Formed through legislation signed by President Gerald Ford in 1976, the OIG is one federal agency that should never be underestimated by those in the health care industry. In its pursuit to protect the integrity of health care programs and the welfare of their beneficiaries, the OIG boasts the power …
If you’re a healthcare scofflaw – or just a little lax on the billing and reimbursement details in your medical practice – times are tough. And they’re getting tougher.
It seems like white collar investigations and prosecutions—as well as related civil fraud or enforcement actions—are everywhere these days. From headline-grabbing insider trading cases in the Southern District of New York like Galleon and SAC Capital, to what seems like newly-unfolding FCPA …
In a recent webinar Michael F. Ruggio and Michael Volkov outline how the government’s ongoing crackdown translates into unprecedented risk of civil and criminal enforcement for a wide variety of healthcare organizations.
If you want to see how the SEC’s whistleblower program may look in a few years, all you need to do is take a look at the False Claims Act and the role that whistleblowers play in the enforcement of the act.
Management that turns deaf ears when subordinates report false billing or illegal marketing in dealing with federal or state governments can unleash a torrent of financial and reputational harm on the company. Indeed, that scenario is just the sort of situation that can turn into a full-blown, multi-million-dollar whistleblower settlement brought by a company insider under qui tam provisions of federal and state False Claims Acts.
Companies complain about the burdens of anti-corruption compliance. They need to put things in perspective. The “greatest” risk of them all may be the False Claims Act (FCA).
The turn of the year is an occasion not only for reflecting on the past, but also for considering the future. For hospitals and their compliance professionals, it is a good time to take stock of regulatory vulnerabilities, determine which ones should receive priority attention, and resolve to address these concerns in the coming year. Adhering to the following three resolutions may help make 2012 a happy and healthy New Year for many hospitals.
Federal sales truly turn the old adage of buyer beware on its head, making seller beware more accurate. J. William Eshelman of Butzel Long Tighe Patton reviews two cases that illustrate why complying with government contracts is anything but simple.
Legal requirements are of concern to compliance personnel. But “compliance” as a mantra does not end there. Instead, fraud prevention only begins with legal prohibitions. Stated differently, “compliance” is not a destination. Rather, it is a goal that will evolve as business necessities and circumstances change.
Fox Rothschild’s David Restaino covers corporate compliance holistically, from the laws that govern compliance to consequences of inadequate compliance and the benefits of a robust compliance program.