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February 20, 2013
General
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. […]
February 18, 2013
General
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 […]
February 18, 2013
General
Another Scandal for Orthofix as Former Employee Sentenced for Medicare Fraud
Yet another former manager with Orthofix pled guilty to forging former patient medical records in an attempt to justify reimbursement for procedures involving bone growth products.
February 14, 2013
General
The SEC Whistleblower Program
The Securities and Exchange Commission (“SEC”) is the federal agency responsible for regulating the securities industry and for enforcing federal securities laws. The SEC protects the public against fraudulent and manipulative practices in the securities markets. Congress created the SEC Whistleblower Program as a way to offer incentives to those people who have […]
February 13, 2013
General
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 […]
February 7, 2013
General
Year of the Whistleblower: How the Department of Justice Recovered $4.9 Billion in 2012
On December 4, 2012, Acting Associate Attorney General Tony West announced that during the fiscal year 2012, The Department of Justice (DOJ) recovered a record $4.9 billion in settlements and judgments as a result of fraud prosecuted under the False Claims Act (FCA). During 2012, there were about 650 whistleblower, or qui […]
February 1, 2013
General
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