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New OIG litigation team focuses on civil money penalty and exclusion cases

On Tuesday, federal officials announced a new litigation team that will focus specifically on civil money penalties and exclusion cases. Tony Maida, a partner with McDermott Will & Emory LLP, who preveiously served as a senior official in the Office of Counsel to the Inspector General, spoke with FierceHealthPayer: AntiFraud about the potential repercussions. 

APRN pleads guilty to taking kickbacks from pharmaceutical manufacturer

A Connecticut Advanced Practice Registered Nurse (APRN) pleaded guilty to accepting kickbacks from a pharmaceutical company, which led her to inappropriately prescribe a pain pill manufactured for cancer patients, according to an announcement from the United States Attorney's Office for the District of Connecticut.  

Kentucky therapy company files for bankruptcy following kickback lawsuit

Nurses' Registry and Home Health Corp., an official corporate sponsor of the University of Kentucky athletics, has filed for bankruptcy following suspended Medicare payments tied to kickback allegations, according to the Wall Street Journal.

Distinct enforcement trends emerge following the largest fraud takedown in history

It's been nearly two weeks since the Department of Health and Human Services (HHS) and the Department of Justice (DOJ) announced the largest healthcare fraud takedown in U.S. history. If...

Following $450 million settlement, DaVita subpoenaed for Medicare Advantage coding

Nearly two months after DaVita Healthcare announced it would pay nearly half a billion dollars to settle claims that it improperly billed Medicare for wasted vials of medication, the largest dialysis provider in the country is facing a subpoena from the U.S. Department of Health and Human Services (HHS), according to a Securities Exchange Commission (SEC) filing released by the company on Wednesday.

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FierceHealthcare will not publish Friday, July 3 in observance of the Fourth of July holiday. We will return to our regular publishing schedule on Monday. We wish all our readers a happy and safe...

FierceHealthPayer

Medicare Part D covers the bulk of medications commonly used by both Medicare and Medicaid beneficiaries, according to a new report from the Office of the Inspector General (OIG).