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Searching Content indexed under Food, Drugs, Healthcare, Life Sciences by Lisa Noller ordered by Published Date Descending.
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Aseracare 11th Circuit Case Holds Differences In Hospice Clinical Opinions Are Insufficient To Demonstrate Falsity Under The FCA
Tuesday's ruling by the United States Court of Appeals for the Eleventh Circuit in United States v. AseraCare is a win for hospice and other health care providers who have long argued
United States
16 Sep 2019
2
New DOJ Guidance On Cooperation In False Claims Act Cases
On May 7, 2019, the Department of Justice (DOJ) released guidance for civil prosecutors in determining how to assess cooperation in False Claims Act (FCA) cases.
United States
3 Jun 2019
3
HHS To Collect Data From The EMS System: Good Time To Examine Accounting, Cost, Billing, And Collection Systems
While recent legislation impacting the Emergency Medical Services (EMS)/ambulance industry drew attention inside the industry for its reduction in Health and Human Services' ...
United States
20 Feb 2018
4
DOJ Issues New Memo Limiting Use Of Agency Guidance Documents In Civil Enforcement Cases: What It Means For Health Care Enforcement
On January 25, 2018, the U.S. Department of Justice (DOJ) issued a memorandum limiting the use of agency guidance documents in affirmative civil enforcement (ACE) cases.
United States
31 Jan 2018
5
DOJ Issues New Memo Limiting Use Of Agency Guidance DocumentsIin Civil Enforcement Cases: What It Means For Health Care Enforcement
On January 25, 2018, the U.S. Department of Justice (DOJ) issued a memorandum limiting the use of agency guidance documents in affirmative civil enforcement (ACE) cases.
United States
31 Jan 2018
6
Seventh Circuit Applies Escobar's Materiality Standard To (Again) Reject False Certification Claim
The United States Supreme Court undertook to resolve the long-running circuit split over the validity and scope of the implied false certification theory of liability under the False Claims Act.
United States
7 Nov 2016
7
Differences In Medical Opinion Are Not False Claims Act Violations
In an important win for hospice and other health care providers facing claims under the False Claims Act (FCA), a federal court in Alabama gave a summary judgment victory last week to hospice provider Aseracare Inc.
United States
12 Apr 2016
8
Medicare Proposes To Increase RAC Use
By now, providers are very familiar with Medicare recovery audit contractors, or RACs – the private companies who have authority to review medical records at a moment's notice.
United States
12 Jan 2016
9
DOJ Provides Guidance On Prosecution Of Individuals
The Department of Justice (DOJ) long has required entities seeking credit for cooperating with its investigations to provide what it terms "full and truthful" cooperation.
United States
21 Sep 2015
10
DOJ Pursuing Therapy Providers Under The FCA
At least five FCA cases involving therapy minutes settled in the millions in 2014 and 2015, and at least two of those cases settled for over $30 million each.
United States
19 May 2015
11
Government's Health Care Fraud "Cash Cow" Keeps Mooing (Video Content)
The U.S. government has changed up its approach to criminal health care fraud prosecutions and this new tactic has proven to be a cash cow.
United States
17 Dec 2014
12
Recent Decision Underscores Need For Involvement Of Counsel In Internal Investigations
A federal court decision discussed the ability of companies to maintain privilege over materials generated in connection with internal investigations.
United States
30 Apr 2014
13
Top Ten Health Law Stories Of 2012
As another year draws to a close, the Patient Protection and Affordable Care Act (the "Affordable Care Act" or "ACA") and its impact have remained in the forefront of top health law topics.
United States
7 Jan 2013
14
Introduction Of The Private-Public Partnership And The Future Of Fraud Claims
Partnership members have agreed to the unprecedented step of proactive, pre-case information-sharing about specific schemes, billing codes, and "hot" fraud locations.
United States
6 Aug 2012
15
The HEAT Is On, Chicago: Practical Tips to Get You Ready
In May 2009, the Department of Justice (DOJ) and Department of Health & Human Services, Office of the Inspector General (HHS-OIG) announced, with great fanfare, a new initiative to combat health care fraud: the Health Care Fraud Prevention and Enforcement Action Team (HEAT).
United States
24 Jan 2011
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