Dec 30, 2022 | Health Care, Medicare and Medicaid
In 2014, the Centers for Medicare & Medicaid Services (CMS) published its then-long-awaited final rule implementing and interpreting the “60-day” overpayment rule, which was signed into law by President Obama four years prior as part of the Affordable Care Act. ...
Nov 15, 2022 | False Claims Act, Fraud Investigations, Government Investigations, Health Care, Health Care Fraud
Late last week, the United States Attorney’s Office for the District of Connecticut announced that a Connecticut physician and physician practice agreed to pay more than $2.6 million to resolve allegations that they violated the False Claims Act (FCA) by submitting...
Nov 14, 2022 | False Claims Act, Fraud Investigations, Health Care
Last week, the United States Attorney’s Office for the Western District of Texas (Austin) announced that Omega Healthcare Investors, Inc. had agreed to pay $3 million to resolve False Claims Act (FCA) allegations. According to its website, Omega Healthcare Investors...
Aug 17, 2022 | Health Care, Health Care Fraud
In June 2022, the U.S. Supreme Court issued an opinion in Ruan v. United States that clarified the mens rea requirement for those who manufacture, distribute, or dispense drugs and are subsequently prosecuted under the Controlled Substances Act, specifically 21 U.S.C....
Aug 9, 2022 | Health Care, Health Care Fraud
The DOJ just announced the conviction of, Jaroslava Ruiz, for her role in a scheme that defrauded private health insurers of approximately $34.6 million. Ruiz, of Chapel Hill, was convicted of one count of conspiracy to commit health care fraud and wire fraud and 10...
Aug 3, 2022 | Health Care, Health Care Fraud
The U.S. Department of Health and Human Services issued a special fraud alert on July 20, 2022, relating to potential fraud concerns in the telehealth industry. Special fraud alerts are rare—this newest alert is only the fourth issued in the last decade. A special...
