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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...

HHS Levies $25,000 Fine in Tenth HIPAA Right of Access Enforcement Action

Nov 11, 2020 | HIPAA

Over the past year, CG attorneys have alerted readers about the focus of U.S. Department of Health and Human Services’(HHS) Office of Civil Rights (OCR) on patient access to records in its “HIPAA Right of Access Initiative.”  Under this initiative, OCR announced at...
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