that a qui tam complaint charging...more

9/15/2015 / Centers for Medicare & Medicaid Services (CMS) , Declination , Department of Labor (DOL) , Employee Retirement Income Security Act (ERISA) , False Claims Act (FCA) , Hospitals , Medicare , OIG , PPOs , Qui Tam , Relators , Self-Funded Health Plans , Self-Insurance , Wage Index

OIG Issues New Report On SNF Billing For Therapy Services

On June 5, 2015, the Department of Health and Human Services Office of Inspector General (OIG) released another study in its continuing scrutiny of skilled nursing facilities (SNFs) and therapy services: Skilled Nursing...more

7/7/2015 / Assessment , Billing , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Healthcare , Medicaid , Medicare , OIG , Skilled Nursing Facility , SNF

Sara Lord

Arnall Golden Gregory LLP

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