Sentences with phrase «care fraud and abuse»

He is a past president of the Maryland Chapter of the Federal Bar Association and has spoken and written about the federal criminal justice system, about health care fraud and abuse, and about other legal matters.

These include: public - private relationships in the health care space, including public hospital sales and leases, sovereign immunity, and compliance with the Sunshine Law and Public Records Act; Medicare Advantage and other risk - based managed care payment models; Stark, anti-kickback, and health care fraud and abuse; electronic medical records, and non-competitive agreements.

Mr. Wasserman has represented a diverse group of health care providers and entities including hospitals, hospital medical staffs, long - term care facilities, physicians, physician specialty organizations, and other health - related entities in matters of health and hospital law, including, without limitation: the analysis of health care fraud and abuse matters, JCAHO matters, reimbursement issues, tax - exempt issues, and other corporate compliance and federal and state regulatory matters.

This webinar provided an introduction to the Stark law, the Anti-Kickback Statute, the False Claims Act, and other health care fraud and abuse laws; reviewed common compliance issues that arise under these laws; and discussed the range of penalties for noncompliance with such laws.

With extensive knowledge in a variety of white collar defense matters, and an emphasis on health care and securities enforcement, Mateja joins the firm's national White Collar Defense & Government Investigations Practice Group, and will also focus heavily on health care fraud and abuse matters.

She also represents clients in government investigations relating to health care fraud and abuse, and defending False Claims Act cases.

The return on investigation investment suggests that the federal government's interest in investigating and prosecuting health care fraud and abuse is substantial.

Not exact matches

• Creates a new voucher debit card entitlement that allows parents of disabled students to purchase heath care services with little oversight an vast potential for waste, fraud and abuse

With a wealth of experience in helping victims of nursing home or long - term care abuse, neglect, and fraud, Jonathan is a frequent speaker to seniors» groups.

This includes mergers and acquisitions, restructuring, joint ventures, financing, network formation, managed care contracting, contract analysis, insurance regulation, managed care negotiations, Medicaid and Medicare reimbursement matters, fraud and abuse issues, confidentiality and privacy issues, and professional and business licensure matters.

She also advises clients on physician self - referral (Stark law), fraud and abuse, Medicare and Medi - Cal provider enrollment and payment appeals, reimbursement, licensing, corporate practice of medicine, antitrust and other health care regulatory compliance matters.

Her experience includes advising health care providers and organizations on fraud and abuse laws, the corporate practice of medicine, and health care reform.

The IOG investigates instances of waste, fraud and abuse within the health care system.

His representation of managed care clients focuses on significant commercial disputes involving provider fraud and abuse, class actions, drug coverage, insured class actions, and commercial contract disputes.

Selesnick and Medina also defend providers in government investigations for fraud and abuse, and routinely represent health care providers in complex business disputes.

He regularly advises clients on hospital medical staff, corporate, tax, fraud and abuse, and compliance matters, prepares and negotiates all manner of contracts between hospitals, physicians and managed care organizations.

He has represented health care providers in government and internal investigations of alleged fraud and abuse.

Health Law Diagnosis reports and examines issues across a broad array of topics, including fraud and abuse, government enforcement, Medicare and Medicaid, reimbursement, hospitals and health systems, pharmaceuticals, medical devices, and other important areas for the health care and life sciences industries.

He handles matters for clients involving: Medicare and Medicaid program certification, coverage, billing, and payment; hospital, physician, and other provider transactions; fraud and abuse; compliance; internal and external audits; disclosures and repayments; graduate medical education accreditation and payment; physician and non-physician practitioner scope of practice, coverage, coding and billing; and federal health care legislation and rulemaking.

From health care transactions and regulatory counseling to fraud and abuse investigations, from the defense of government enforcement actions to political advocacy and lobbying, Bryan Cave provides comprehensive and robust solutions to complicated and challenging health care matters.

Since September 2016, Jameson has worked at the Michigan's Department of Attorney General in the Health Care Fraud Division, where he has assisted the state of Michigan in recovering funds related to Medicaid & Medicare fraud, as well as elder abuse, Stark, and kickback schemes.

Greater use of electronic data has also increased our ability to identify and treat those who are at risk for disease, conduct vital research, detect fraud and abuse, and measure and improve the quality of care delivered in the U.S..

Fourth, in § 160.203, several criteria relating to the statutory grounds for exception determinations have been further spelled out: (1) The words «related to the provision of or payment for health care» have been added to the exception for fraud and abuse; (2) the words «to the extent expressly authorized by statute or regulation» have been added to the exception for state regulation of health plans; (3) the words «of serving a compelling need related to public health, safety, or welfare, and, where a standard, requirement, or implementation specification under part 164 of this subchapter is at issue, where the Secretary determines that the intrusion into privacy is warranted when balanced against the need to be served» have been added to the general exception «for other purposes»; and (4) the statutory provision regarding controlled substances has been elaborated on as follows: «Has as its principal purpose the regulation of the manufacture, registration, distribution, dispensing, or other control of any controlled substance, as defined at 21 U.S.C. 802, or which is deemed a controlled substance by state law.»

From state and local licensure laws to the federal fraud and abuse statutes and regulations, the health care industry is one of the most Start Printed Page 82590tightly regulated businesses in the country.

We also recognize that sections 201 and 202 of HIPAA, which established a federal Fraud and Abuse Control Program and the Medicare Integrity Program, identified health care fraud - fighting as a critical national priority.

Commenters said that state agencies used the information from government health data systems to contribute to the improvement of the health care system by helping prevent fraud and abuse and helping improve health care quality, efficiency, and cost - effectiveness.

Andy Fontalbert has 20 + years of health care experience: 15 + years of consulting, fraud and abuse projects, provider and member portal projects, Project Management of Private Health Exchange, multiple management positions for Medicaid projects, 20 + years claims experience, 15 + years Project Management, 20 + years Prescription Benefits Management, 20 + years complex policy and procedures within health care, multiple system imp...