Case: Instead of the required 60 days, it took a West Virginia diabetes clinic two years to provide access to a minor child patient’s mother access to his medical records. In addition to $5,000 to … [Read more...]
Labs in Court
West Virginia Clinic Becomes Most Recent Provider Fined for HIPAA Right of Access Violation
September 6, 2021
Enforcement Trends
Federal Courts Split on Government Dismissals of Qui Tam Claims
September 2, 2021
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 False Claims Act Recoveries Hit 5-Year High
August 26, 2021
For more than a decade, enforcement of the federal false claims act was a government cash cow. But in recent years, investment returns on the activity actually declined. That trend came to an end last … [Read more...]
Enforcement Trends
Federal Courts Split on Government Dismissals of Qui Tam Claims
August 10, 2021
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
August 9, 2021
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...]
Labs in Court
Florida Telemarketers Indicted for $47 Million Genetic Test Fraud Scheme
August 5, 2021
Case: A federal grand jury indicted three telemarketing company owners for a smorgasbord of fraud, kickback and money laundering violations that allegedly cost Medicare $47 million medically … [Read more...]
Enforcement Trends
Federal Courts Split on Government Dismissals of Qui Tam Claims
July 29, 2021
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
Fraud Recoveries Grow as Feds Target Telemedicine and COVID-19 Add-On Test Scams
July 29, 2021
Despite the COVID-19 pandemic and continued sequestration of enforcement funds, the federal Health Care Fraud and Abuse Control Program (Program) reversed recent trends and recovered more money in FY … [Read more...]
WORKPLACE SAFETY
CMS Couldn’t Verify Hospital Safety During COVID and Won’t Be Able to Do So in Next Pandemic
July 29, 2021
CMS was unable to determine whether hospitals were maintaining quality and safety standards during the COVID-19 crisis. And unless changes are made to its regulatory powers, it won’t be able to make … [Read more...]
Labs in Court
University of Miami Settles Lab Testing False Claim Charges for $22 Million
July 27, 2021
Case: In this particular case, “The U” stands for unnecessary, as in medically unnecessary lab tests billed to Medicare by the University of Miami’s lab and off campus hospital-based facilities. The … [Read more...]
