Health Care Enforcement and Compliance Matters Prevention, Compliance, Advocacy

Tag Archives: DOJ

End-of-Life-Care: Rife with Fraud or Quicksand for the Government?

By Frank Sheeder on Posted in Enforcement, False Claims Act, Government Initiatives, Medicare

This is insight from Carolyn McNiven, a partner in DLA Piper’s Health Care Enforcement and Compliance Practice. The government’s intervention in a whistleblower’s federal False Claims Act case in Alabama(United States ex. Rel Dawn Richardson et al v. Golden Gate Ancillary LLC et al., 09 cv 627, ND Ala.) – which was recently made public … Continue Reading

12 Enforcement and Compliance Predictions for 2012

By Frank Sheeder on 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

View the OIG HEAT Provider Compliance Training Webcast

By Frank Sheeder on Posted in Administration, Enforcement, False Claims Act, Fraud, Government Initiatives, Medicaid, Medicare, OIG, Reform

OIG has posted a webcast of its HEAT Provider Compliance Training.  It is 3 hours, 45 minutes long.  I will post a summary in the near future.  There is also an OIG HEAT Provider Compliance Training Website at which you can download the corresponding slides and related materials. Get Instant Updates by Email

OIG’s HEAT Provider Compliance Training

By Frank Sheeder on 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

By Frank Sheeder on 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

Four Quick Predictions and Takeaways re: the DOJ’s ICD Investigation

By Frank Sheeder on Posted in Enforcement, ICD, Implantable Cardiac Devices, Medicare

I have been addressing the Department of Justice’s national investigation into hospitals’ Medicare billings for Implantable Cardioverter Defibrillators (ICDs) in recent posts. I predict that the DOJ will be: Continuing its efforts to deal with providers in an open and collaborative manner. Notifying more hospitals that they are under investigation relating to ICD billing. Making additional inquiries… Continue Reading