article thumbnail

Nursing Home Psychologist Convicted of Healthcare Fraud Scheme

Med-Net Compliance

The psychologist was convicted of four counts of healthcare fraud. The FBI and HHS-OIG investigated the case, which was brought as part of the Chicago Strike Force, supervised by the Criminal Division’s Fraud Section and the US Attorney’s Office for the Northern District of Illinois.

article thumbnail

Federal Jury Convicts New York Doctor of Healthcare Fraud Scheme

Med-Net Compliance

He was convicted of one count of healthcare fraud and one count of making a false claim. Healthcare providers, suppliers, or other individuals or entities subject to Civil Monetary Penalties can use the OIG’s Provider Self-Disclosure Protocol to voluntarily disclose self-discovered evidence of potential fraud.

Fraud 59
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Documentation and Provider Standards Training

American Medical Compliance

The following Documentation and Provider Standards Training educates healthcare providers on the significance of documentation compliance in healthcare. It also provides an introduction to all things related to healthcare compliance, which is important for all healthcare facilities to know about.

Fraud 52
article thumbnail

Hall Render Announces New Shareholders

Hall Render

Mayo Alao (Denver/Indianapolis offices) practices in the area of health care law with a focus on hospital and health system matters, regulatory and compliance issues, corporate transactions and hospital/physician alignment. James Junger (Milwaukee office) focuses his practice on pharmacy and health care compliance issues.

Fraud 40
article thumbnail

Mind Games: SCOTUS to Rule on what “Knowing” Means under the False Claims Act 

Health Law RX

In such cases, a defendant is typically accused of falsely attesting to compliance with conditions of payment or other requirements under government programs. And some jurists are cynical about the impact of applying an objective standard to government fraud cases. of America v. Burr , 551 U.S.

article thumbnail

SafeCo No More: The Changing Landscape of Scienter under the False Claims Act

Health Law RX

The Prior SafeCo Standard Until yesterday, defendants could seek dismissal of fraud claims based on the absence of scienter by relying on the two-part test codified by the Court in SafeCo Ins. A mistake is still a mistake, not fraud. of America v. 3] That test posed two questions. 1] United States ex rel. SuperValu Inc. , of America v.

Fraud 52
article thumbnail

SCOTUS Tosses Objective FCA Scienter Standard 

Hall Render

47 (2007), the U.S. Thus, it’s important to seek legal counsel to resolve concerns about statutory or regulatory non-compliance. 47, 70 (2007). [10] 7] This decision corrects several circuit courts’ application in the FCA context of an objective scienter standard borrowed from the Fair Credit Reporting Act (“FRCA”) context. [8]

Fraud 40