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
Category Archives: FERA
Subscribe to FERA RSS FeedRedouble Your Compliance Efforts Now . . . .
Posted in Administration, Enforcement, FERA, Government Initiatives, ICD, Implantable Cardiac Devices, Medicaid, Medicare, News, OIG, Reform, Stark LawThe health care industry is besieged by economic and political pressures. There is more uncertainty than ever before. But there is one factor that is predictable: enforcement is increasing, and it will continue. Prudent providers should consider redoubling their compliance efforts now. Here is a short summary of recent developments and current trends and themes… Continue Reading
Dealing with Government Overpayments
Posted in FERA, Fraud, Government Initiatives, Medicaid, Medicare, ReformHealthcare providers that identify overpayments from government programs like Medicare and Medicaid can violate the False Claims Act if they don’t report and repay within 60 days or the deadline for a corresponding cost report. They may have such exposure even if they received an overpayment innocently. This presentation addresses the applicable legal provisions and… Continue Reading
Health Care Reform from a Compliance Perspective: The New Legislative, Enforcement and Economic Realities
Posted in ARRA, False Claims Act, FERA, Government Initiatives, Medicaid, Medicare, ReformWill be presenting Health Care Reform from a Compliance Perspective: The New Legislative, Enforcement and Economic Realitiesand How to Address Them A Health Care Compliance Association (HCCA) TeleconferenceApril 28th, 2010 | 12:00 pm CT
The Road Ahead: Health Care Compliance in the Midst of Reform
Posted in Enforcement, False Claims Act, FERA, Fraud, Government Initiatives, Medicaid, Medicare, ReformThe trends that Compliance Officers need to understand and anticipate in order to serve their organizations well. Here are the slides from the presentation that Diane Meyer, Kevin Lyles and I gave at the Health Care Compliance Association (HCCA) Compliance Institute.
Compliance Implications of Health Care Reform
Posted in ARRA, Enforcement, False Claims Act, FERA, Fraud, Government Initiatives, Medicaid, Medicare, ReformHere are the slides from the presentation that Shawn DeGroot, Jeff Kapp, and I gave at the Health Care Compliance Association’s annual Compliance Institute in Dallas.
When Reform Doesn’t Work, the Enforcers Step In: Part Two
Posted in ARRA, Enforcement, FERA, Fraud, Government Initiatives, Reform, StimulusIn Part One we discussed some of the parallels between the reform efforts in 1993-94 and the current state of healthcare reform. Here, we will discuss some of the legal and enforcement efforts. (For a copy of slides discussing FERA and ARRA in more detail, email me.) Laws Get Passed After the failed healthcare reform efforts… Continue Reading
Frank Sheeder
Frank Sheeder, chair of DLA Piper's Health Care Enforcement and Compliance practice, has defended clients against civil and criminal fraud allegations brought by the government and other hostile third-party litigants – especially whistleblowers – for more than 20 years... Read More