Topic
Fraud & Abuse
129 published works
The Contractor's Perspective
Recent SIGAR Reports Highlight Ongoing Oversight Role
Although the United States military’s role in Afghanistan effectively ended in August 2021, the Government’s fraud watchdog for operations in Afghanistan, the Special Inspector General for Afghanistan Recovery (“SIGAR”), continues…
Med Law Blog
Highmark Fraud Waste and Abuse Results
Highmark Health issued a Press Release on February 7, 2022 announcing that it’s Financial Investigations and Provider Review (FIPR) department generated more than $245 million in savings related to fraud…
California Corporate & Securities Law Blog
Pioche Justice And Fraud, Waste & Abuse
Last week, I mentioned my recent visit to Pioche, Nevada. Founded in the late 1800s, the town's early years were marked by an extraordinary level of violence. Although unincorporated, the…
Health Law Blog
Telehealth Fraud Enforcement Activity
As anticipated, the federal government has been monitoring the potential for fraud and abuse involving telehealth. Providers, lab owners, and medical equipment companies have been recent targets of investigations. The…
Government Contracts & Investigations Blog
The Special Inspector General for Pandemic Recovery Calls For Increased Funding and Expanded Jurisdiction In Its Quarterly Report To Congress
On July 30, 2021, the Special Inspector General for Pandemic Recovery (“SIGPR”), Brian D. Miller, submitted his quarterly report to Congress. SIGPR was created as an independent watchdog of the…
Inside the False Claims Act
Join Us at the AHLA Annual Fraud and Compliance Forum 2021
We are looking forward to our involvement in the American Health Law Association Annual Fraud and Compliance Forum 2021 next month. Compliance & Government Investigations attorney John Kelly is serving…
Life Sciences Perspectives
PhRMA Issues Updates to Longstanding Code, Addresses OIG’s Speaker Program Guidance
By Matt Wetzel|Elizabeth Mulkey
PhRMA, the pharmaceutical manufacturer trade association, announced on Fri. August 6 that it has revised its longstanding Code on Interactions with Health Care Professionals. The revisions, which relate to the…
Rivkin Rounds
Pandemic response, fraud and abuse top Biden’s enforcement priorities
A March 24 article in Wolters Kluwer's Health Law Daily, “STRATEGIC PERSPECTIVES: Pandemic response, fraud and abuse top Biden’s enforcement priorities,” quoted healthcare industry experts who predict increased enforcement in…
Medicaid & Medicare: A Legal Blog
Beware the Ides of March! And Medicare Provider Audits!
Hello! And beware the Ides of March, which is today! I am going to write today about the state of audits today. When I say Medicare and Medicaid audits, I…
The FCA Insider
Fraud and Abuse Rules Part V: Easing Stark Law Compliance
By Gretchen Heinze Townshend, Timothy Fry, Erin Dine
As discussed in a previous McGuireWoods alert, the U.S. Department of Health and Human Services (HHS) published final rules that significantly amend the regulations to the Physician Self-Referral Law (Stark…