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Patton Boggs: Negotiating a Criminal Settlement in a Health Care Case

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Negotiating a Criminal Settlement in a Health Care Case

Patton Boggs
From Bloomberg BNA's Health Care Fraud Report
February 25, 2013
5 pages

Healthcare Compliance & Enforcement News

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Healthcare Compliance & Enforcement

Drinker Biddle: OIG Issues Updated Bulletin on Exclusions from Federal Health Care Programs

HHS OIG Provides Guidance on Use of Permissive Exclusion Authority

K&L Gates: FTC Rules that “Randomized Clinical Trial” Evidence is Necessary to Support Advertising Claims for Juice Beverage and Related Products

Clinical Trials

False Claims Act Amended by FERA: Implications for Health Care Sector

Covington & Burling: Financial Institutions Face Increasing Exposure Under the False Claims Act

Squire Sanders: Fraud Enforcement and Recovery Act of 2009 and Health Care Providers

Pepper Hamilton: False Claims Act Expansion to Affect Health Care Providers

Health Care Reform & False Claims Act

Paul Hastings: Public Disclosure Bar Defense Under False Claims Act Jeopardized by Recent Federal Amendments

Kirkland & Ellis: The Health Reform Law Significantly Increases the Risk of Protracted Fraud and False Claims Act Investigations in the Health Care Industry

Alston + Bird: Overpayment Liability Under the “Reverse False Claims” Act

Advamed's Revised Code of Ethics

Jones Day: AdvaMed’s Revised Code of Ethics on Interactions with Health Care Professionals

Faegre & Benson: AdvaMed Amends Code of Ethics

McGuireWoods: AdvaMed’s Updated Code of Ethics and Its Impact on the Medical Device Industry

Health Care Reform & Stark Law

Arent Fox: Intermountain Healthcare Settlement of $25.5 Million Stems from Stark Law Violations

Greenberg Traurig: Stark Law Violations Costly To Intermountain Health Care Inc.

Jackson Walker: Closure of Stark Whole Hospital Exception Survives Court Challenge

Stark Anti-Kickback Laws

Haynes and Boone: Appeals Court Overturns $44 Million Judgment Against Tuomey Hospital in Important Stark Law Case

Foley & Lardner: Hospital - DMEPOS supplier arrangements and the Anti-kickback Statute

Foley & Lardner: First Circuit Rejects False Claims Act Analysis and Rescues Anti-Kickback Claims Against Medical Device Company

MMSEA & Section 111 Mandatory Reporting of Claim Information

Wiley Rein: Medicare Narrows Required Reporting By Insurers; Town Hall Reveals Disconnect With Insurers On Key Questions Regarding Pre-1980 Exposures

Wiley Rein: CMS Dodges Tough Questions Regarding Medicare Benefit Denials and Perpetuates Confusion Over Reportable Amounts During Recent Section 111 Town Hall Teleconference

K&L Gates: Are You Ready? The Clock is Ticking on MSP Mandatory Reporting Requirements

Health Care Reform & Physician Payment Sunshine Act

Greenberg Traurig: CMS Issues Final "Sunshine" Rule, Establishing New Reporting Requirements for Drug and Device Makers and Some GPOs

Paul Hastings: CMS Issues Final Rule Interpreting The Physician Payment Sunshine Act

Fulbright & Jaworski: The Other Side of the Sunshine Act: Reporting Ownership & Investment Interests

PPACA: Fraud, Abuse & Waste

Wiley Rein: Your Problem Is Now My Problem--The New Era of Fraud and Compliance for Health Insurers

Morgan Lewis: No Change in Course on ACA Federal Antifraud and Transparency Provisions

Mintz Levin: Federal Compliance Blitz: Enforcement Challenges Ahead for Labs and Pathologists

CMS Implements PPACA Fraud and Abuse Controls

Mintz Levin: CMS Final Rule Strengthens Framework to Prevent Health Care Fraud

Mintz Levin: CMS Finalizes Regulations Intended to Strengthen Program Integrity

ReedSmith: CMS Final Rule Expands Medicare/Medicaid/CHIP Provider and Supplier Screening Requirements Under Affordable Care Act Authority

Morgan Lewis: HHS OIG Issues Report on Hospice General Inpatient Care Billing

Paul Hastings: OIG Classifies Physician-Owned Device Companies as Inherently Suspect of Violating AKS

Davis Wright Tremaine: OIG Special Fraud Alert Labels Physician-Owned Distributorships (PODs) as “Inherently Suspect”

HHS OIG Provides Guidance on Use of Permissive Exclusion Authority

Drinker Biddle: OIG Issues Updated Bulletin on Exclusions from Federal Health Care Programs

Ropes & Gray: OIG Updates Special Advisory Bulletin on the Effect of Exclusion from Participating in Federal Health Care Programs

Cooley: HHS OIG Issues Updated Special Advisory Bulletin on the Effect of Exclusion

HIPAA & Health Information Technology (HITECH)

Venable: HIPAA Task Force – May 2013

Pepper Hamilton: Revocation of EHR Certification Rocks Industry

Duane Morris: HIPAA Marketing and Sale Provisions: Legal Potholes for Providers, Payors, Advertisers, Data Aggregators, Market Researchers and Others

HHS/FTC's Breach Notification Rules for EH Info

Alston & Bird: Life’s a Breach, Part II: Omnibus Rule Revises What Constitutes a Breach under the HIPAA/HITECH Breach Notification Requirements

Davis Wright Tremaine: Deadline Approaches for Reporting 2012 Small Breaches

Hinshaw: New HIPAA/HITECH Breach Notification Rules for Covered Entities and Business Associates

HIPAA Enforcement

Nixon Peabody: What employers with self-funded health plans need to know about the new HIPAA/HITECH Act Omnibus Rule

White & Case: U.S. Department of Health and Human Services Announces First HIPAA Breach Settlement Involving Fewer than 500 Patients

Paul Hastings: HIPAA Enforcement Trends: Recent Enforcement Action May be a Sign of Things to Come