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Healthcare Fraud

Cooper Health System Pays $12.6 Million to Resolve False Claims Act Lawsuit

Qui Tam Suit Against Cooper Health System Finally Resolved A False Claims Act lawsuit filed against Cooper Health System, a New Jersey hospital, by Delaware Valley cardiologist Nicholas L. DePace, M.D., set off what became a multi-year investigation by the United States Department of Justice and the New Jersey Attorney General’s Office. The qui tam suit [...]

California Fights Back Against S&P – False Claims Act Suit Against Credit Rating Giant

Kamala Harris image from wikipedia.com One day after the United States government accused Wall Street’s biggest credit rating agency, Standard & Poor’s Financial Services LLC, of ratings inflation on mortgage-backed securities, the California Attorney General filed an additional suit claiming the credit ratings company violated the state’s False Claims Act (FCA). California joins twelve [...]

Will Final Rule for Sunshine Act Decrease Medical Fraud?

On Friday, February 1, 2013, the Centers for Medicare and Medicaid Services (CMS) published a long-delayed final rule for the Physician Payments Sunshine Act. The Sunshine Act requires all drug, medical device, and biological or medical supply manufacturers to carefully track and report all payments made to physicians and teaching hospitals. The Act also requires manufacturers [...]

Texas is Leading the Charge in Whistleblower Lawsuits

After cracking down on Medicaid fraud for over a decade, The Texas Attorney General’s Office recently reached two historic milestones. Since 2002, the Civil Medicaid Fraud Division’s recoveries in the State of Texas passed the $400 million mark, while total recoveries for the state and federal governments presently exceed $1 billion. Because the Medicaid program [...]

HIPAA Security Rule: Stolen Laptop Brings $50,000 Settlement

The United States Department of Health and Human Services (HHS) announced on January 2, 2013 the first settlement involving potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule involving less than 500 patients. An Idaho-based hospice provider was found at fault due to the theft of an unencrypted laptop computer [...]

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