The Health Law Firm

APRIL 10, 2017

Board Certified by The Florida Bar in Health Law On March 24, 2017, three participants were sentenced in Florida federal court, for a scheme that used call centers and kickbacks to generate fake prescriptions for compounding pharmacies. The scheme was able to scam the government and private insurers for $175 million. Indest III, J.D.,

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Health Law RX

JANUARY 31, 2023

In such cases, a defendant is typically accused of falsely attesting to compliance with conditions of payment or other requirements under government programs. In these cases, the relator is not alleging the absence of a product or service for which the government has paid. In 2017, in United States ex rel. Below, the U.S.

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Healthcare Compliance Blog

MARCH 31, 2022

The agencies received millions of dollars in funding from Medicaid, which is funded in part by the federal government, and much of that money was meant to pay the wages and benefits of their aides. million to New York State for conduct between 2014–2017. It can also include health insurance, pension plans, or educational assistance.

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Health Law RX

NOVEMBER 10, 2022

The United States alleged that, between August 1, 2016 and June 30, 2017, Sutter Health fraudulently billed and received reimbursement from government health programs for lab tests that Sutter Health did not itself perform. Consequently, the best possible defense to such a claim involves disciplined application of clinical guidelines.

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Governance Medicare Medicare Medicaid 52

AIHC

MARCH 2, 2023

I remember actually defining my objectives in 2017 with one of the classes through AIHC. At this particular time, I was also a commissioner in city government and was active among many charitable organizations. I have also added the CFE, Certified Fraud Examiner through the Association of Certified Fraud Examiners.

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Hall Render

APRIL 11, 2022

Relators filed their original complaint in April of 2017, alleging that the defendants routinely pressured medical providers to order laboratory tests that were not medically necessary. However, a separate group of relators had already filed a qui tam action in August of 2016, eight months prior to this suit, alleging the same fraud scheme.

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Healthcare Law Blog

FEBRUARY 9, 2024

The ChristianaCare Lawsuit Sherman’s 2017 complaint alleged that ChristianaCare provided prohibited remuneration to Neonatology Associates, a private physician group with an exclusive contract to manage all care in Christiana Hospital’s Neonatal Intensive Care Unit (NICU). 2] District of Delaware | ChristianaCare Pays $42.5 Opening Br.

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Hall Render

FEBRUARY 14, 2024

Supreme Court unanimously ruled that whistleblowers do not need to show retaliatory intent as part of a retaliation claim against an employer under the Sarbanes-Oxley Act (“SOX”), which governs corporate financial reporting and recordkeeping. The Supreme Court reinstated a $900,000 jury verdict awarded to the Plaintiff in 2017.

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MedTrainer

JULY 29, 2024

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.

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Hall Render

DECEMBER 11, 2024

The Proposed Rule would revise the section governing exclusions under section 1128(b)(14) of the Act based on an individual’s default on a health education loan or scholarship obligation.

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Health Law RX

AUGUST 10, 2021

On July 21, 2021, the DOJ announced that the government settled FCA claims against the Alliance Family of Companies, LLC (“Alliance”), a national electroencephalography (“EEG”) diagnostic testing company, and Ancor Holdings LP (“Ancor”), the private equity firm that invested in Alliance.

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Healthcare IT Today

JUNE 29, 2023

As of November 15, 2017, ASCs are being surveyed on the new requirements of a September 2016 final rule. Audits, fines, repayment demands, and government program suspensions are enforcement actions. Quality reporting provides ASCA members with current requirements and resources to comply. ASC billing compliance has many benefits.

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Healthcare Law Blog

MAY 16, 2022

Enrollee Participation in Dual Eligible Special Needs Plan (“D-SNP”) Governance (§ 422.107). CMS believes its proposals would improve Federal and State oversight of D-SNPs (and their affiliated MCOs) through greater information-sharing among government regulators.

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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.

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Med Law Blog

MAY 1, 2023

Additional Investigative and Enforcement Activity In 2017, a whistleblower suit was filed against Surgery Partners, Inc. Hahnemann Hospital and St. Christopher’s Hospital, to American Academic Health System, which then closed Hahnemann Hospital in June of 2019. in United States ex rel. Cho and Baker v. Surgery Partners, Inc.

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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. Overall firearm-specific older adult homicide rates increased between 2014 and 2017. Of the 6,188 victims, 62% were male. seniors account for $3.4

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Verisys

MARCH 24, 2022

government can still impose fines for doing business with these companies, even if an organization’s non-compliance was not intentional. A 2017 report showed several of the largest penalties have been imposed on small- to medium-sized healthcare organizations, including United Medical Instruments Inc. However, the U.S.

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ACA Compliance Governance Medicaid 52

AIHC

FEBRUARY 16, 2024

The “Cobra” - In the late 1800s-early 1900s when India was ruled by the British government, there was a problem with venomous cobras invading major cities. The British government decided to take action and offered citizens a bounty to redeem for dead cobras. The government eventually found out and stopped the financial incentives.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

The “Cobra” - In the late 1800s-early 1900s when India was ruled by the British government, there was a problem with venomous cobras invading major cities. The British government decided to take action and offered citizens a bounty to redeem for dead cobras. The government eventually found out and stopped the financial incentives.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

CMS.gov

NOVEMBER 2, 2018

Just another name for a government-run, single payer system. Just another name for a government-run, single payer system. As head of the agency that serves over 58 million Medicare beneficiaries, I deal first-hand with the challenges of government run healthcare. CMS BLOG: Medicare for All? keya.joy-bush@…. Medicare Part C.

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Governance Medicare Medicare ACA 55

Hall Render

MAY 10, 2024

Vincent reopens Westside Crossing Walk-In Care Indiana’s 2017 abortion law violates free speech, federal judge rules Ind. Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ ranks second nationwide in hospital patient safety, with 7 Central Va.

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New Jersey Healthcare Blog

JULY 22, 2022

907(b), the Department of Human Services, Division of Mental Health and Addiction Services readopted rules that govern the provision of mental health services at inpatient psychiatric hospital units known as short-term care facilities (STCFs). 10:35 which govern the provision of mental health services in county psychiatric facilities.

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COVID-19 Vaccine Licensing COVID-19 Public Health 40

Hall Render

JANUARY 28, 2022

Federal officials arrest nursing home owner charged with more than $3M in Arkansas Medicaid fraud. More Civil, Criminal Charges for Former Skyline CEO Accused of Tax and Medicaid Fraud. Florida health officials face hurdles with limited supply of monoclonal antibody from government. MISSISSIPPI.

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COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

JANUARY 14, 2022

Arizona asks federal government to send paramedics to help 5 Phoenix-area hospitals. Florida hospitals face severe staffing shortage ‘crisis’ Florida medical supply company to pay $600K in Medicare fraud settlement. Surgery Centers and Medical Offices in New Jersey Settle Allegations of Federal Health Care Fraud.

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Hall Render

APRIL 21, 2023

health care fraud scheme SA cancer research company entering Dallas market as it eyes more U.S., health-tech startup MemoryWell pivots, eyes new funding to roll out software for insurers Department of Veterans Affairs health system kicks off multiyear Greater Washington expansion Georgetown to open Southeast D.C. Mississippi Dept.

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US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Drug & Device Law

MARCH 19, 2024

Plaintiff was missing any “indicia of fraud, wrongdoing, domination, misuse, or subversion of corporate formalities. However, a “blurred” line of separation between two companies or crossover by means of shared officers and employees is not enough to pierce the corporate veil.

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Drug & Device Law

DECEMBER 29, 2023

2023) (federal government may unilaterally obtain dismissal of FCA claims, and calling the constitutionality of the FCA’s private enforcement mechanism into question) ( here ); Quishenberry v. 2023) ( Buckman preemption barred MDL asserting fraud on EPA), cert. Hrymoc was tried in late 2017. Polansky v. UnitedHealthcare, Inc. ,

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Drug & Device Law

DECEMBER 12, 2022

The allegations in the complaint thus fell within the scope of the Vaccine Act, which governs all claims “for damages arising from a vaccine-related injury or death associated with the administration of a vaccine.” Kentucky Fried Chicken , 2017 WL 6416296, at *4 (S.D.N.Y. that they would not have received otherwise.” Olin Corp. ,

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Drug & Device Law

MARCH 3, 2022

have dockets heavy on administrative cases and other cases involving the functioning of the federal government and light on product liability cases. 2017), and In re Air Crash Over the S. The briefing on motions to dismiss was complete in September 2017. Part of that may be that the D.D.C. Even the D.C. Medtronic, Inc. ,

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