Sentences with phrase «care fraud investigation»

Represented the former CEO of a leading regional health care provider in a federal health care fraud investigation.

Represented a national health care provider in a federal health care fraud investigation concerning allegations of overbilling and beneficiary inducement.

Have you become the target of a health care fraud investigation?

The commenters identified particular factors that could lead to confusion, including that (1) the phrase «criminal, civil, or administrative proceeding» appeared in the definitions of both law enforcement Start Printed Page 82673and oversight; (2) the examples of oversight agencies listed in the preamble included a number of organizations that also conduct law enforcement activities; (3) the NPRM addressed the issue of disclosures to investigate health care fraud in the law enforcement section (§ 164.510 (f)(5)-RRB-, yet health care fraud investigations are central to the mission of some health care oversight agencies; (4) the NPRM established more stringent rules for disclosure of protected health information pursuant to an administrative subpoena issued for law enforcement than for disclosure pursuant to an oversight agency's administrative subpoena; and (5) the preamble, but not the NPRM regulation text, indicated that agencies conducting both oversight and law enforcement activities would be subject to the oversight requirements when conducting oversight activities.

To clarify further that health oversight disclosure rules apply generally in health care fraud investigations (subject to the exception described above), in the final rule, we eliminate proposed § 164.510 (f)(5)(i), which would have established requirements for disclosure related to health fraud for law enforcement purposes.

Specifically, this overlap occurred because: (1) The NPRM preamble, but not the NPRM regulation text, indicated that agencies conducting both oversight and law enforcement activities would be subject to the oversight requirements when conducting oversight activities; and (2) the NPRM addressed some disclosures for investigations of health care fraud in the law enforcement paragraph (proposed § 164.510 (f)(5)(i)-RRB-, while health care fraud investigations are central to the purpose of health care oversight agencies (covered under proposed § 164.510 (c)-RRB-.

To clarify further that health oversight disclosure rules apply generally in health care fraud investigations (subject to the exception described above), in the final rule, we eliminate proposed § 164.510 (f)(5)(i), which would have established requirements for disclosure related to health care fraud for law enforcement purposes.

Not exact matches

Merida Health Care Group closed its Corona Drive location last week after a slew of legal troubles linked to a fraud and money laundering investigation.

Singled out for criticism are a handful of «outsiders»: 32BJ's Mike Fishman («sued for racketeering»), WFP Executive Director Dan Cantor («under investigation by the FBI for voter fraud» — not anymore, as of today), Sen. Liz Krueger and Bill Samuels («millionaire puppet masters who don't care about our community»).

The Special Investigations Division immediately applied this funding to expand the parameters used in addressing fraud by implementing a multi-faceted anti-fraud initiative, tasking a three - person team with scrutinizing subsidies for both child care providers and clients in order to identify inappropriate payments.

Ed has represented engineering firms, health care companies, and defense firms in grand jury investigations into alleged fraud in their business dealings with the federal government and other public entities.

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

She has experience in handling investigations and prosecutions brought under a wide variety of federal criminal statutes, including banking fraud, health care fraud, bitcoin schemes, computer crimes, securities fraud, mail and wire fraud schemes, Ponzi schemes, insider trading, government contracting fraud, commercial bribery, Anti-Money-Laundering violations, and conspiracy offenses.

In addition, Mr. Cloherty represents businesses and individuals in enforcement matters and government investigations stemming from health care, securities, and mail and bank fraud allegations.

HSE, Police and Local Authority investigations including corporate manslaughter, neglect of care, theft and fraud;

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

Whether you are under investigation or have been charged, you need a health care fraud defense attorney on your side now.

Accusations of health insurance fraud or health care fraud demand an experienced criminal defense attorney with sophisticated knowledge of health care law, investigation procedures and complex medical coding practices.

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.

Henry Fenton, Alexandra de Rivera, Dennis Lee, and Herb Weinberg successfully represented INF Corporation, dba Star Pharmacy, in a fraud investigation in front of the California Department of Health Care Services (DHCS).

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

Federal crimes such as bank robbery, kidnapping, health care fraud, mortgage fraud, insurance and securities fraud, and child pornography possession are often the result of long - term investigations that involve multiple interviews and searches.

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

The firm offers top - quality legal services in the following practice areas: clinical negligence and personal injury, community care and health services, criminal law, discrimination and equality law, employment law and professional discipline, family and matrimonial law, housing, human rights, public law and judicial review, immigration, inquests and inquiries, international law, media and information law, reputation and crisis management, mental health, police misconduct, prison law, professional negligence, public procurement and commercial reputation, serious fraud and regulatory investigations and Brexit.

Conducted an internal investigation into allegations of financial accounting fraud on behalf of the audit committee of a publicly traded health care corporation.

Investigation of $ 300 million alleged health care fraud by high ranking officials in a prominent national health care company

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.

As Counsel to the Chief of the Justice Department, he aided in the oversight of more than 100 prosecutors working on Foreign Corrupt Practices Act, securities, health care, and other fraud investigations and cases.

We believe that investigations involving health care fraud represent health oversight rather than law enforcement.

In such cases, where the individual is the subject of the investigation and the investigation does not relate to health care fraud, identified as investigations regarding issues (a) through (c), the rules regarding disclosure for law enforcement purposes (see § 164.512 (f)-RRB- apply.

This section indicates that health oversight activities do not include an investigation or activity in which the individual is the subject of the investigation or activity and the investigation or activity does not arise out of and is not directly related to health care fraud.

Accordingly, under the final rule, in joint law enforcement / oversight investigations involving suspected health care fraud, the health oversight disclosures apply, even if the individual also is the subject of the investigation.

Where the individual is not the subject of the activity or investigation, or where the investigation or activity relates to health care fraud, a covered entity may make a disclosure pursuant to § 164.512 (d)(1), allowing uses and disclosures for health oversight activities.

Comment: Many commenters noted that proposed § 164.510 (f)(5)(i), which covered disclosures for investigations and prosecutions of health care fraud, overlapped with proposed § 164.510 (c) which covered disclosures for health oversight activities.

For the purposes of this rule, we intend for investigations regarding issues (a) through (c) above to mean investigations of health care fraud.

High - stakes products litigation typically requires our clients to mount their defense on multiple fronts, which may include class action litigation, multidistrict litigation, individual personal injury actions at the state and federal level, consumer fraud actions, actions by health care providers, False Claims Act litigation, actions by state attorneys general, government investigations, and internal reviews.

We have both conducted internal investigations regarding and defended clients against, allegations of health care, securities and government contract fraud; the Foreign Corrupt Practices Act («FCPA»), Corruption, Money Laundering and Trade Sanctions, Economic Espionage and Trade Secrets, Tax Evasion, Fraud, Asset Forfeiture, Employment and Immigration Issues, Environmental Violations, Anti-Kickback Statute and False Claims Act, and Criminal Antitrust Price Fixing.