Two landmark cases fraught with False Claim Act (“FCA”) allegations of fraudulent billing for prescription drugs against food and pharmacy chains are making their way from the Seventh Circuit to
Continue Reading Is it Really Fraud? The Supreme Court Will Decide
US Launches Coordinated Effort to Combat Health Care-Related COVID-19 Fraud
As part of its ongoing effort to crack down on health care fraud related to COVID-19, the U.S. Justice Department has launched a coordinated law enforcement action that recently led
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Health Care Professionals Are Key Targets in COVID Aid-Related Fraud Prosecutions
This post is a courtesy of Fox Rothschild attorneys Matthew D. Lee, Esq. and Marissa Koblitz Kingman, Esq., and was first published as an alert on Fox’s website.
The
Continue Reading Health Care Professionals Are Key Targets in COVID Aid-Related Fraud Prosecutions
Proposed Amendments to False Claims Act Would Tilt the Playing Field
This post is a courtesy of Fox Rothschild attorney William H. Maruca, Esq., and was first published as an Alert on Fox’s website.
A bipartisan bill introduced this summer
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Georgia Nurse Pleads Guilty to Telemedicine Fraud Scheme
A nationwide telemedicine kickback scheme led to fraudulent Medicare reimbursements for durable medical equipment and genetic testing. The full Department of Justice press release can be found here.
Fraudulent
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$8 Million Pharmacy Fraud Case Lands 6 Behind Bars
A recent health care fraud conspiracy case resulted in federal prison sentences for six participants, serving as a warning to pharmacy owners and their employees. Read the full Department of
Continue Reading $8 Million Pharmacy Fraud Case Lands 6 Behind Bars
Free Oxygen to COVID-19 Patients Upon Discharge Is Not Without Risk
Fox Rothschild LLP partner, William Maruca, was recently interviewed for an article in Cosmos regarding the regulatory risks to hospitals and DME suppliers who enter into arrangements to ensure
Continue Reading Free Oxygen to COVID-19 Patients Upon Discharge Is Not Without Risk
OIG Issues Special Fraud Alert on Speaker Programs
Earlier this week, the Office of Inspector General OIG issued a Special Fraud Alert (Alert) on speaker programs by pharmaceutical and medical device companies in connection with the Federal Anti-Kickback
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Have You Updated Your Corporate Compliance Program Lately?
New guidance issued by the U.S. Department of Justice (DOJ) highlights the importance of updating corporate compliance programs to satisfy regulatory requirements. The 2020 updates pick up where the 2019
Continue Reading Have You Updated Your Corporate Compliance Program Lately?
THE ABC’S OF THE S.I.U.: What Providers Need to Know
Medical record requests by payors are commonplace for health care providers. Typically, these requests are received by a front desk employee who responds to the inquiry in short order. Yet,
Continue Reading THE ABC’S OF THE S.I.U.: What Providers Need to Know