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  • While the opioid crisis has inspired a wave of new legislation by Congress, the U.S. Department of Justice (“DOJ”) has continued to increase its own response to the prevalent rate of opioid-related drug crimes with a number of new initiatives.  On October 17th, Deputy Attorney General Rod Rosenstein recently delivered remarks at the America’s Health Insurance Plans 2018 National Conference on Medicaid and highlighted the Department’s continued determination to tackle the opioid crisis. Rosenstein’s remarks reiterated Attorney General Jeff Sessions’... More
  • On Monday, August 12, 2018, the U.S. Department of Justice (“DOJ”) announced a new addition to its regional Medicare Fraud Strike Forces: a Newark/Philadelphia Regional Medicare Strike Force that will target both healthcare fraud and opioid overprescription.[1] The newly-formed Newark/Philadelphia Strike Force joins nine existing regional Medicare Strike Forces, all of which are focused in geographical areas of high healthcare fraud risk: Miami, Florida; Los Angeles, California; Detroit, Michigan; Southern Texas; Southern Louisiana; Brooklyn, New York; Tampa, Florida; Chicago, Illinois;... More
  • This is the 7th and final installment in the Medicare Secondary Payer Compliance series. All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part... More
  • This is part 6 of 7 in the Medicare Secondary Payer Compliance series. All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part V) Medicare... More
  • This is part 5 of 7 in the Medicare Secondary Payer Compliance series. All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part V) Medicare... More
  • This is part 4 of 7 in the Medicare Secondary Payer Compliance series. All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part V) Medicare... More
  • This is part 3 of 7 in the Medicare Secondary Payer Compliance series. All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part V) Medicare... More
  • This is part 2 of 7 in the Medicare Secondary Payer Compliance series. All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part V) Medicare... More
  • All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part V) Medicare Secondary Payer Compliance: The False Claims Act (FCA) for Providers (Part VI) Medicare Secondary... More
  • For health care providers and other government contractors, perhaps no law causes more angst than the False Claims Act, 31 U.S.C. §§ 3729 et seq. (“FCA”).  A Civil War-era statute initially designed to prevent fraud against the government, the FCA is often leveraged by whistleblowers (also known as “relators”) and their counsel who bring actions on behalf of the government in the hope of securing a statutorily mandated share of any recovery.  These qui tam actions often can be paralyzing... More