Tagged: false claims act

Webinar: The False Claims Act — Enforcement Risks and Compliance Trends

Webinar: The False Claims Act — Enforcement Risks and Compliance Trends

Webinar: The False Claims Act — Enforcement Risks and Compliance Trends Tuesday, October 10, 2018 Sign Up Here Companies in the defense and healthcare industries face significant risks from False Claims Act prosecutions and litigation. The Justice Department has an impressive record of annual recoveries totaling over $2 billion. A vibrant whistleblower community and legal practitioners create significant risks for companies in these industries. To...

Episode 52 — The False Claims Act and Healthcare Fraud

Episode 52 — The False Claims Act and Healthcare Fraud

The federal government continues to push aggressive False Claims Act enforcement cases against healthcare companies, including hospitals, skilled nursing facilities, hospices and other healthcare providers.  The Justice Department has employed the False Claims Act to target companies in the opioid industry as a response to the opioid crisis in our country. Healthcare companies have to implement effective ethics and compliance controls to protect against fraud...

Federal Enforcement and the Opioid Epidemic (Part IV of IV)

Federal Enforcement and the Opioid Epidemic (Part IV of IV)

The scope of our country’s opioid epidemic is devastating.  From 1999 to 2017, more than 700,000 people have died from a drug overdose.  Two-thirds of these deaths involved an opioid.  On average, 195 Americans dies every day from an opioid overdose.  These numbers are tragic and mind-boggling. In response, federal enforcement efforts have primarily focused on criminal prosecutions, but there have also been significant civil...

Rolling Along with False Claims Act Enforcement Actions (Part III of IV)

Rolling Along with False Claims Act Enforcement Actions (Part III of IV)

Despite the controversial impact of the Supreme Court’s Escobar decision, the Justice Department’s False Claims Act prosecutions and settlements are continuing at a consistent rate – heading towards another multi-billion dollar year of FCA recoveries. Some examples of these prosecutions and settlements will demonstrate my overall point – FCA risks are significant and healthcare providers, especially hospitals, have to devote time and attention to oversight...

The Supreme Court’s Escobar Decision and the Impact on False Claims Act Cases (Part I of IV)

The Supreme Court’s Escobar Decision and the Impact on False Claims Act Cases (Part I of IV)

This week I am running a series of posts on healthcare fraud enforcement and the False Claims Act. With all the controversy swirling around the Mueller investigation and prosecutions, the Justice Department continues its aggressive pursuit of healthcare fraud.  The Justice Department’s machinery and resources are producing a steady stream of False Claims Act cases and settlements. Just like other enforcement areas, companies in the...

Webinar: Healthcare Providers — The Need to Enhance Your Ethics and Compliance Program

Webinar: Healthcare Providers — The Need to Enhance Your Ethics and Compliance Program

Webinar: Healthcare Providers — The Need to Enhance Your Ethics and Compliance Program Tuesday, April 10, 2018, 12 Noon EST Sign Up Here Healthcare providers continue to face significant enforcement risks. Federal and state regulation of healthcare providers creates numerous risks, including the possibility of criminal fraud prosecutions. False Claims Act prosecutions continue to threaten healthcare providers with potential parallel criminal and civil proceedings. In...

Double Whammy for United Healthcare: Two False Claims Act Cases in Two Weeks

Double Whammy for United Healthcare: Two False Claims Act Cases in Two Weeks

The False Claims Act is the government’s weapon of choice in fighting healthcare fraud.   In the beginning of the Obama Administration, Congress amended the False Claims Act and enacted a wish list from DOJ prosecutors. Healthcare companies have no choice but to negotiate settlements since they risk exclusion from federal healthcare programs, the equivalent of a death sentence for healthcare businesses. United Healthcare is...

Webinar: Update on Healthcare Enforcement and Compliance Strategies

Webinar: Update on Healthcare Enforcement and Compliance Strategies

March 1, 2017, 12 Noon EST Sign up HERE The Justice Department continues to reap great benefits from its aggressive False Claims Act — civil and criminal — enforcement program.  2016 was another multi-billion dollar year for False Claims Act recoveries, especially against healthcare providers, hospitals, skilled nursing and hospice facilities. The Supreme Court also delivered an important decision on False Claims Act implied certification...

Tenet Healthcare Settles Fraud Case for $514 Million

Tenet Healthcare Settles Fraud Case for $514 Million

If you work in compliance in the healthcare industry, you have a tough job. The number and variety of risks that healthcare providers face is daunting. The False Claims Act is a mighty weapon in the hands of federal prosecutors. Hospitals are under the enforcement microscope given the significant role they play in the delivery of healthcare. Tenet Healthcare Corporation, a national hospital chain, recently...

Healthcare Compliance: Juggling Risk Mitigation Strategies

Healthcare Compliance: Juggling Risk Mitigation Strategies

Healthcare organizations – ranging from physician practice groups to large, multi-state hospital systems – face a variety of risks, including fraud and abuse, as well as HIPAA privacy issues. Starting from a baseline risk assessment, healthcare organizations are often juggling among competing risks and responding to enforcement threats. The design and implementation of an effective healthcare compliance program is extremely difficult and requires dedication, resources,...