Healthcare Law Blog

APRIL 19, 2023

The issue is a significant one for both the government and relators on one side, and potential defendants on the other, as False Claims Act (FCA) liability imposes treble damages and penalties exceeding $20,000 per claim as well as relators’ attorneys’ fees and costs. The Court’s questioning did not signal the likely decision.

Governance 52

Governance Fraud Compliance 52

Hall Render

JUNE 7, 2023

3] FCA Requires Subjective Knowledge of and Belief in Falsity of Claims The FCA prohibits an individual from knowingly submitting a false claim for payment to a government health care program. [4] 47 (2007), the U.S. 47, 70 (2007). [10] 8] In Safeco Insurance Company of America v. Burr , 551 U.S. Safeway, Inc.). [2] 4] 31 U.S.C.

Fraud 40

Fraud Medicaid Medicaid Governance 40

Healthcare Law Blog

FEBRUARY 13, 2023

Inside and outside healthcare counsel should know that the way they guide clients through legal and business issues may need to change based on a recent Ninth Circuit case governing the protections afforded to attorney-client communications, In re Grand Jury. [1] For example, consider physician compensation. Are bonuses involved?

Compliance 52

Compliance Fraud Governance 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. The higher the ratings, the larger the bonus payments health plans receive from the government. The CMS star ratings challenge. With billions of dollars at stake for payers with CMS star ratings above 3.5,

Medicare 40

Medicare Medicare Medicaid Medicaid 40

Pharmacy Law Blog

FEBRUARY 13, 2018

On November 22, 2017, a Florida woman who was accused of a $45 million Medicare fraud, received a six-and-a-half-year prison sentence, following a 2016 U.S. Supreme Court decision in her case holding that the government could not freeze untainted assets. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

Fraud 40

Fraud Medicare Medicare Governance 40

AIHC

JUNE 3, 2024

Elder Abuse is a Serious Problem According to the Centers for Disease Control (CDC) and other government agencies (DOJ, FBI), elder abuse is a serious problem in the United States. The rate of nonfatal assaults increased by more than 75% among men (2002–2016) and more than 35% among women (2007–2016). seniors account for $3.4

Elder Abuse 52

Elder Abuse Compliance Nursing Homes Compliance Officers 52

Drug & Device Law

NOVEMBER 10, 2023

These class certifications combined 428 different pharmaceutical products, produced and marketed by 28 separate defendants, with claims governed by the laws of 52 separate jurisdictions. A procedural rule, such as Rule 23 governing class actions, should not, and legally cannot , change that result. Valsartan , 2023 WL 1818922, at *24.

FDA 59

FDA Governance Fraud 59

Drug & Device Law

AUGUST 8, 2022

The unfortunate truth is that ECFMG was also a victim of this fake doctor’s fraud. Furthermore, trade associations often serve to assist the government in areas that it does not regulate. Both state and federal governments allegedly relied on the defendant “accreditation process to help evaluate HCOs.” at 183 (quoting Meyers v.

Doctors 52

Doctors Fraud Licensing Compliance 52