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OIG ALERT: OIG PUBLISHES UPDATED HEALTH CARE FRAUD SELF …

WEBOn November 8, 2021, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) updated and renamed the Provider Self-Disclosure Protocol, …

Actived: 8 days ago

URL: https://cglawfirm.com/2021/11/29/oig-alert-oig-publishes-updated-health-care-fraud-self-disclosure-protocol/

New York Senate Paves the Way for Medical Cannabis to Be …

WEBEarlier this summer on June 1, 2022, the New York Senate passed legislation (Senate Bill S8837) which would require that medical marijuana, a.k.a. …

Category: Medical Go Health

OCR’s Right of Access Initiative: OCR Announces More Settlements

WEBThe HIPAA Right of Access Initiative by the U.S. Department of Health and Human Services’(HHS) Office of Civil Rights (OCR) was first announced in 2019. Under …

Category: Health Go Health

Carter Healthcare Agrees to Pay Millions to Resolve False Claims …

WEBOn October 18, the Department of Justice announced that for-profit home health provider Carter Healthcare LLC, along with its affiliates CHC Holdings and Carter …

Category: Health Go Health

CMS’ New Advisory Opinion on Stark and Group Practices

WEBIn June, the Centers for Medicare & Medicaid Services (“CMS”) issued a new advisory opinion on whether a physician practice may qualify as a “group practice” …

Category: Health Go Health

Call Centers and DME Prescriptions: Nurse Practitioner Charged in

WEBUse of telemedicine and telehealth services skyrocketed during the COVID-19 pandemic. At the beginning of the COVID-19 pandemic, the Center for Medicare and …

Category: Medicine Go Health

Illinois Home Health Care Owners Receive Prison Time for Fraud …

WEBThe DOJ just announced that the owners of three Illinois home health care companies will serve prison time for their roles in a $6.7 million health care fraud …

Category: Health Go Health

FTC proceeds with Physician Group and Healthcare Facility Merger …

WEBAs Chilivis Grubman discussed previously, the FTC has been particularly active in the healthcare industry in 2020 and moving into 2021. On April 14, 2021, the …

Category: Health Go Health

Physician Found Guilty of Falsely Diagnosing and Treating Patients …

WEBOn January 15, 2020, a federal jury found Dr. Jorge Zamora-Quezada, a Texas rheumatologist, guilty for his participation in a $325 million health care fraud scheme. …

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Healthcare Attorneys Chilivis Grubman Atlanta Healthcare Lawyers

WEBFrom 2018-2022, there has been a 93% increase in large breaches reported to OCR, with a 278% increase in large breaches involving ransomware. The attorneys at Chilivis …

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Jury Convicts Doctor and Pharmacy Owners in $145M Health Care …

WEBOn November 16, a federal jury convicted three individuals from Texas for their alleged roles in a prescription compound cream operation, involving claims totaling …

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First Criminal Indictment Related to CARES Act Provider Relief Fund

WEBImportant to the indictment is the allegation that 1 on 1 Home Health was not operational during the pandemic. Despite not being operational, Ms. Abbas received …

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Voluntary Self-Disclosure Leads to $1.5 Million False Claims Act

WEBLast week, the Department of Justice (DOJ) announced that Baptist Health System, a Florida-based hospital system, agreed to pay $1.5 million to resolve …

Category: Health Go Health

Nurse Practitioner Faces up to 10 Years in Prison for Telemedicine

WEBTelemedicine remains on the government’s list of enforcement priorities. The DOJ announced that nurse practitioner Daphne Jenkins pled guilty to one count of …

Category: Medicine Go Health

Georgia Doctor Pleads Guilty to Distributing Misbranded Weight …

WEBApr 28, 2023 | Criminal Matters. On April 25, the Department of Justice (DOJ) announced the conviction of Georgia physician, Dr. Audrey Arona. Dr. Arona pleaded guilty to …

Category: Health Go Health

Oncologist Faces Up to 50 Years in Prison for Billing Medicare for

WEBThe DOJ just announced that Dr. John Thropay, former radiation oncologist, was convicted of one count of conspiracy to commit health care fraud and four counts of …

Category: Health Go Health

Urinalysis Testing Scheme Results in Criminal Convictions for Two

WEBThe clinic employed Dr. Seifert. As part of the scheme, the two providers were accused of billing Medicaid for millions in medically unnecessary urinalysis testing, …

Category: Medical Go Health

The “Advice-of-Counsel” Defense: Cautionary Tales for …

WEBScott Grubman ([email protected]) is a Partner with the law firm of Chilivis Cochran, Larkins & Bever (CCLB) in Atlanta, GA. A former Assistant U.S. Attorney and DOJ Trial …

Category: Health Go Health

Aetna ACE Reports Data Breach of Business Associate – Again

WEBAetna ACE, a health insurer, reported a cyber-incident that involved the protected health information of 326,278 plan members. The cyber-incident affected one …

Category: Health Go Health