Last year at this time, the Justice Department announced the results of a nationwide takedown involving "the most defendants charged and largest alleged loss amount in Medicare Strike Force … [Read more...]
ENFORCEMENT TRENDS
New Fraud Takedown Shows that Coordinated Enforcement Remains Alive & Well under Trump
July 31, 2017
DOJ
Medical Necessity Requirement Bites Anatomic Pathologists
June 6, 2017
By Robert Mazer bio The DOJ has announced two separate settlements involving claims for allegedly unnecessary special stains. Medicare permits a pathologist to order special stains when … [Read more...]
COMPLIANCE
OIG and DOJ Provide Tips for Determining Effectiveness of Compliance Programs
March 31, 2017
Labs have two new compliance tools—from the Department of Justice (DOJ) and the Office of Inspector General (OIG)—focused on evaluating the effectiveness of compliance programs. The DOJ's resource … [Read more...]
ENFORCEMENT
Health Care Fraud and Abuse Program Faces Declining ROI
February 7, 2017
The federal government's return on investment (ROI) in the fight against health care fraud continues a steady decline according to the latest numbers reported for the Health Care Fraud and Abuse … [Read more...]
FALSE CLAIMS
DOJ Surveys False Claims Victories for 2016
January 3, 2017
As we closed out the calendar year, the U.S. Department of Justice (DOJ) reflected on its successes for the fiscal year 2016 (FY 2016) which ended Sept. 30, 2016. Principal Deputy Assistant Attorney … [Read more...]
FALSE CLAIMS
FCA Penalties Nearly Double Under DOJ’s Interim Final Rule
July 14, 2016
On June 30 the Department of Justice (DOJ) published an Interim Final Rule in the Federal Register that has significant ramifications for enforcement under the False Claims Act (FCA). Pursuant to … [Read more...]
ENFORCEMENT
Lab Implicated in Long-Running Kickback Case Pleads Guilty, Forfeits Assets
July 14, 2016
Amidst the guilty pleas and sentencing of dozens of individuals, the laboratory company Biodiagnostic Laboratory Services LLC (BLS) entered a guilty plea the end of June in New Jersey federal court. … [Read more...]
FALSE CLAIMS
Department of Justice Nearly Doubles FCA Penalties
July 5, 2016
By Kelly A. Briganti, Editorial Director, G2 Intelligence June 30, the Department of Justice (DOJ) published an Interim Final Rule in the Federal Register that has significant ramifications for … [Read more...]
ENFORCEMENT
Largest Strike Force Takedown in History Charges 300 Individuals
June 30, 2016
Nearly a year to the day after another nationwide Strike Force takedown, the Department of Justice announced last week what it says is a takedown involving “the most defendants charged and largest … [Read more...]
BRIBES
FCPA Self-Disclosure Pilot Program Continues Focus on Individual Accountability
May 4, 2016
In the modern age of global commerce, the Foreign Corrupt Practices Act (FCPA) has increasing relevance for laboratories and the diagnostics industry. Alere, a point-of-care diagnostic test maker, … [Read more...]
