ENFORCEMENT

OCR Continues HIPAA Right of Access Crackdown, but at a Much Slower Pace

Twenty different providers have been hit with fines since the Department of Health and Human Services’ Office for Civil Rights (OCR) launched its HIPAA Right of Access Initiative in April 2019. … [Read more...]

Labs In Court

A roundup of recent cases and enforcement actions involving the diagnostics industry

Use of Hospital’s NPI Enough to Establish Testing Labs’ Liability for Pass Through Billing Case: Licensees of Blue Cross and Blue Shield Association sued individuals and entities allegedly … [Read more...]

Enforcement Trends

Federal Courts Split on Government Dismissals of Qui Tam Claims

In 2018, the Justice Department (DOJ) ordered US Attorneys to aggressively seek dismissal of False Claims Act (FCA) whistleblower qui tam lawsuits that lack merit or don’t serve the government’s … [Read more...]

Enforcement Trends

Federal Courts Split on Government Dismissals of Qui Tam Claims

In 2018, the Justice Department (DOJ) ordered US Attorneys to aggressively seek dismissal of False Claims Act (FCA) whistleblower qui tam lawsuits that lack merit or don’t serve the government’s … [Read more...]

Enforcement

Federal False Claims Act Enforcement Continues to Gather Steam

Despite the COVID-19 pandemic and continued sequestration of enforcement funds, federal false claims enforcement activity seems to be gathering momentum. Reversing recent trends, the federal Health … [Read more...]

Enforcement Trends

Federal Courts Split on Government Dismissals of Qui Tam Claims  

In 2018, the Justice Department (DOJ) ordered US Attorneys to aggressively seek dismissal of False Claims Act (FCA) whistleblower qui tam lawsuits that lack merit or don’t serve the government’s … [Read more...]

 Kickbacks

LabCorp Faces Trial for Providing In-Office Phlebotomist Services to Doctors Taking Processing and Handling Fees from HDL

The Health Diagnostic Laboratory (HDL) and Singulex, Inc. scam in which physicians were paid process and handling fees for referrals of medically unnecessary blood tests remains the biggest and most … [Read more...]

Labs In Court

Michigan Cardiologist Shells Out $2 Million to Settle False Billing Charges

Case: The feds claim that over an 11-year period the physician and his metropolitan Detroit area practice and lab sites violated the False Claims Act by billing Medicare, Medicaid and TRICARE for … [Read more...]

Labs in Court

Florida Court Upholds Conviction of Physician at Center of Massive Drug Test Scam

Case: In February 2019, the physician/medical director of a pair of sober home clinics in clinics was sentenced to 11 years in prison and ordered to pay $1 million in restitution for his role in a … [Read more...]

Enforcement Trends:

New Administration Continues OCR HIPAA Right of Access Initiative

Although the Biden administration has signaled its intention to revisit just about every healthcare regulatory initiative of its predecessor, one enforcement undertaking seems to be continuing … [Read more...]


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