2007 Compliance Fraud Governance 
Med-Net Compliance
JULY 20, 2022
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.
American Medical Compliance
JANUARY 9, 2024
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.
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Health Law RX
JANUARY 31, 2023
In such cases, a defendant is typically accused of falsely attesting to compliance with conditions of payment or other requirements under government programs. In these cases, the relator is not alleging the absence of a product or service for which the government has paid. Below, the U.S. of America v. Burr , 551 U.S.
Health Law RX
JUNE 2, 2023
2] Companies that regularly submit claims to the federal government are familiar with the complex maze of rules and regulations that often govern them. 6] These government payor programs limit the amount pharmacies can charge for generic medications to the “usual and customary” price. [7] A mistake is still a mistake, not fraud.
Healthcare Law Blog
APRIL 19, 2023
The issue is a significant one for both the government and relators on one side, and potential defendants on the other, as False Claims Act (FCA) liability imposes treble damages and penalties exceeding $20,000 per claim as well as relators’ attorneys’ fees and costs. The Court’s questioning did not signal the likely decision.
Hall Render
JUNE 7, 2023
3] FCA Requires Subjective Knowledge of and Belief in Falsity of Claims The FCA prohibits an individual from knowingly submitting a false claim for payment to a government health care program. [4] 47 (2007), the U.S. Thus, it’s important to seek legal counsel to resolve concerns about statutory or regulatory non-compliance.
Healthcare Law Blog
FEBRUARY 13, 2023
Inside and outside healthcare counsel should know that the way they guide clients through legal and business issues may need to change based on a recent Ninth Circuit case governing the protections afforded to attorney-client communications, In re Grand Jury. [1] For example, consider physician compensation. Are bonuses involved?
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