Author: ivan
HHS-OIG Work Plan Reveals Government’s Increased Concern for Defective Medical Devices
Every year, the Department of Health and Human Services Office of Inspector General (HHS-OIG) releases its Fiscal Work Plan, outlining its expected oversight work involving...
CMS Starts Collecting Physician Payment Data from Medical Device and Pharmaceutical Manufacturers for Public Website
The public will soon have better insight into the amount of funds flowing to healthcare providers from pharmaceutical and medical device companies. On February 18,...
What Does the latest DOJ Fraud Statistics Overview mean for Medicare Fraud and Medicaid Fraud Qui Tam Whistleblowers?
New healthcare qui tam filings have steadily increased over the years from 3 in FY 1987 to a high of 500 in FY 2013. The...
DOJ Recovers $2.6 Billion from Health Care Fraud False Claims Act Cases in FY 2013
The Justice Department recently reported that it recovered a stunning $3.8 billion from False Claims Act recoveries. Of that amount, $2.6 billion was attributed to health care fraud cases...
Shands Healthcare Pays $26 Million to Settle False Claims Related to Inpatient Procedures
In 2006 Shands Healthcare hired Terry Myers and his consulting firm YPRO Corporation to audit six of its hospitals to see if the patients met...
Diagnostic Laboratories and Radiology Pays $17.5 Million to Settle Diagnostic False Claims
Southern California’s largest clinical lab and radiology company for nursing homes paid $17.5 million to resolve allegations that it unlawfully paid kickbacks for referrals of...
Unapproved At-Home Genetic Tests Might Run Afoul of the FCA and the FDCA
Recently, the Food and Drug Administration ordered genetic-testing company 23andMe Inc. to stop marketing its mail-order genetic testing kit, citing the risk that false results...
Government Encourages Hospital Employees to Blow the Whistle on Improper Compensation Arrangements
The enforcement magnifying glass has, once again, returned to the hospital industry, which was the primary target of the False Claims Act in the 1990s....
G. Enforcing Standards Through Well-Publicized Disciplinary Guidelines
1. Disciplinary Policy and Enforcement An effective compliance program should include disciplinary policies that set out the consequences of violating the nursing facility’s standards of...