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New Safe Harbor and General Compliance Program Guidance Provides Opportunity for Buyers to Mitigate Litigation and Fraud Risk

Health Law RX

By maintaining a robust compliance program, healthcare companies are better able to identify potential red flags early and to prevent violations of fraud and abuse laws. But robust pre-closing due diligence is not always practicable. Conduct a thorough risk assessment of seller’s compliance program.

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Is Your Data Supply Chain Ethical? Don’t Restrict Due Diligence to Physical Operations.

C&M Health Law

bribery, fraud, misuse). What’s more, core human rights due diligence principles, such as the United Nations Guiding Principles on Business and Human Rights (UNGPs), further influence how businesses should navigate these risks. Rightfully so, as compounding risks in physical production and movement of goods abound upstream (e.g.,

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Another Resolution by DOJ Pursuant to its Civil Cyber-Fraud Initiative Highlights Continued Efforts to Hold Companies Accountable for Ensuring Data are Secured

Health Care Law Brief

We previously wrote about the United States Department of Justice’s (“ DOJ ”) Civil Cyber-Fraud Initiative (“ CCFI ”), which “aims to hold accountable entities or individuals that put U.S. FHKC shut down its website’s application portal shortly thereafter. Follow us at [link] for updates as DOJ continues its CCFI enforcement efforts.

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PE Firms Face Liability for the Conduct of their Portfolio Companies: Are you Paying Attention?

Healthcare Law Blog

While government enforcement has traditionally been an indirect concern for private equity (“PE”) investors, such as looking at whether a target entity has been sanctioned or could be sanctioned in the future, the current trend in government enforcement has been to target PE firms directly. On March 25, 2021, the U.S.

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Settlement Agreed with Florida Children’s Health Insurance Website Contractor to Resolve False Claims Act Allegations

HIPAA Journal

The contract was renewed by FHKC through 2020, with the federal government covering 86% of the payments to Jelly Bean Communications Design. Attorney’s Office for the Middle District of Florida, with assistance provided by HHS-OIG. Companies have a fundamental responsibility to protect the personal information of their website users.

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Achieving Transparency: How to Close a Critical Gap in Healthcare Compliance

Verisys

Backed by FACIS ® ( Fraud Abuse Control Information System ), the most comprehensive data platform in the healthcare industry, the accuracy of Verisys’ screening, verification, and monitoring services exceeds the standard set by the Office of Inspector General (OIG). Verisys was created over 30 years ago to address this very issue.

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Achieving Transparency: How to Close a Critical Gap in Healthcare Compliance

Verisys

That is, until there is a fine, civil monetary penalty, or public lawsuit caused by patient negligence or fraud. Verisys performs verification and due diligence on all possible matches identified through the screening process to determine true and correct matches. Verisys was created over 30 years ago to address this very issue.