Category:Fraud & Abuse
An Active Summer of Healthcare Fraud Enforcement Actions
Alanna J. Kroeker Executive Editor Loyola University Chicago School of Law, JD 2017 Unprecedented DOJ Healthcare Fraud Takedown: On Wednesday June 22, Attorney General Loretta Lynch and Department of Health and Human Services (HHS) Secretary Sylvia Burwell announced the largest healthcare fraud takedown in history. This action was led by the Medicare Fraud Strike …
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Supreme Court Weighs in on Implied False Certification Theory
Ryan Meade Editor-in-Chief Director of Regulatory Compliance Studies at Loyola University Chicago School of Law The Supreme Court’s decision yesterday in Universal Health Services, Inc. v. U.S. ex rel Escobar (“UHS”) has had some strange initial summaries suggesting this is a gloom and doom opinion for actors who submit claims to the United States. I …
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Lessons Still to be Learned from Settlements of Implantable Cardiac Device Cases
Gail Jankowski Executive Editor Loyola University Chicago School of Law, JD 2016 Although the DOJ reached 70 settlements involving 457 hospitals in 43 states for more than $250 million related to cardiac devices that were implanted in Medicare patients which violated coverage requirements, they were not done yet. Another batch of 51 hospitals settled …
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