Jan 11, 2017 | Health Care
On November 1, 2016, the Fourth Circuit Court of Appeals issued an opinion holding that registered nurses (“RNs”) and licensed practical nurses (“LPNs”) at Prince George Healthcare Center in Georgetown, SC (the “Center”) do not qualify as “supervisors” under the...
Jan 4, 2017 | Health Care
Every year the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services (“HHS”) publishes a Work Plan detailing the various areas of focus for the upcoming fiscal year. OIG’s 2017 Work Plan describes many new and ongoing priorities that...
Nov 4, 2016 | Health Care
On November 1, 2016, the Centers for Medicare and Medicaid Services (“CMS”) announced that it had awarded three companies new contracts to serve as recovery audit contractors (“RACs”). These three companies – Performant Recovery, Inc., Cotiviti, LLC, and HMS Federal...
Oct 6, 2016 | False Claims Act, Health Care
On September 20, 2016, the Department of Health and Human Services’ Office of Inspector General (“OIG”) and Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule to amend the regulations governing state Medicaid Fraud Control Units (“MFCUs”). State...
Oct 6, 2016 | False Claims Act, Health Care
In a recent False Claims Act (“FCA”) case interpreting amendments to the FCA’s anti-retaliation provision, the Fourth Circuit Court of Appeals held that an employee who alleges that he or she was terminated for trying to stop an employer from violating the FCA must...
Sep 7, 2016 | Health Care
On August 18, 2016, the Department of Health and Human Services’ Office for Civil Rights (“OCR”) announced its intention (via its email list-serv) to “more broadly investigate” breaches of protected health information (“PHI”) affecting fewer than 500 individuals....
