HEALTHCARE IS THE #1 TARGET OF THE DOJ
THE IMPORTANCE OF EFFECTIVE RISK MANAGEMENT
The DOJ Fraud Section
PREVENTION IS SIMPLER, CHEAPER, AND MAY KEEP YOU OUT OF PRISON.
A
ADD A LITTLE CAUTION (AND PREVENTION) INTO YOUR OPERATION
CIVIL CHARGES ARE JUST MONETARY
CRIMINAL INCLUDES PRISON
[Note: Civil charges in the past were Criminal]
*
Prevention: Legal representation that you need to have trust in.
*
Here, they recover money on behalf of programs, including Medicare, Medicaid, TRICARE, the Department of Veterans Affairs (VA), and the Federal Employee Health Benefits Program (FEHBP), working closely with the United States Attorneys’ Offices, HHS-OIG, and state Medicaid Fraud Control Units.
a
The Providers and suppliers include;
Pharmaceuticals:
Opioids: Endo Health Solutions Inc. Agrees to Global Resolution of Criminal Investigations…
Medical Devices: Innovasis Inc. and Two Top Executives Pay $12M of Improper Payments…
Durable Medical Equipment: Philips Subsidiary to Pay Over $24 Million…
Electronic Health Records; Modernizing Medicine Pay $45 M to Resolve Illegal Kickbacks…
Managed Care (Medicare Advantage): Independent Health to Pay $98M+ in False Claims…
Hospitals: Oklahoma City Hospital, Management Co, Physician Group Pay $72.3 M, RE, referring docs…
Laboratories: Daniel Hurt to pay$27M in connection with fraudulent cancer genomic tests.
Nursing Homes and Skilled Facilities: Agree to $45.6 M of Kickbacks to Referring Physicians.
Behavioral Health
Duke University Agrees to Pay U.S. $112.5 Million to Settle False Claims Act Allegations Related to Scientific Research Misconduct. The Whistleblower received $33,750,000 from the settlement. [My comment, as Duke is an outstanding university, and the settlement received is a lot, there may always be a lingering concern that the Politics of the FCA, was and is at the heart of this – I hope I’m wrong.]
Here the DOJ is very clear. If you are going out of your way to avoid tariffs, this may result in Criminal Prosecution.
S
CIVIL OR CRIMINAL, WHAT DO YOU DO?
FIRST:
- LEGAL REPRESENTATION
SECOND, IF CRIMINAL:
- CONSIDER GIVING ME A CALL REGARDING WHAT YOU’RE ABOUT TO FACE.
- THE CALLS ON ME.