Health Law RX

JUNE 2, 2023

The Prior SafeCo Standard Until yesterday, defendants could seek dismissal of fraud claims based on the absence of scienter by relying on the two-part test codified by the Court in SafeCo Ins. A mistake is still a mistake, not fraud. of America v. 3] That test posed two questions. 1] United States ex rel. SuperValu Inc. , of America v.

Fraud 52

Fraud Governance Medicaid Medicaid 52

Innovaare Compliance

FEBRUARY 9, 2021

Launched in 2007, star ratings enable the CMS as well as consumers to compare health plans on metrics other than cost. A&G automation with single-click compliance. Acknowledgement, extension letter and determination letters are automatically generated, using pre-populated formats to ensure continuous compliance.

Medicare 40

Medicare Medicare Medicaid Medicaid 40

Healthcare Law Blog

APRIL 19, 2023

Justice Kagan reasoned that the Court in Escobar noted the FCA is grounded in common law fraud principles under which a defendant’s subjective knowledge of the truth or falsity of its statement is relevant to the knowledge inquiry. And, based on that decision, the D.C. Circuit, in a decision joined by then D.C.

Governance 52

Governance Fraud Compliance 52

Healthcare Law Blog

FEBRUARY 13, 2023

This topic always involves a legal angle, such as Stark Law or Anti-Kickback compliance, or state fraud and abuse law considerations. For many healthcare attorneys, these types of dual-purpose communications are more common than communications involving only purely “legal” advice. For example, consider physician compensation.

Compliance 52

Compliance Fraud Governance 52

Hall Render

JUNE 7, 2023

47 (2007), the U.S. Thus, it’s important to seek legal counsel to resolve concerns about statutory or regulatory non-compliance. 47, 70 (2007). [10] 7] This decision corrects several circuit courts’ application in the FCA context of an objective scienter standard borrowed from the Fair Credit Reporting Act (“FRCA”) context. [8]

Fraud 40

Fraud Medicaid Medicaid Governance 40

AIHC

JUNE 3, 2024

The rate of nonfatal assaults increased by more than 75% among men (2002–2016) and more than 35% among women (2007–2016). The article states that Americans over 60 years of age fell victim to so-called elder fraud crimes more frequently last year than during any other year and accounted for an estimated $3.4

Elder Abuse 52

Elder Abuse Compliance Nursing Homes Compliance Officers 52

Drug & Device Law

AUGUST 8, 2022

The unfortunate truth is that ECFMG was also a victim of this fake doctor’s fraud. So if compliance with an industry standard is a defense, this plaintiff went a step further and sued the organizations that created the standards. has no power to enforce compliance”), aff’d , 405 F. 471 (11th Cir. 2d 775, 799 & n.114

Doctors 52

Doctors Fraud Licensing Compliance 52