Industries & Practices

Compliance, Fraud & Abuse

Resource Center

Medicare/Medicaid Fraud & Abuse
Resource Center

More

CMS proposes changes to Stark Law regulations and Open Payments Program

More

DOJ announces $22 million False Claims Act settlement with the University of Miami for provider-based and lab billing issues

More

COVID-19 fraud, scams and schemes highlighted on OIG COVID-19 Portal

More

The Stark Law and Anti-Kickback Statute final rules: Top 10 takeaways

More

Recent kickback cases yield almost $20 million in settlements for the United States

More

Resource

2020 Final Rules: Stark Law and Anti-Kickback Statute Regulations

On November 20, 2020, the Centers for Medicare and Medicaid Services and the Department of Health and Human Services Office of Inspector General issued final rules to "modernize and clarify the regulations that interpret” the Physician Self-Referral Law (Stark Law) and the federal Anti-Kickback Statute.
More

CMS and OIG finalize major changes to Stark and Anti-Kickback regulations: What health care entities need to know

More

CMS and OIG issue long-awaited final rules changing the Stark Law, Anti-Kickback Statute and Beneficiary Inducement Civil Monetary Penalty Law

More

Clinical research budgeting

Advise health system on fraud and abuse considerations in developing a budget for clinical trials.

More

Clinical research fraud and abuse

Advise a health system on fraud and abuse considerations related to a non-employed physician as the principal investigator.

More

Hospital qui tam defense

Defended a hospital and health system in a qui tam lawsuit filed by an employed physician. The lawsuit involved claims that the system submitted false claims to Medicare and Medicaid by billing for services that did not comply with the applicable National Coverage Determination. The suit was ultimately settled and dismissed.

More