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Sentencing Guidelines: Third Circuit Rejects Use of “Intended” Loss in Favor of “Actual” Loss

Healthcare Law Today

Sentencing in federal fraud cases is driven by loss amounts. In health care fraud cases, the government frequently asserts a high “intended loss” based on amounts billed to payers, even when amounts actually paid were far less. Health care fraud cases are a prime example. In United States v. Banks Decision.

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Planned Parenthood Pays $4.3 Million to Settle Allegations of Medicaid Fraud in Qui Tam/Whistleblower Case

The Health Law Firm

The nonprofit organization is accused of fraudulently billing Medicaid and other government programs for health services provided by some of its Texas clinics between 2003 and 2009, according to the DOJ. Indest III, J.D., Board Certified by The Florida Bar in Health Law Planned Parenthood Gulf Coast recently paid $4.3

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The Supreme Court Clarifies the Government’s FCA Dismissal Power and Invites Constitutional Challenge to the FCA’s Qui Tam Provision

Health Law RX

The First Circuit placed an onus on the relator to avoid dismissal by showing that the Government’s motion was “transgress[ing] constitutional limitations” or “perpetrating a fraud on the court” ( Borzilleri v. Circuit found the Government’s dismissal authority to be “unfettered” ( Swift v. 3d 250, 252 (D.C. Bayer Healthcare Pharms.,

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What is a HIPAA Violation?

HIPAA Journal

According to the most recent update, the HHS has received almost 300,000 complaints since the compliance date of the Privacy Rule (April 2003). The web page is regularly updated with statistics relating to complaints about HIPAA violations, compliance reviews, and enforcement action. What is HIPAA and Who Does It Apply To?

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Navigating Dual Purpose Communications After SCOTUS (Almost) Weighs in on Attorney-Client Privilege: 5 Practical Tips for Healthcare Attorneys

Healthcare Law Blog

This topic always involves a legal angle, such as Stark Law or Anti-Kickback compliance, or state fraud and abuse law considerations. 2003); Visa U.S.A., For many healthcare attorneys, these types of dual-purpose communications are more common than communications involving only purely “legal” advice. Are bonuses involved? 23, 2004). [4]

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How would you like to change HIPAA?

Health Blawg

The regs were finalized in 2003.) The regs were finalized in 2003.) In the 1996 HIPAA statute (which covered a lot of other ground), Congress gave itself one year to legislate standards for health data privacy and security, and decreed that if it were to fail to meet that deadline, HHS would have to create regulations from whole cloth.

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How would you like to change HIPAA?

Health Blawg

The regs were finalized in 2003.) The regs were finalized in 2003.) In the 1996 HIPAA statute (which covered a lot of other ground), Congress gave itself one year to legislate standards for health data privacy and security, and decreed that if it were to fail to meet that deadline, HHS would have to create regulations from whole cloth.

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