[02/20/15]
Posted on February 20, 2015 in Litigation Analysis
Written by: Drew B. Howk
This month’s announcement of the recent Anthem Data Breach sent shockwaves through the health care industry with some experts referring to 2015 as the “year of the health care hack.” Those who collect and store health data have been racing to strengthen security protocols and to understand their risk exposure. In a first-of-its-kind case in... READ MORE
Tags: Fifth Circuit, HIT, Litigation, Texas
[07/08/14]
Posted on July 8, 2014 in False Claims Act Defense
Written by: Drew B. Howk
The Fifth Circuit rejected the government’s attempt to expand the FCA’s reach to include non-government funds overseen by a non-governmental entity simply because the government had the ability to exert a modicum of control over the entity. READ MORE
Tags: 12(b)(6), Fifth Circuit, government contractor, motion to dismiss, qui tam, Texas, whistleblower
[02/06/12]
Posted on February 6, 2012 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
The Centers for Medicare & Medicaid Services (CMS) has pushed back the start of two anti-fraud programs to June due to provider concerns. Two pilot programs, one that would require prior authorization for scooters and power wheelchairs and one allowing recovery audit contractors (RAC) to review claims prior to payment, were initially slated to begin January 1, 2012. READ MORE
Tags: abuse, authorization, bufford, California, claim, Claims, cms, demonstration project, Florida, fraud, Home Health, Illinois, january, jent, june, Litigation and Risk Management, long term care, Louisiana, Medicaid/Medicare Enrollment and Regulatory Compliance, Michigan, New York, North Carolina, Ohio, payment, Pennsylvania, power, prior, RAC, review, scooter, selby, Texas, wheelchair
