Remove 2010 Remove Fraud Remove Governance
article thumbnail

False Claims Act Settlements Exceed $5.6 Billion in Fiscal Year 2021

Healthcare Compliance Blog

billion in settlements and judgments have been recovered by the Department of Justice Department (DOJ) related to civil cases involving fraud and false claims in fiscal year 2021. In 2009 and 2010, further improvements were made to the False Claims Act and its whistleblower provisions. More than $5.6

Fraud 59
article thumbnail

DOJ Releases FY 2021 False Claims Act Recoveries: A Record-Shattering Year for Health Care and Life Sciences Enforcement, with Over $5 Billion Collected

Health Law Advisor

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
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Modernizing Medicine To Pay $45 Million To Settle False Claims, Kickback Allegations

Healthcare IT Today

EHR vendor Modernizing Medicine has agreed to pay $45 million to the federal government to settle a whistleblower suit alleging that the vendor engaged in varied kickback schemes as well as causing its provider customers to submit false claims. The lawsuit was filed in 2017 by law firms Phillips and Cohen LLP and Downs Rachlin Martin PLLC.

article thumbnail

The History of Healthcare Compliance

MedTrainer

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. What is Healthcare Compliance?

article thumbnail

Corporate Compliance Training Software Is a Necessity

MedTrainer

Regulatory compliance includes legal mandates directed by both federal and state governing bodies, including the Occupational Safety and Health Administration ( OSHA ), Centers for Medicare & Medicaid Services ( CMS ), Health Resources & Services Administration ( HRSA ), and the Office of Inspector General ( OIG ) of the U.S.

article thumbnail

ChristianaCare Settlement Drives New Legal Theory in False Claims Act Litigation: Hospitals Take Note When Providing Clinical Services to Their Private Physician Groups

Healthcare Law Blog

Global billing or collaborative care arrangements are not per se violations of the Anti-Kickback Statute, however, there is greater fraud and abuse risk in these types of arrangements unless there is active, ongoing monitoring for compliance. Million To Resolve Health Care Fraud Allegations | United States Department of Justice [3] See Defs.

article thumbnail

Progressive Therapeutics allays telehealth security concerns with EHR integration

Healthcare IT News - Telehealth

The practice was an early adopter of telehealth back in 2010, implementing it as a way to care for people unable to attend in-person sessions. " Healthcare is one of the biggest targets for cybercriminals, alongside the government and the financial services industry. THE PROBLEM. " ADVICE FOR OTHERS.

COVID-19 162