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Category Archives: DOJ

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12 Enforcement and Compliance Predictions for 2012

Posted in Culture, DOJ, Enforcement, Government Initiatives, ICD, Implantable Cardiac Devices, Long Term Care, Medicaid, Medicare, OIG, Reform, Settlements

This has been an interesting year for the health care industry, and I believe the coming year will be even more exhilarating.  Here are my 12 enforcement and compliance predictions for 2012.  Please comment with yours.  We’ll see how we do. . . .   Regardless of what happens with the health care reform law, the current market forces… Continue Reading

A 10-Year Old’s View of Health Care Enforcement

Posted in DOJ, Enforcement, Fraud, Medicaid, Medicare, OIG, Reform

My Daughter’s Depiction of Health Care Enforcement — I Call it Enforcica  — One of the more challenging and rewarding aspects of being a health care attorney is taking a complex regulated environment and breaking it down in a way that is understandable, regardless of the audience.  In the compliance world, this means communicating the rules… Continue Reading

OIG’s HEAT Provider Compliance Training

Posted in Administration, CMS, DOJ, Enforcement, False Claims Act, Fraud, Government Initiatives, Medicaid, Medicare, OIG, Stark Law

Since February 2011, members of the HHS Office of Inspector General (OIG) and their colleagues have been presenting HEAT Provider Compliance Training across the country.  The most recent training included a live webcast with slides.  The OIG has committed to posting a link to the webcast by the end of May.  In the meantime, the slides… Continue Reading

Interview of Tony West, Asst. Attorney General, Civil Division, DOJ

Posted in Administration, DOJ, Enforcement, False Claims Act, FERA, Fraud, Government Initiatives, Implantable Cardiac Devices, Medicare, Reform

I recently interviewed Tony West, who is the Assistant U.S. Attorney General, Civil Division, of the Department of Justice.  The Civil Division is responsible for the government’s cases involving health care fraud and challenges to the health care reform law.  He is, of course, heavily involved in the DOJ’s HEAT initiative. The interview provides insight into current government… Continue Reading