Fierce Exclusive: Medical experts drive DOJ's cardiac device investigation

In an exclusive interview, former Assistant U.S. Attorney in Florida Jeffrey Dickstein describes an investigation into billing practices for cardiac device implantations has altered compliance for hospitals and introduced a new approach for DOJ officials when tackling medical necessity cases.

Kentucky couple convicted in widespread prescription drug trafficking scheme

A Kentucky physician and his wife were convicted of more than 180 charges, including 84 counts of healthcare fraud, for an elaborate prescription drug distribution scheme that billed Medicare and Medicaid nearly $16 million, according to the U.S. Attorney's Office for the Eastern District of Kentucky.


MassHealth pays nearly $500,000 to banned physicians

A Massachusetts state audit revealed the state's Medicaid program paid nearly half a million dollars to physicians that had been banned by the federal government, according to the Boston Herald.

Federal officials emphasize compliance, outline shifting areas of fraud

Compliance programs will play a key role in the Office of Inspector General's (OIG) new exclusion guidelines and federal prosecutors may be slightly shifting their geographical fraud targets, government officials told attendees at the Health Care Compliance Association's Compliance Institute last week.


Supreme Court could limit FCA breadth without complete override

After last week's opening arguments in the "implied certification" case before the Supreme Court, legal experts on both sides of the issue are hinting that the court could place limits on the False Claims Act without shooting down the implied certification theory entirely.


From Our Sister Sites


Better messaging security technologies are prompting the Joint Commission to end its ban on clinician use of such tools. Healthcare providers and caretakers can now use text to send patient orders, but only if such tools meet the commission's requirements, the commission announces in the May edition of  Joint Commission Perspectives.


The College of Healthcare Information Management Executives believes that, when it comes to medical device interoperability, not enough is being done to ensure such tools can connect with their electronic health record systems.