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.

Fraud 52

Fraud Compliance HIPAA Health Insurance 52

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.

Governance 52

Governance Fraud Compliance 52

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.

Governance 52

Governance Fraud Compliance 52

Hall Render

JUNE 7, 2023

held that the mental state required by the False Claims Act (“FCA”) refers to the defendant’s actual knowledge and subjective beliefs about the truth of claims for payment submitted to federal payors. Liability under the FCA now focuses on what a defendant actually believed about the validity of their claims at the time of submission.

Fraud 40

Fraud Medicaid Medicaid Governance 40

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?

Compliance 52

Compliance Fraud Governance 52

Drug & Device Law

JULY 31, 2023

We have blogged several times about the somewhat esoteric issue of whether intangible items – chiefly computer software, website algorithms, and other electronic information – is treated as a “product” for purposes of imposing strict liability on their creators. 2007 WL 2460776, at *6 (D. 2007 WL 218242, at *4 (N.D. at 1291-92.

Governance 52

Governance Payment Systems Hospitals Licensing 52

Drug & Device Law

AUGUST 8, 2022

Recently, we have become concerned about personal injury plaintiffs deciding to sue these kinds of organizations because they don’t like some standard that stands between them and the pot of gold at the end of the litigation rainbow. Furthermore, trade associations often serve to assist the government in areas that it does not regulate.

Doctors 52

Doctors Fraud Licensing Compliance 52