USA - November 30 2012 In its Semi-Annual Report to Congress, OIG announced that expected recoveries for FY 2012 are $6.9 billion.
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.
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.
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.
USA - October 18 2012 The Government Accountability Office (GAO) issued an interesting report in September that analyzed civil and criminal healthcare fraud cases.