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OIG projects $6.9 billion in recoveries from audits and investigations

USA - November 30 2012 In its Semi-Annual Report to Congress, OIG announced that expected recoveries for FY 2012 are $6.9 billion. 

OIG “okay’s” hospice volunteer assistance to non-qualifying terminally ill patients

USA - November 15 2012 In a recent advisory opinion, the OIG stated that it would not seek sanctions against a hospital-based hospice agency for providing certain volunteer services to terminally ill patients who did not qualify for the hospice benefit.

Barbara L. Miltenberger.

OIG finds hospital-physician call coverage arrangement poses little risk under anti-kickback statute

USA - November 1 2012 The Office of Inspector General (OIG) of the Department of Health and Human Services has concluded that a per diem payment structure between a not-for-profit hospital and specialist physicians would not result in administrative sanctions under OIG’s civil monetary penalties law that relates to prohibited remuneration by the anti-kickback statute.

Guess what? Making money is not inherently unlawful under the False Claims Act

USA - October 25 2012 The Sixth Circuit recently made some interesting findings related to the knowledge standard in the False Claims Act and whether maximizing profits is evidence of fraud.

Civil fraud by the numbers

USA - October 18 2012 The Government Accountability Office (GAO) issued an interesting report in September that analyzed civil and criminal healthcare fraud cases.