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Nov 26, 2024
Looking Back on 2024: Two Litigation Events that Could Significantly Impact Healthcare’s Future
Major events of 2024 delivered heavy helpings of dispute, debate, and contention. Alongside the clashes in politics and culture,...
Oct 18, 2024
Hospital Self-Disclosure Led to $14 Million Settlement
In September 2024, the Department of Justice (“DOJ”) announced that Siouxland Surgery Center LLP, doing business as Dunes Surgical...
Mar 20, 2024
Is There Really an Industry Standard for Calculating On-Call Compensation?
In February 2024, the U.S. Department of Justice (“DOJ”) joined a second whistleblower complaint against a former executive at...
Jan 18, 2024
$47 Million Kickback Settlement Related to Improper Coding and Billing for Physician Services
A Delaware-based health system has agreed to pay more than $47 million to settle a whistleblower lawsuit alleging violations of the...
Jan 10, 2024
When is it Reasonable to Ask an FMV Appraiser to Reconsider Their Opinion of Value?
In December 2023, an Indianapolis-based health system agreed to pay $345 million to settle allegations of False Claims Act and Stark Law...
Dec 27, 2023
Recent MSO Litigation Reminds Us to Thoroughly Vet Investment Opportunities
Management Services Organizations, or MSOs, provide administrative services to medical practices. These services may include human...
Nov 28, 2023
$45.6 Million Settlement Related to Improper Medical Director Payments at 6 SNFs
In November 2023, Prema Thekkek, her management company, Paksn Inc. (“Paksn”), and 6 SNFs that are owned by Thekkek or managed by Paksn...
Nov 22, 2023
Notable OIG Advisory Opinion: Favorable Toward Employed Physician Bonuses Based on ASC Collections
In October 2023, the Department of Health and Human Services ("HHS") Office of the Inspector General (OIG) issued Advisory Opinion No....
Oct 19, 2023
4 Settlements for Alleged Improper Payments for Lease Arrangements and Medical Director Services
Four home healthcare settlements related to improper payments to physicians have been announced by the Department of Justice (“DOJ”). ...
Sep 25, 2023
$3.8 Million Settlement Related to Improper SNF Medical Director Payments
Medical director arrangements at skilled nursing facilities (“SNF(s)”) have been under federal scrutiny for the past few years (2021 blog...
Sep 20, 2023
Over $20 Million in Combined Qui Tam Settlements from Home Health Buyer and Seller
In August 2023, the Department of Justice (“DOJ”) announced that Watermark Retirement Communities, LLC (“Watermark”), based in Tucson,...
Aug 31, 2023
Hospital Self-Disclosure Led to Settlement with DOJ
In April 2023, the Department of Justice (“DOJ”) announced that Sibley Memorial Hospital (“SMH”) and its parent company, Johns Hopkins...
Aug 9, 2023
The Top 3 Physician Compensation Questions From Hospice Providers
A variety of factors can complicate hospice physician compensation. The top three questions we help hospice providers answer are...
Jun 15, 2023
$30 Million Settlement Resolves Allegations of AKS Violations
A nearly $30 million joint settlement was announced on May 31, 2023, by the Department of Justice (DOJ). Detroit Medical Center (DMC),...
May 23, 2023
FMV and the ABA’s Annual National Institute on Health Care Fraud
The American Bar Association’s 33rd Annual National Institute on Health Care Fraud was held in Chicago on May 4, 2023. Deputy Assistant...
