May 6, 2021 | Health Care
On April 29, 2021, the Department of Health and Human Services (HHS) Office of Inspector General (“OIG”) released a new advisory opinion (OIG Advisory Opinion No. 21-02) about an Ambulatory Surgery Center (“ASC”) to be jointly owned by a health system, a physician...
May 3, 2021 | Fraud Investigations, Government Investigations, Health Care, White Collar Crime
In 2019, the U.S. Department of Justice (“DOJ”) announced “Operation Brace Yourself,” which resulted in charges against 24 criminal defendants and adverse administrative actions against 130 DME companies. Operation Brace Yourself was a nationwide scheme related to...
Apr 29, 2021 | Employment Law, Health Care
The U.S. Department of Health and Human Services, Office of the Inspector General (OIG) may exclude individuals and entities from federally funded healthcare programs under 42 U.S.C. §§ 1320a-7 and 1320c-5. By law, the OIG must exclude individuals and entities for...
Apr 28, 2021 | Employment Law, Health Care, Healthcare Transactions
Any time a physician and a hospital enter a long-term relationship, whether through a direct employment arrangement or through a services agreement with a physician group, the discussion around physician compensation can quickly grow complicated. Most healthcare...
Apr 21, 2021 | DOJ, Fraud Investigations, Health Care, White Collar Crime
Ivan Scott, of Florida, was sentenced this week to 10 years in prison for his involvement in a conspiracy to submit fraudulent claims to Medicare for genetic testing. Scott was the owner of Scott Global, an Orlando telemarketing call center. Through his company,...
Apr 21, 2021 | Health Care
Consolidation in the healthcare industry continues, however the Federal Trade Commission (FTC) is paying close attention (and not just to large health system mergers). As Chilivis Grubman discussed previously, the FTC has been particularly active in the healthcare...
