14 Enforcement Trends Every Life Sciences And Healthcare Provider Should Understand. I. Criminal Intent vs. Documentation Errors One of the most misunderstood aspects of healthcare fraud investigations is the distinction between criminal conduct and administrative mistakes. Documentation deficiencies, coding errors, compliance oversights,
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DOJ’s New Fraud Division Signals More Aggressive Enforcement – Documentation Is Your Lifeline. The DOJ’s newly established National Fraud Enforcement Division (Fraud Division) marks a significant shift toward more centralized, technology-driven, and aggressive federal fraud enforcement. Under Assistant Attorney General Colin M.
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Chronic Care Management Services LLL chartspan: Patient Care Management Services (An example)  Better patient care. More practice revenue. Chronic Care Advanced Primary Care Annual Wellness Visits HHS-OIG Audit of Medicare Payments for Chronic Care Management Services at Risk of Noncompliance, 03/16/2026
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* WHITE-COLLAR PROVIDER SPECIALISTS – TELEHEALTH – PHARMA. * WHILE THE CHARGES MAY START CIVIL (FINANCIAL), TAKE THESE SERIOUSLY. CIVIL TODAY CAN BECOME CRIMINAL TOMORROW. FIRST, GET LEGAL ADVICE. A A SHOULD YOUR CHARGES BECOME CRIMINAL WHETHER BY PLEA OR TRIAL, CONSIDER
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False Claims Act (FCA), Coding – falls into: “fraud (intentional)” or “abuse (innocent mistake).” * The #1 Target that the DOJ Criminal Division will prioritize and investigate begins with Healthcare and Procurement Fraud—memorandum: May 12, 2025. A What was once considered criminal,
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* A NEW ‘THING’ – CRYPTO PARDON ELIGIBILITY? * Alex Mashinsky, the former CEO of Celsius, is facing the DOJ’s 20-year Sentence Recommendation. The judge ruled: 12 Years. * Lawyers for Alex Mashinsky have asked a U.S. court to impose a sentence
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CELL PHONE JAMMING DEVICES Republican lawmakers Sen. Tom Cotton (R-AR) and Rep David Kustoff (R-TN) have introduced companion bills in the House and Senate to permit prisons to use cellphone jamming devices. The FCC says, “The Communications Act prohibits non-Federal entities from using cell
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FACING THE DOJ USUALLY DOESN’T HAVE AN “UP” SIDE. ONE HOPES HIS LAWYERS ARE THERE TO PROVIDE HONEST AND POSSIBLY DIFFICULT TRUTHS. SO FAR COUNSEL APPEARS TO BE DEFENDING HIS ACTIONS (i.e., SELLING OFF ASSETS, SURRENDERING TO THE COURT), WHICH IS THEIR
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YOUR PROBATION OFFICER DURING YOUR INTERVIEW OR YOUR JUDGE AT SENTENCING? YOU CONTROL YOUR FUTURE. _____________ WHO DO YOU NEED ON YOUR SIDE? IS IT YOUR PROBATION OFFICER AT YOUR INTERVIEW (PSI) OR YOUR JUDGE? I’m Dr. Marc Blatstein. I’ve been where
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ALWAYS REQUEST BEFORE YOU TRAVEL, PURCHASE, OPEN AN ACCOUNT, OR DO ANYTHING; IT MAY SEEM TRIVIAL TO GET EVERYTHING IN WRITING, BUT THIS IS YOUR INSURANCE IN CASE THERE IS A DISAGREEMENT LATER ON. I’m Dr. Marc Blatstein. I’ve been where you
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