Fraud and Abuse

On November 6, 2023, the HHS Office of Inspector General published a new compilation of compliance guidance under the title General Compliance Program Guidance (GCPG) for the healthcare compliance community

Continue Reading In Case You Missed It: New OIG General Compliance Program Guidance

Two landmark cases fraught with False Claim Act (“FCA”) allegations of fraudulent billing for prescription drugs against food and pharmacy chains are making their way from the Seventh Circuit to

Continue Reading Is it Really Fraud? The Supreme Court Will Decide

The Department of Justice’s continued focus on prosecuting fraud related to pandemic relief programs has resulted in a new batch of criminal charges, convictions and penalties for those who have

Continue Reading The Federal Government’s Continued Focus on COVID-19 Aid Fraud Leads to New Charges, Convictions and Sentencings

On the heels of the Supreme Court decision in Xiulu Ruan v. United States, wherein the Supreme Court held that the government must prove beyond a reasonable doubt that

Continue Reading Creation of New Opioid Strike Force, Following Decision in Xiulu Ruan v. US, Signals Investigations of Physicians Will Intensify

Medical record requests by payors are commonplace for health care providers. Typically, these requests are received by a front desk employee who responds to the inquiry in short order.  Yet,
Continue Reading THE ABC’S OF THE S.I.U.: What Providers Need to Know