[01/19/17]
Posted on January 19, 2017 in Health Law News
Published by: Hall Render
On January 12, 2017, the Department of Health and Human Services Office of Inspector General (“OIG”) published the “Health Care Programs: Fraud and Abuse; Revisions to the Office of Inspector General’s Exclusion Authorities” Final Rule (“Final Rule”) revising and expanding its authority to exclude individuals and entities from participation in federal health care programs.... READ MORE
Tags: abuse, ACA, Affirmative, Affordable Care Act, Authority, Changes, DOJ, Early reinstatement, exclusion, Expand, False Claims Act, FCA, final rule, fraud, hhs, oig, Permissive, regulation, Reinstatement, Revisions, update
[07/24/12]
Posted on July 24, 2012 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
This afternoon, the Centers for Medicare & Medicaid Services (CMS) issued a notice updating the Medicare Hospice Wage Index with an estimated 0.9% increase in payments for FY 2013. The payment increase is the net result of a 1.6 percent increase in the hospital market basket update, which is offset by a 0.7 percentage point decrease... READ MORE
Tags: cms, fy, Hospice, long term care, market basket, Medicare, payment, update
[03/13/12]
Posted on March 13, 2012 in False Claims Act Defense
Written by: David B. Honig
February was an interesting month, with one case showing how OIG advisory opinions can be taken too far, another considering fraud under a corporate integrity agreement, and a court applying burden-shifting for the first time at the appellate level in FCA retaliation cases. Cases reviewed from February are: US ex rel. Boggs v. Bright Smile... READ MORE
Tags: advisory opinion, Aggregate Industries, Bell Constructors, Boggs, Bright Smile, caselaw, False Claims Act, fraud with particularity, Harrington, Klein, Klusmeier, law, legal, Matheny, Medco, oig, qui tam, relator, Retaliation, update, whistleblower
