For the purposes of this rule, we intend for investigations regarding issues (a) through (c) above to mean investigations
of health care fraud.
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.
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-.
Melody's experience includes work on matters involving allegations
of health care fraud, corporate disputes, government contract disputes, and environmental matters.
We handle a broad spectrum
of health care fraud cases — regulatory, civil, and criminal — including claims of billing fraud, false claims, kickbacks, off - label promotions, and an array of other matters.
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.
Have you become the target
of a health care fraud investigation?
Bloomberg says it is the largest single database
of health care fraud settlement agreements and related corporate integrity agreements in the market.
Not exact matches
Health care fraud is one of the most devastating financial crimes, siphoning billions of dollars from insurance companies and patients who spend a staggering 2.5 trillion dollars each year on health
Health care fraud is one
of the most devastating financial crimes, siphoning billions
of dollars from insurance companies and patients who spend a staggering 2.5 trillion dollars each year on
healthhealth care.
To Alan McGonigal, an Assistant U.S. Attorney in the district's civil division, the rampant abuse
of prescription drugs required a more holistic strategy, one that he had often used in prosecuting
health care fraud: Find the gatekeepers.
Driving Down
Health Care Costs (Panel Publishers, New York City, 1991, $ 89), a collection
of 44 articles, is a simple way to tap into savvy strategies currently recommended by insurance and benefits practitioners to reduce insurance
fraud, audit for cost savings, redesign retiree benefits, and more.
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.
Widespread cargo theft has also given rise to concomitant offenses such as robbery, kidnapping, homicide, interstate transportation
of stolen motor vehicles, drug trafficking,
health care fraud, money laundering and insurance
fraud.
Middle Eastern transnational criminal organizations typically engage in automobile theft, financial
fraud, money laundering, interstate transportation
of stolen property, smuggling, drug trafficking, document
fraud,
health care fraud, identity
fraud, cigarette smuggling, trademark counterfeiting and sales
of counterfeit goods, and the theft and redistribution
of infant formula.
Vladimir Prado got eight years in federal prison after running a
health care fraud scam from three Miami - Dade clinics that submitted $ 10 million
of false claims to Blue Cross Blue Shield and Medicare.
Also present was yesterday Joseph Goldberger, a home
health care company owner whom the AG's office targeted as part
of a
fraud crackdown last year.
Gillibrand and her Democratic colleagues are still seeking one last GOP vote necessary to pass the 9/11
health care bill, and she is accusing the Republicans
of pushing a «pack
of lies» about the bill by suggesting it will be a «job killer» and open the door to
fraud.
You don't suggest to gut a program that serves many poor people who would not receive the necessary
health care they deserve as citizens
of the greatest nation in the world, because you can't root out and eliminate
fraud.
Congressman Michael Grimm pleaded not guilty this afternoon to a slew
of federal charges, including mail, wire and
health care fraud, filing false tax returns, perjury, obstruction
of an official proceeding and hiring undocumented workers.
Paterson cut $ 385 million from the
health care budget, with an additional $ 300 million booked in savings from reducing Medicaid
fraud, that most popular and elusive
of Medicaid promises.
A U.S. attorney says the Dutchess County surgeon Thursday pleaded guilty to operating a long - running
health care fraud scheme in which he defrauded Medicare, the New York State Insurance Fund, and numerous private
health insurance providers out
of more than $ 2.5 million by lying about the nature and scope
of the surgical procedures he performed.
Mr. Grimm was indicted several months ago on various
health care, wire
fraud and mail
fraud charges related to his operation
of a Manhattan restaurant, pleading not guilty to all charges.
This year another effort by Canine
Health Concern in the UK is once again trying to stop the unethical marketing
of vaccine protocols that are not within the standard
of care for veterinary medicine and constitute
fraud.
You are instructed to appear in court to be on a panel
of 60 potential jurors in a
health care fraud case but, I mean, damn — you don't have time for that nonsense!
White collar crime is a generic term for crimes involving antitrust violations, computer / internet
fraud, credit card
fraud, phone / telemarketing
fraud, bankruptcy
fraud,
health care fraud, environmental law violations, insurance
fraud, mail
fraud, government
fraud, tax evasion, financial
fraud, securities
fraud, insider trading, bribery, kickbacks, counterfeiting, public corruption, money laundering, embezzlement, economic espionage, and trade secret theft, and other forms
of dishonest business schemes.
Our attorneys provide aggressive legal defense to
health care entities facing federal or state government audits, including civil or criminal claims
of Medicaid
fraud.
clients facing allegations
of fraudulent billing, anti-kickback violations, and other
health care fraud
Our
health care related experience includes such diverse areas as Stark Act violations, Federal and state False Claims Act claims, Federal healthcare program
fraud, Worker's Compensation
fraud, RICO claims, whistleblower claims, qui tam actions, medical malpractice, medical records confidentiality and consent to treatment issues, antitrust and unfair competition issues and a wide range
of employment matters.
White - collar crime generally includes securities
fraud, wire
fraud, mail
fraud, mortgage
fraud,
health care fraud, bankruptcy
fraud, insider trading, computer and Internet
fraud, financial and accounting
fraud, money laundering, tax evasion, conspiracy, telemarketing
fraud, commodities and futures
fraud, business opportunity schemes, tax
fraud, identity theft, credit card
fraud, FEMA
fraud, perjury, obstruction
of justice, criminal contempt, bribery, public corruption, and economic espionage and theft
of trade secrets.
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.
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.
Professional: Nurse Primary Issue: Nurse was charged with obtaining drugs by
fraud,
health care fraud, identity theft, and possession
of narcotics -LSB-...]
In addition to criminal consequences,
health care fraud charges could lead to the loss
of a medical license and permanent reputation damage.
A track record
of success Employing both substantive and legal defenses, our attorneys have successfully resolved high - profile cases involving
health care, consumer
fraud, unfair business practices, breach
of warranty, and food and beverage labeling, among others.
She handles a broad variety
of white collar issues, including false claims, financial
fraud, trademark, civil and criminal RICO matters,
health care, immigration
fraud, bribery, and money laundering.
We have defended clients against allegations
of insider trading; money laundering;
health care, securities, accounting and government contracts
fraud; violations
of the Foreign Corrupt Practices Act; Anti-kickback Statute and False Claims Act; criminal environmental violations; criminal antitrust violations; and violations
of other statutes.
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.
Her experience includes advising
health care providers and organizations on
fraud and abuse laws, the corporate practice
of medicine, and
health care reform.
Represented a variety
of life science and
health care companies, as well as individual employees, officers, consultants and medical professionals, in criminal and civil litigation by multiple U.S. Attorneys Offices, DOJ, HHS - OIG, qui tam Relators, state attorneys general and national Medicaid
fraud control units, regarding alleged «off - label» promotion, unlawful inducements and other sales, marketing, pricing and development activities.
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.
The practice also regularly handles matters in federal and state courts throughout the United States, and has defended clients against allegations
of health -
care fraud, insider trading, securities, accounting and government contracts
fraud; violations
of the Foreign Corrupt Practices Act; criminal environmental violations; criminal antitrust violations; and money laundering.
Examples
of our substantive experience include
fraud - related and financial reporting laws; employment matters in various industries (including matters involving senior executives); insurance regulation; corporate governance issues; financial services issues;
health -
care regulation; and a wide variety
of other business problems.
Represented a
health care system in South Texas in a lawsuit against former insurance agents for violations
of the Texas Insurance Code, violations
of the Texas Theft Liability Act, conversion,
fraud,
fraud by non-disclosure, negligent misrepresentation, and breach
of contract.
If you've been arrested on charges
of fraud, including
health care fraud and bankruptcy
fraud, your life and career options could be turned upside down upon conviction.
Practice Highlights His practice includes representing physicians and medical clinics in negotiating employment contracts, partnership contracts, joint venture contracts and establishment
of medical corporations; representation
of physicians and medical clinics in the purchase and sale
of medical practices; representation
of physicians, dentists, pharmacists, medical clinics, surgical centers, hospitals, clinical laboratories and nursing homes before the Illinois Department
of Professional Regulation, Illinois Department
of Public Aid, Illinois Department
of Public
Health and Federal Department of Health and Human Services in administrative license and recoupment hearings; representation of brokers and salesman before the Office of Banks and Real Estate; representation of physicians and other health care providers at internal hospital hearings involving termination or discipline of hospital privileges; representation of physicians in hearings before managed care providers to terminate the physician as a provider; representation of health care providers in criminal proceedings in federal or state court on charges related to Medicare and Medicaid vendor fraud and false claims; general and civil litigation related to medical care providers; and domestic rela
Health and Federal Department
of Health and Human Services in administrative license and recoupment hearings; representation of brokers and salesman before the Office of Banks and Real Estate; representation of physicians and other health care providers at internal hospital hearings involving termination or discipline of hospital privileges; representation of physicians in hearings before managed care providers to terminate the physician as a provider; representation of health care providers in criminal proceedings in federal or state court on charges related to Medicare and Medicaid vendor fraud and false claims; general and civil litigation related to medical care providers; and domestic rela
Health and Human Services in administrative license and recoupment hearings; representation
of brokers and salesman before the Office
of Banks and Real Estate; representation
of physicians and other
health care providers at internal hospital hearings involving termination or discipline of hospital privileges; representation of physicians in hearings before managed care providers to terminate the physician as a provider; representation of health care providers in criminal proceedings in federal or state court on charges related to Medicare and Medicaid vendor fraud and false claims; general and civil litigation related to medical care providers; and domestic rela
health care providers at internal hospital hearings involving termination or discipline
of hospital privileges; representation
of physicians in hearings before managed
care providers to terminate the physician as a provider; representation
of health care providers in criminal proceedings in federal or state court on charges related to Medicare and Medicaid vendor fraud and false claims; general and civil litigation related to medical care providers; and domestic rela
health care providers in criminal proceedings in federal or state court on charges related to Medicare and Medicaid vendor
fraud and false claims; general and civil litigation related to medical
care providers; and domestic relations.
Wickouski counsels clients on all aspects
of bankruptcy, insolvency and commercial transactions, including bond defaults, trust indentures, business acquisitions, real estate,
health care and financial
fraud.
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.
The subject matters involved in these trials included many complex «white collar» matters, including criminal violations
of the Bank Secrecy Act, environmental
fraud,
health care fraud, obstruction
of justice, computer - related crimes,
fraud in government subsidy programs, and public corruption.
The IOG investigates instances
of waste,
fraud and abuse within the
health care system.
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).