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Insights on Government Investigations

99 total results. Page 4 of 4.

Health Care Counsel Blog
Not What the Doctor (or Congress) Ordered: DC Circuit Rules that HHS Must Reconsider Its Stark Law Interpretation
July 7, 2015
Hillary M. Stemple

The United States Court of Appeals for the District of Columbia Circuit released a decision requiring the Department of Health and Human Services to reconsider a 2008 rule prohibiting certain per-click leasing arrangements under the Stark Law.

Health Care Counsel Blog
Medicare Fraud Strike Force Announces Massive Health Care Fraud “Takedown”
June 19, 2015
Brian D. Schneider

The US Attorney General announced a “takedown” of 243 defendants over the last three days, representing the largest health care fraud enforcement effort in the Medicare Fraud Strike Force’s eight-year history and the largest criminal health care fraud action in the history of the Justice Department.

Health Care Counsel Blog
OIG Warns Physicians: You Will Be Held Liable For Questionable Compensation Arrangements
June 15, 2015
David S. Greenberg

The Department of Health and Human Services Office of the Inspector General issued a Fraud Alert, reminding physicians that they will be held liable under the anti-kickback statute for compensation arrangements that do not reflect fair market value compensation for bona fide services they provide.

Alerts
‘Disguised’ Discounts Lead Medco to Settle False Claims Allegations
May 29, 2015
Stephanie Trunk

The United States Department of Justice (DOJ) announced that pharmacy benefits manager Medco Health Solutions Inc. (Medco) agreed to pay the government $7.9 million to resolve allegations that Medco’s arrangements with pharmaceutical manufacturer AstraZeneca violated the False Claim Act.

News
Arent Fox’s Linda Baumann Interviewed by Bloomberg BNA on False Claims Act Ruling
May 28, 2015

Partner Linda Baumann was quoted extensively in Bloomberg BNA’s Health Law Resource Center’s article on the landmark False Claims Act case decided by the Supreme Court on May 26, 2015, Kellogg Brown & Root Svcs., Inc. v. United States ex rel. Carter.

Alerts
US Supreme Court Decides Landmark False Claims Act Case Resolving Unsettled Statute of Limitations and First-to-File Bar Questions
May 27, 2015
Brian D. Schneider, D. Jacques Smith, Randall A. Brater

The US Supreme Court on Tuesday decided a closely watched False Claims Act (FCA) case, Kellogg Brown & Root Services, Inc. v. United States ex rel. Carter, with important implications for companies confronting FCA claims.

Health Care Counsel Blog
Unsealed False Claims Act Suit Asserts that Reverse Payment Settlements Create Government Overpayments
May 22, 2015
Brian D. Schneider, D. Jacques Smith, Randall A. Brater, Stephanie Trunk

Pharmaceutical manufacturers could face a new line of attack related to Hatch-Waxman reverse payment settlement agreements (so-called, “pay-for-delay” settlements).

Health Care Counsel Blog
Senate’s Investigation into Agency Guidance Overlooks a Larger Problem
May 20, 2015

The Chairman of the U.S. Senate Committee on Health, Education, Labor, and Pensions recently started an investigation into whether agency “guidance” is being used as a means to impose obligations on the public while circumventing the formal rule making process. 

Alerts
Arent Fox Partner Linda Baumann Serves as Editor-in-Chief of Best Selling Health Care Fraud Treatise
May 11, 2015

Arent Fox LLP is proud to announce that, for the thirteenth year in a row, Health Care partner Linda A. Baumann served as editor-in-chief of a comprehensive desk reference focused on fraud and abuse for lawyers in the health care industry.

Health Care Counsel Blog
Will the Division of Practitioner Data Bank’s Recent Report Lead to National Practitioner Data Bank Changes?
January 28, 2015

For almost 30 years, hospitals and certain other health care organizations have been required to report to the National Practitioner Data Bank (NPDB) specified “adverse actions” regarding  physicians and dentists that they employ, contract with, or have on staff.

Health Care Counsel Blog
HHS Solicits Industry Feedback on Safe Harbors
January 15, 2015
David S. Greenberg

On December 30, 2014, the Department of Health and Human Services Office of Inspector General (OIG) published its annual solicitation for the development and/or modification of safe harbor provisions under the Federal Anti-Kickback Statute.

News
Bloomberg BNA Talks with Partner Linda Baumann About the Top Health Care Fraud Issues in 2015
January 13, 2015

Arent Fox Health Care partner Linda A. Baumann was quoted extensively in an article in Bloomberg BNA’s Health Care Fraud Report, which previews the top compliance challenges facing health care providers and suppliers in 2015.

Alerts
US Department of Justice’s False Claims Act Recoveries Reach a Record $5.7 Billion in Fiscal Year 2014
December 23, 2014
David S. Greenberg
Alerts
Hospital System Responds in ‘Reverse False Claims Act’ Overpayment Suit
October 22, 2014
David S. Greenberg
Alerts
Government Gives Health Care Companies More Leverage in Their Negotiations with Physicians
October 14, 2014
Hillary M. Stemple

Health care organizations that contract with physicians can face potential liability, as well as exclusion from participation in federal health care programs, under various laws (such as the Stark Law), the anti-kickback statute, and the False Claims Act (FCA).

Health Care Counsel Blog
Hospitals Face Important Decision on Whether to Accept CMS Settlement Offer for Certain Claims on Appeal
October 8, 2014
Hillary M. Stemple

The Centers for Medicare and Medicaid Services (CMS) recently announced a policy allowing acute care and critical access hospitals to settle inpatient-status claims currently on appeal in exchange for a partial payment equal to 68 percent of the claims’ net allowable amount.

Alerts
Federal Court in Georgia Orders Health Care Provider to Produce Privileged Documents in False Claims Act Action
September 26, 2014
D. Jacques Smith, Thomas E. Jeffry, Jr.

Last month, a federal district court in Georgia ordered Columbus Regional Healthcare System to turn over communications protected by the attorney-client privilege in a decision that could have a chilling effect on requests for legal advice, if misunderstood.

Alerts
Eighth Circuit Joins Handful of Federal Courts of Appeals to Erode Important Defendant Protections in False Claims Act Actions
September 10, 2014
D. Jacques Smith, Thomas E. Jeffry, Jr.
Alerts
The DOJ Intervenes in ‘Reverse False Claims Act’ Case
July 11, 2014
David S. Greenberg
News
Arent Fox Partner Linda Baumann Discusses Intermountain Stark Law/False Claims Act Settlement
April 17, 2013

Arent Fox Health Care partner Linda Baumann was quoted by Bloomberg BNA’s Health Care Fraud Report about Intermountain Healthcare’s settlement with the Justice Department.

Health Care Counsel Blog
LACBA’s 16th Annual Healthcare Law Compliance Symposium
Thomas E. Jeffry, Jr.

Health Care Partner Thomas Jeffry will present at the Los Angeles County Bar Association’s 16th Annual Healthcare Law Compliance Symposium.

medical staff meeting
Events
Medical Staff Leaders and the Law 2019 Conference - San Francisco
Lowell C. Brown, Debra Albin-Riley, Lynn R. Fiorentino, Thomas E. Jeffry, Jr., Hillary M. Stemple

Please join Arent Fox in San Francisco for our fifth annual Medical Staff Leaders and the Law Conference.

Events
Health Care Self-Disclosure: Everything You Need to Know to Successfully Navigate the Self-Disclosure Process
Hillary M. Stemple

Arent Fox Health Care Associate Hillary Stemple will present a webinar hosted by myLawCLE on the topic of “Health Care Self-Disclosure: Everything You Need to Know to Successfully Navigate the Self-Disclosure Process.”

Events
Health Law Roundtable Discussion with Senior Government Attorneys from CMS, DOJ, and OIG
David S. Greenberg

The ABA Young Lawyers Division Health Law Committee and ABA Health Law Section is hosting a networking reception followed by a roundtable discussion with senior government attorneys from CMS, DOJ, and OIG.

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