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.
clients facing allegations of fraudulent billing, anti-kickback violations, and
other health care fraud
Not exact matches
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Whether you've been charged for credit card
fraud, check
fraud, broker
fraud,
health care fraud, foreclosure
fraud or any
other type of
fraud, you need to contact a central California criminal defense attorney from McKneely Law Firm.
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.
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 indus
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 indus
health systems, pharmaceuticals, medical devices, and
other important areas for the
health care and life sciences indus
health care and life sciences industries.
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.
We have handled numerous matters involving allegations of securities and
other financial
frauds, insider trading, market manipulation, anti-corruption violations, money laundering, RICO violations and procurement and
health care fraud.
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.
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.
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.»
In the final rule, we include the following as additional examples of
health oversight activities: (1) The U.S. Department of Justice's civil rights enforcement activities, and in particular, enforcement of the Civil Rights of Institutionalized Persons Act (42 U.S.C. 1997 - 1997j) and the Americans with Disabilities Act (42 U.S.C. 12101 et seq.), as well as the EEOC's civil rights enforcement activities under titles I and V of the ADA; (2) the FDA's oversight of food, drugs, biologics, devices, and other products pursuant to the Food, Drug, and Cosmetic Act (21 U.S.C. 301 et seq.) and the Public Health Service Act (42 U.S.C. 201 et seq.); and (3) data analysis — performed by a public agency or by a person or entity acting under grant of authority from or under contract with a public agency — to detect health care
health oversight activities: (1) The U.S. Department of Justice's civil rights enforcement activities, and in particular, enforcement of the Civil Rights of Institutionalized Persons Act (42 U.S.C. 1997 - 1997j) and the Americans with Disabilities Act (42 U.S.C. 12101 et seq.), as well as the EEOC's civil rights enforcement activities under titles I and V of the ADA; (2) the FDA's oversight of food, drugs, biologics, devices, and
other products pursuant to the Food, Drug, and Cosmetic Act (21 U.S.C. 301 et seq.) and the Public
Health Service Act (42 U.S.C. 201 et seq.); and (3) data analysis — performed by a public agency or by a person or entity acting under grant of authority from or under contract with a public agency — to detect health care
Health Service Act (42 U.S.C. 201 et seq.); and (3) data analysis — performed by a public agency or by a person or entity acting under grant of authority from or under contract with a public agency — to detect
health care
health care fraud.