By Mani Dabiri | Published November 3, 2019 | Posted in Civil Business Litigation and Investigations, Federal and State Criminal Defense, Government Subpoenas and Investigations, White-Collar and Regulatory Defense | Tagged Tags: antikickbackstatutes, departmentofjustice, DNAtesting, DOJ, healthandhumanservices, healthcare, HHS, insurancefraud, medicareandmedicaid, technology, telemedicine |
Healthcare Investigations at Warp Speed
We covered one of the U.S. Justice Department’s major healthcare sweeps last month. But we didn’t know the feds had shut things down with such blinding speed. Reportedly, it took them six to eight months from first alert to coordinated raids. The investigation is said to have begun earlier this year when analysts detected a surge in Read More
Read MoreThe Lure of Free Cancer Screenings
Last week, the U.S. Justice Department announced a major takedown of telemedicine that it says went too far. It’s among the bigger healthcare-fraud sweeps to date: 35 people charged with over $2.1 billion in false or fraudulent bills. The defendants hail from telemedicine companies and genetic-testing labs and include nine physicians. They reportedly billed Medicare for tens Read More
Read MoreFeds Raise Healthcare Penalties Again
If you’re a healthcare provider who takes Medicare or another federal program, take note. We didn’t get a government shutdown, but the budget law from last week more than doubled the civil and criminal penalties you face when the government accuses you of fraud, waste, or abuse. To see for yourself, click the link and scroll all Read More
Read MoreDon’t Keep The Change, Doc
Meaning, don’t just pocket the difference when the government overpays you for healthcare goods or services. Recently, a medical group agreed to pay $450,000 to settle allegations that it refused to return $175,000 in overpayments that it received from federal healthcare programs like Medicare and Medicaid. Here’s the government’s press release. The overpayments at issue tend to happen in medical Read More
Read MoreCMS Puts Out New Physician Self-Referral Disclosure Protocol
If you’re a healthcare provider or supplier, take note. Starting June 1, 2017, there is a new process for self-reporting actual or potential violations of the Stark Law to the Centers for Medicare & Medicaid Services. Remember, Stark says that doctors can’t refer certain, designated health services that are payable by Medicare or Medicaid to entities in which they have a financial interest. Read More
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