DOJ Takedown Announcement
On June 30, 2025, the Department of Justice (DOJ) announced what it called the largest health care fraud takedown in history, involving over $14.6 billion in alleged losses due to fraud. This takedown involved an …..
Improving Compliance by Adopting and Updating a Compliance “Treatment” Work Plan
Federal and state enforcement agencies expect providers to have a compliance plan. Too often providers postpone developing a compliance plan or allow the plan to become stale due to cost concerns and/or not knowing where …..
CMS Issues Its First Hospital Price Transparency Fines: Is Your Hospital Ready for an Audit?
On June 7, 2022, the Centers for Medicare and Medicaid Services (CMS) imposed its first civil monetary penalties for violations of the Hospital Price Transparency Rule when it issued fines of more than $1 million …..
Department of Justice Doubles Health Care Civil Fraud Penalties starting August 1, 2016
The U.S. Department of Justice (DOJ) published an interim final rule on June 30th that dramatically increased potential civil penalties under the Civil False Claims Act and the Federal Anti-Kickback Statute. Currently, violations of the …..
DOJ Doubles Health Care Civil Fraud Penalties
The U.S. Department of Justice (DOJ) published an interim final rule on June 30th that dramatically increased potential civil penalties under the Civil False Claims Act and the Federal Anti-Kickback Statute. Currently, violations of the …..
Physician Owned Hospitals Must File Annual Report by December 1, 2013 to Comply with Stark II
The Centers for Medicare & Medicaid Services (“CMS”) defines hospitals with physician owners or investors as Physician Owned Hospitals. Physician Owned Hospitals utilizing the Stark II whole hospital and rural provider exceptions must now file …..