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May 8, 2015 General

Office of Inspector General Offers Guidance in Addressing Healthcare Fraud Risk

In yesterday’s post, we introduced a recent effort by the U.S. Department of Health and Human Services’ Office of Inspector General, along with several healthcare advocacy groups and agencies, designed to inform and educate healthcare governing boards as to the importance of maintaining thorough compliance measures. We looked at the […]
May 7, 2015 General

Office of Inspector General Offers Guidance in Avoiding Illegal Billing Practices

On April 20, 2015, the DHHS OIG, along with the Association of Healthcare Internal Auditors, the American Health Lawyers Association, and the Healthcare Compliance Association, published a first of its kind educational manual designed to help boards avoid the costly and dangerous practices of upcoding, illegal billing, and submitting false […]
May 6, 2015 General

Vancouver’s nLight Photonics, Inc. to Settle Allegations of Grant Fraud for $420,000

Federal grant money can be used in a variety of ways, including research, product development, enhancement of programs, and to fund projects calculated to benefit the public interest. However, grant funds are a limited source funded by taxpayers and are subject to strict eligibility and award criteria. Not only that, […]
May 5, 2015 General

The SEC’s Whistleblower Awards Program Has Proven to be a “Game Changer”

SEC Chairwoman Marry Jo White in a speech on April 30, 2015 noted that “[t]he program, while clearly developing, has proven to be a game changer.” White noted the increasing volume and quality of tips as well as the powerful incentives to come to the SEC with evidence of wrongdoing. […]
May 5, 2015 General

Florida Fertility Clinic Settles Upcoding Allegations With Department of Justice

The Jacksonville Center for Reproductive Medicine (JCRM) recently settled with the Department of Justice amid allegations it billed the government for fertility services at rates above and beyond those allowable under TRICARE guidelines.