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. ...
Sep 22, 2021 | Fraud Investigations, Government Investigations, Health Care, Medicare and Medicaid, White Collar Crime
On September 17, 2021, the U.S. Department of Justice announced the execution of another nationwide enforcement action targeting healthcare fraud. The enforcement action marks the second year that the DOJ has announced a nationwide takedown. Last year, CG attorneys...
Feb 17, 2021 | COVID-19 Related Law, Fraud Investigations, Government Investigations, Medicare and Medicaid, White Collar Crime
On February 11, 2021, the U.S. Department of Justice (“DOJ”) announced the first criminal charges for the misappropriation of funds designated for medical providers during the COVID-19 pandemic. According to the press release, Ms. Amina Abbas owned a home health...
Dec 15, 2020 | Health Care, Medicare and Medicaid
On Thursday, December 10, 2020, the Department of Justice issued a press release regarding the sentencing of a Texas clinic owner and employee to 20 years and 8 years in prison, respectively, for their roles in a pill mill scheme. The clinic owner, Baker Niazi, pled...
Dec 1, 2020 | Health Care, Medicare and Medicaid
On November 20, 2020, the Centers for Medicare & Medicaid Services (CMS) published a draft of its final rule regarding Medicare’s physician self-referral law, colloquially known as the Stark Law. On the same day, CMS also issued a press release and fact sheet...
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...
