Hall Render

NOVEMBER 25, 2024

Department of Health and Human Services (“HHS”) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (“Nursing Facility ICPG”) for nursing home members of the health care compliance community. On November 20, 2024, the Office of Inspector General (“OIG”) for the U.S.

Nurses 40

Nurses Compliance Compliance Officers Medicare 40

HIPAA Journal

MARCH 20, 2025

You can view our H1, 2024 Report here.You can also receive a free copy of our HIPAA Compliance Checklist to understand your organization’s responsibilities under HIPAA. Check back regularly to get the latest healthcare data breach statistics and healthcare data breach trends. These figures are adjusted annually for inflation.

HIPAA 109

HIPAA Ransomware Compliance Hospitals 109

Health Law Advisor

FEBRUARY 3, 2022

FY 2021 was also a record-shattering year for DOJ as it relates to health care fraud enforcement; over $5 billion (90% of the total) was obtained from cases pursued against individuals and entities in the health care and life sciences industries. With collections amounting to $5.6 billion received in FY 2020.

Fraud 52

Fraud COVID-19 Governance Medicare 52

Healthcare Law Blog

DECEMBER 12, 2022

Now, almost three years later, governmental entities have focused their attention on telehealth services and the potential for fraud and abuse. Although it is likely the PHE will be extended again, providers should focus on compliance as it will eventually reach an end. in healthcare fraud for fraudulent telemedicine schemes.

COVID-19 52

COVID-19 Fraud Telemedicine Public Health 52

Health Care Law Brief

FEBRUARY 7, 2022

It is unclear, however, whether this new regulatory framework will ultimately benefit requestors. at 1368 (emphasis added). However, OIG’s sentiment may presume too much. First, OIG appears to presuppose that any conduct under investigation by DOJ—by virtue of it being under investigation—is problematic.

Fraud 52

Fraud Governance Compliance Regulatory Compliance 52

AIHC

NOVEMBER 29, 2023

As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar. It’s important for compliance and historical trend analysis. These different Acts initiated the testing of alternate forms of delivering care and payment methodologies.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Health Care Law Brief

APRIL 11, 2022

For example, in October, 2008 , the OIG allowed a non-profit organization that provides outpatient treatment services for patients with psychoactive substance abuse dependence to offer incentives in the form of $5–$10 gift cards to motivate those patients to adhere to their treatment plans, which include urine drug screening and counseling sessions.

Fraud 52

Fraud Medicare Medicare Compliance 52

AIHC

NOVEMBER 29, 2023

As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar. It's important for compliance and historical trend analysis. These different Acts initiated the testing of alternate forms of delivering care and payment methodologies.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Health Law Advisor

MARCH 7, 2023

Background on the Ryan Haight Act The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 (the “Ryan Haight Act”) made certain amendments to the CSA which established controls on the remote prescribing of controlled substances. Provider Education and Understanding About New Prescribing and Recordkeeping Requirements. 1301.28.

Telemedicine 52

Telemedicine COVID-19 FDA Compliance 52

Health Law Advisor

FEBRUARY 10, 2023

Lowest Total Recoveries Since 2008 Record-Shattering Number of New Cases Filed Health Care and Life Sciences Cases Continue to Dominate On February 7, 2023, the U.S. The total recoveries in fraud cases brought with respect to the health care and life sciences industries fell to the lowest level since 2009. Last year, $1.2

Fraud 52

Fraud COVID-19 Governance Medicaid 52

Health Law Advisor

MARCH 1, 2023

Last July, the Department of Health and Human Services’ Office of Inspector General (“OIG”) published a Special Fraud Alert detailing high-risk activities conducted by telehealth providers and has, to date, indicted 31 telehealth providers alleging various health care fraud and abuse schemes.

Telemedicine 52

Telemedicine COVID-19 Fraud Licensing 52

Hall Render

JUNE 30, 2023

NATIONAL 3 big noncompete ban wins for physicians 5 systems join $50M poverty and cancer program AHA advises Congress how to advance MACRA payment models Amazon delays virtual care service’s unveiling after senators raised privacy concerns At AHA Hill briefing, hospital leaders say site-neutral payment cuts jeopardize access to care for patients and (..)

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Drug & Device Law

SEPTEMBER 18, 2023

312 (2008). But what if the manufacturer allegedly failed to make its reports in compliance with the FDA’s restrictions on what types of adverse events were subject to ASR reporting? So, if a plaintiff contends that a defendant abused the ASR program, that is a Buckman -preempted fraud on the FDA claim. 2d 381 (Pa. 341 (2001).

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FDA Fraud Governance Compliance 59

Drug & Device Law

MAY 4, 2023

Ohio is one of several states, with New Jersey being the most notable , with statutes precluding punitive damages in product liability cases based on FDA approval or compliance. 440 (2008), in the face of a contrary ruling from the Sixth Circuit in Garcia v. Warner-Lambert & Co. , 3d 85, 98 (2d Cir. Wyeth-Ayerst Labs. ,

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FDA Fraud Compliance 64

Drug & Device Law

JANUARY 30, 2023

440 (2008) Buckman was not cited at all in the Merck Sharp & Dohme Corp. 470 (1996), was decided – removing express preemption as a defense for manufacturers of §510(k) products So defendants moved on fraud on the FDA under an implied preemption theory and won. Plaintiffs Legal Committee , 531 U.S. Kent , 552 U.S. Albrecht , 139 S.

FDA 72

FDA Fraud Governance Medicare 72

Drug & Device Law

MAY 5, 2022

But state-law claims that rest on alleged fraud on the FDA are contrary to Buckman Co. 341 (2001), which concluded that fraud-on-the-FDA claims are impliedly preempted because they “inevitably conflict” with the FDA’s regulatory discretion under. 440 (2008)). 2022 WL 1261318, at *1 (quoting N.J. 21 U.S.C. § 3d 372 (5th Cir.

Compliance 52

Compliance FDA Fraud 52