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Recent Posts
- Stephen Siegel Presents at South Florida Health Care Summit
- Jamie Gelfman Named to Health Law Executive Council, Selected for Leadership Broward
- Frank Rainer Hosts Online Seminar on Direct Primary Care
- Department of Justice Raises Penalties for False Claim and Anti-Kickback Violations
- Mike Bittman, co-chair of Broad and Cassel’s Healthcare Practice Group, weighs in on the Amazon, JPMorgan, Berkshire healthcare partnership for Becker’s Hospital Review
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Category Archives: Fraud/Abuse
Fraud and Abuse Enforcement; Go Back to the Fundamentals
By: Stephen H. Siegel The great basketball player Michael Jordon observed: The minute you get away from fundamentals-whether it is proper technique, work ethic or mental preparation- the bottom can fall out of your game, your schoolwork, your job, or … Continue reading
Posted in Fraud/Abuse, Stephen Siegel
Tagged Broad and Cassel, Broad and Cassel Health Law Practice Group, Civil False Claims Act, FCA, Federal Kickback Prohibition, Florida health care, Florida health law, Health Law Practice Group, Self-Referral Restriction, Whistleblower
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Does Ability to Pay Count for Anything Any More?
By: Benton Curtis Through the Health Care Fraud and Abuse Control Program Report (the “HCFAC”), the Department of Health and Human Services and the Department of Justice (“DOJ”) annually trot out their most recent efforts to combat health care fraud … Continue reading
Posted in Benton Curtis, Compliance, Fraud/Abuse
Tagged Broad and Cassel, Broad and Cassel Health Law Practice Group, Deputy Attorney General, False Claims Act, FCA, Florida health care, HCFAC, health care, Health Care Fraud and Abuse Control Program Report, healthcare, Yates Memo
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Whistleblowers in Health Care- What’s a Company To Do?
By: Anne Novick Branan Joe, the Practice Manager at a local medical group, cringed as he spied Susan, one of the nurses at the practice, marching toward him with an anxious, yet determined, look on her face. About two … Continue reading
Posted in Anne Novick Branan, Fraud/Abuse, Risk/Liability
Tagged Broad and Cassel, Broad and Cassel Health Law Practice Group, compliance, False Claims Act, FCA, Florida, Florida health care, health care, healthcare, qui tam, Whistleblower, whistleblower risk
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Beware of Excluded Individuals and Entities
By: Anne Novick Branan One of the recent enforcement trends landing practitioners in hot water is the federal government’s pursuit of those who employ Medicare or Medicaid excluded individuals or entities. Federal statutes allow the Office of Inspector General for … Continue reading
Posted in Anne Novick Branan, Fraud/Abuse
Tagged Broad and Cassel, excluded, federal healthcare programs, LEIE, Medicaid, OIG, physician, practitioner, providers
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Supreme Court Upholds the False Claims Act Implied Certification Theory
By: Stephen Siegel The following article was published in the July 2016 edition of South Florida Hospital News and Healthcare Report. TREBLE DAMAGES PLUS A PENALTY of as much as $11,000 per claim; that is the exposure a physician, hospital … Continue reading
Posted in Compliance, Fraud/Abuse, Stephen Siegel
Tagged billing, Broad and Cassel Health Law Practice Group, compliance, False Claims Act, FCA, fraud, health law, healthcare, Medicaid, Medicare, South Florida Hospital News, Supreme Court, Whistleblower
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Going on the Offensive with Combatting Fraud
By: Benton Curtis So often today we read press clippings from across the country on how the Department of Justice continues to crack down on health care fraud, be it in the criminal or civil arena. But this barrage of … Continue reading
Posted in Benton Curtis, Fraud/Abuse
Tagged Broad and Cassel, data analytics, DOJ, Florida, Florida health law, fraud, health care benefit programs, health care fraud, health law, Health Law Practice Group, managed care organizations, Medicare, prosecution, providers, TRICARE
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The Domino Effect: Tougher Medicare Regulations Have Far Reaching Implications for Florida Physicians
By: Elizabeth P. Perez Recent changes in federal regulations may expose Medicare and Medicaid providers, particularly physicians, to tougher sanctions. Last year, the Centers for Medicare & Medicaid Services (“CMS”) published a rule that expands its authority to revoke a … Continue reading
Posted in Fraud/Abuse, Regulatory
Tagged AHCA, Broad and Cassel, CAP, CMS, corrective action plan, Florida, fraud and abuse, health care, health law, Health Law Practice Group, healthcare, liability, Medicare, physicians, regulatory
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6 ways health care providers can reduce fraud, waste and abuse risks in 2016
By: Michael Bittman Health care providers such as hospitals and doctors face a variety of legal risks: malpractice, tax, and fraud, waste and abuse. Recent cases have shown that fraud, waste and abuse exposure can dwarf the risk of malpractice … Continue reading
Posted in Compliance, Fraud/Abuse, Mike Bittman
Tagged CMS, compliance, fraud, fraud and abuse, Health Law Practice Group, HHS, liability, malpractice, Medicaid, Medicare, OIG, providers, tax liability, TRICARE, waste
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Gabriel Imperato Published in Compliance Today Magazine
Fort Lauderdale Managing Partner Gabriel Imperato was published in the June 2015 issue of the Health Care Compliance Association’s (HCCA) Compliance Today magazine. Please click here to view his article, “Understanding the Halifax case and its implications for physician arrangements.”
Posted in Fraud/Abuse, Gabriel Imperato
Tagged AKS, Anti-Kickback Statute, Broad and Cassel, DOJ, DOJ investigators, False Claims Act, FCA, Florida, Gabriel Imperato, Halifax, health law, Health Law Practice Group, healthcare, Medicaid, physician arrangements, qui tam, Stark exception, Stark Law
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Gabriel Imperato to Host Panel at ABA Emerging Issues in Healthcare Law
Gabriel Imperato, managing partner of Broad and Cassel’s Fort Lauderdale office, will be moderating a panel at the 16th Annual Conference on Emerging Issues in Healthcare Law, which is hosted by the American Bar Association on March 4-7 at Disney’s … Continue reading
Posted in Fraud/Abuse, Gabriel Imperato, Practice News
Tagged ABA, Broad and Cassel, compliance, criminal and civil liability, Emerging issues, enforcement, Florida, fraud and abuse, health care, health care fraud, Health Law Practice Group, healthcare, Whistleblower
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