Topic
Fraud & Abuse
129 published works
Health Industry Washington Watch
OIG FY 2009 Work Plan Released
On October 1, 2008, the HHS Office of Inspector General (OIG) released its FY 2009 Work Plan, which discusses planned OIG audit, inspection, and investigative initiatives affecting virtually every type…
Elder Law Prof Blog
GAO says CMS should audit Part D sponsors due to fraud and abuse
Summary: The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) established a voluntary outpatient prescription drug benefit, known as Medicare Part D. The Centers for Medicare & Medicaid…
Health Care Law Matters
Altering Medical Records: What Not To Do When Being Audited By Medicare
Document, document, document! is the cry of health care attorneys and consultants across the Country when asked what physicians can do to protect their practices from fraud and abuse liability. …
White Collar Crime Prof Blog
What Buzzy Told Cookie
By Ellen Podgor
State Department Inspector General Howard "Cookie" Krongard appeared before the House Oversight and Government Reform Committee looking into his conduct investigating fraud and abuse in Iraq contracting, and his oversight…
Louisiana Law Blog
OIG Comments on Proposed Durable Medical Equipment Arrangement By Physician Practice and Supplier
By Kean Miller
The Office of Inspector General (OIG) concluded in Advisory Opinion No. 06-02 issued on March 21, 2006 that two programs proposed by a durable medical equipment (DME) manufacturer to physician…
ContractsProf Blog
Don’t Prosecute, Renegotiate
There are no contract relationships more "relational," perhaps, than those between the U.S. military and the contractors who supply it. The parties collaborate at every stage of the contracting process,…
Med Law Blog
ECONOMIC CREDENTIALING POLICIES COULD VIOLATE FRAUD AND ABUSE RULES
ARKANSAS SUPREME COURT RULES ECONOMIC CREDENTIALING POLICIES COULD VIOLATE FRAUD AND ABUSE RULES IN BAPTIST HEALTH CASE The Arkansas Supreme Court affirmed a state appellate court ruling issuing a temporary…
Med Law Blog
OIG Reports Enforcement Actions
For those who doubt the possibility of OIG enforcement regarding fraud and abuse violations, the OIG Semi-Annual Report lists the following enforcement results: $2.8 billion on audit and investigative receivables;…
Louisiana Law Blog
Common Physician Questions about Fraud and Abuse Laws
The proliferation of laws and regulations related to Medicare, Medicaid, and physician licensing make many physicians unsure about what business decisions they may make or arrangements they may enter without…