Remove 2015 Remove Due Diligence Remove Fraud
article thumbnail

What is a HIPAA Violation?

HIPAA Journal

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was introduced to simplify the administration of healthcare, eliminate wastage, prevent healthcare fraud, and ensure employees could maintain healthcare coverage between jobs. What is HIPAA and Who Does It Apply To? What is considered a HIPAA violation?

HIPAA 135
article thumbnail

Caveat Emptor: Private Equity Firms Are Increasingly Vulnerable to Qui Tam Lawsuits

Health Law RX

It based its position on the grounds that Ancor, through its due diligence prior to the purchase of Alliance, learned about the alleged conduct and had the ability to remedy the conduct after the closing of the transaction. The DOJ also contended that Ancor caused Alliance to submit false claims to governmental programs.

article thumbnail

How HHS-OIG, Regulators Enforce Vendor Compliance

Provider Trust

In January 2015, the OIG settled for $96,259 with a Minnesota Pharmacist, Joseph C. Moon In this enforcement example, an owner was excluded, but hid behind the corporate veil of a company, which eventually led to both individual and company fines and exclusions. Moon , for submitting claims while excluded from March 2006 through July 2013.