OIG Advisory Opinion Finds Proposed Joint Venture Riddled with Problems

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A contract therapy services company that provides management of day-to-day operations and therapy staffing for rehabilitation programs in long-term care communities (i.e., skilled nursing facilities, assisted living facilities, and full-service continuing care retirement communities) recently was advised by the HHS Office of Inspector General that a proposed joint venture arrangement presented a host of concerns…

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OIG Revises Self-Disclosure Protocol

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For the first time since 2013, The U.S. Department of Health & Human Services Office of Inspector General has issued updates to its Healthcare Fraud Self-Disclosure Protocol. Created in 1998, the protocol can be used to create a process to voluntarily identify, disclose and resolve instances of potential fraud involving federal healthcare programs. The OIG…

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White Collar Crime a Top Priority for DOJ

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The U.S. Department of Justice recently announced three key changes to the way it will respond to corporate crime. The announcement came during a speech by Deputy Attorney General Lisa Monaco during an address to the American Bar Association’s National Institute on White Collar Crime. It was followed by a memo outlining the key components.…

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Clinical Lab Settles Fraud Allegations

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A Nevada-based clinical lab and two of its owners recently agreed to pay up to $16 million to settle allegations that the lab submitted false claims for payment to Medicare, Medicaid and other federal healthcare programs. In addition, the lab, MD Spine Solutions LLC (MD Labs Inc.), and its co-founders, Denis Grizelj and Matthew Rutledge,…

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