Blog - Archive for Health Care Law News

Medicare Overpayment Recoupment Lookback Period Extended to 5 Years

Posted on Health Care Law News January 31, 2013 by author

Included in the American Taxpayer Relief Act of 2012 were a number of changes to the Medicare program.  One change that could potentially have a significant impact in Medicare claims audits is an increase in the recoupment lookback period to 5 years from the prior 3 year rule.  This means that even absent an allegation Read more →

Tags :

Final HIPAA Privacy Rule Released By HHS – Final Rule Contains Important Changes

Posted on Health Care Law News January 29, 2013 by author

On January 17, 2013 HHS released an Omnibus Final Rule which modifies the HIPAA Privacy, Security and Enforcement Rules, and implements the HIPAA Breach Notification Rule.  The Final Rule contains over 600 pages, a full summary of which is beyond the scope of this post.  Taking a step back from the abundance of volume and Read more →

Tags :

Fed 4th Cir. Applies Rigid Pleading Standard in Off-Label Marketing False Claims Act Case

Posted on Health Care Law News January 23, 2013 by author

The Federal Fourth Circuit Court of Appeals dismissed an off-label marketing False Claims Act case based upon the lack of identification in the complaint of specific false claims presented to the government. In U.S. ex rel. Nathan v. Takeda Pharmaceuticals North America, Inc., No.11–2077 (4th Cir. January 11, 2013), the court brushed aside the other Read more →

Tags :