Kaiser Health News

JUNE 29, 2022

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday. CMS is scheduled to release the audits later this year.

Medicare 102

Medicare Medicare Governance Overpayments 102

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

Pharmacy Law Blog

FEBRUARY 13, 2018

Supreme Court decision in her case holding that the government could not freeze untainted assets. Her case continued in 2017 following a 5-3 ruling by the Supreme Court holding that the government could not freeze assets belonging to her that were not tied to the alleged fraud scheme. To read more on the U.S. Let’s see.

Fraud 40

Fraud Medicare Medicare Governance 40

Drug & Device Law

JANUARY 25, 2024

142 (2007), mere regulation of the product or conduct at issue—the medical walker is a non-prescription, Class I medical device with general controls only—is not a basis for removal under this statute. That is how plaintiff bought his medical walker and why we are talking about federal officer removal. Philip Morris Cos. ,

Medicare 52

Medicare Medicare FDA Regulatory Compliance 52