Chilivis Grubman LLP
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COVID-19 Testing: Are Out-of-Network Providers Charging Too Much?

Nov 25, 2020 | COVID-19 Related Law

The Coronavirus Aid, Relief, and Economic Security (CARES) Act, enacted on March 27, 2020, requires insurers to “provide coverage [for], and…not impose any cost-sharing (including deductibles, copayments, and coinsurance) requirements or prior authorization or other...

False Claims Act: Will the U.S. Supreme Court Define “Falsity”?

Nov 20, 2020 | False Claims Act, Fraud Investigations, Government Investigations, Medicare and Medicaid

The federal False Claims Act (FCA) imposes liability for treble damages and civil penalties on “any person who [among other things] … knowingly presents, or causes to be presented, a false or fraudulent claim for payment” to the federal government or who...

Special Fraud Alert: HHS Warns of Risks Associated With Speaker Programs

Nov 20, 2020 | Government Investigations

On November 16, 2020, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) released a Special Fraud Alert (“Alert”) highlighting the fraud and abuse risks associated with speaker programs.  The Alert confirms the government’s...

And Another One: Eleventh Settlement as HHS Continues to Prioritize HIPAA Right of Access Enforcement Against Large and Small Covered Entities

Nov 16, 2020 | HIPAA

The HIPAA Privacy Rule generally requires covered entities to provide individuals access to their “designated record sets” maintained by or for the covered entity, as defined by 45 C.F.R. § 164.501.  There are specific requirements to comply with the HIPAA Privacy...

Chicago Charter School Chain Pays $4.5 Million to Resolve False Claims Act Allegations

Nov 11, 2020 | False Claims Act, Fraud Investigations, Government Investigations

A chain of charter schools based in Chicago has agreed to pay a $4.5 million civil fine to close a federal corruption investigation that first came into public view in June 2014. In its statement announcing the settlement, the U.S. Department of Justice (DOJ) accused...
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