There’s a reason why Medicare Advantage is fertile ground for fraud enforcement.
Tag: federal
Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House – Medical Group Minute
Although health care fraud doesn’t require the involvement of telemedicine, with advances in telemedicine come “advances” in criminal schemes.
Supreme Court Declares Chevron Out of Gas – Better or Worse for You?
You’d think there’d be far and wide celebration over freedom from the yoke of administrative tyranny, but it turns out that more than a few don’t want to be free…
Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House
Although health care fraud doesn’t require the involvement of telemedicine, with advances in telemedicine come “advances” in criminal schemes.
Payor Agreements and Hidden False Claims Act and Criminal Traps – Podcast
Criminal and, at least, serious civil, liability lurks in many neat neighborhoods. Create your own neighborhood watch to make sure that it’s not lurking behind your medical group’s otherwise metaphorical neat lawn.
Did Ultragenyx Confuse Its Drug Crysvita With Kris Kringle? Drug Maker Settles Alleged Kickback Allegations
The allegations surrounding Ultragenyx demonstrate the AKS issues within arrangements that, to many, are difficult to envision as being referrals.
What Do You Know? Scienter and the False Claims Act – Success in Motion
Ride along with Mark as he discusses the influence of scienter in False Claims Act cases.
FTC Sues U.S. Anesthesia Partners and PE Backer For Monopolization
First, it’s important to note that anyone who can pay the filing fee can bring suit and the Biden administration’s FTC under its Chair, Lina Khan, has been extremely aggressive in filing them, with pretty shoddy results.
A Bitter Pill: Pharmacy Settles FCA Claim. Physicians Can Suffer Side Effects
Although you might stay miles away from anything related to compounded medication, the waiver of co-pay issue haunts many medical groups and other providers.
Pharmacist Compounds Cream With Kickbacks – Gets 18 Months Behind Bars. A Lesson for Physicians.
Unfortunately, pain cream scams often spread to physicians, sometimes even to hospital-based physicians looking to pick up a little (well, actually, a lot) of cash on the side.