Blog - Archive for Health Care Law News

The Department of Justice has announced the creation of a new Opioid Fraud and Abuse Detection Unit to be comprised of 12 Assistance United States Attorneys in 12 different jurisdictions that will be exclusively assigned to prosecute criminal violations relating to prescription drugs.  The unit reportedly will use data to identify subjects that may be Read more →

Tags : DEA , Drug Diversion , Opioid Fraud and Abuse Detection Unit

In one of the latest opinions from a Federal Circuit Court of Appeals on the issue of the particularity required of a whistleblower in bringing a False Claims Act case, the First Circuit Court of Appeals allowed a case to proceed with allegations regarding a single false claim.  The Court commented that with respect to the allegations of Read more →

Tags : False Claims Act , Particularity , Rule 9(b)

Last week, New York Attorney General Eric T. Schneiderman announced that three hospitals in New York’s Mount Sinai Health System are paying a total of $2.95 million to resolve allegations that the hospitals knowingly retained over $844,000 in overpayments made by Medicaid in violation of the federal and New York False Claims Acts.  The case Read more →

Tags : False Claims Act , medicaid audit

The United States Department of Justice (DOJ) recently published an Interim Final Rule announcing that, pursuant to the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015, part of the Bipartisan Budget Act of 2015. Pub. L. No. 114-74, § 701, 129 Stat. 584, 599 (2015), it intended to dramatically increase the minimum per-claim penalty Read more →

Tags : False Claims Act

The HHS Office of Civil Rights (OCR) recently announced that Raleigh Orthopaedic Clinic, P.A. of North Carolina has agreed to pay $750,000 to settle charges that it potentially violated the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule by handing over protected health information (PHI) for approximately 17,300 patients to a potential Read more →

Tags : HIPAA compliance