Category Archives: OIG

Combined DOJ/HHS Fraud Crackdown in 7 Cities Across the Country Nets 107 Suspects for $452 Million in Fraudulent Billing

On May 2, 2012, the US. Department of Justice and the U.S. Department of Health and Human Services announced that its combined law enforcement agencies, as part of the Medicare Fraud Strikeforce, rounded up 107 suspects for fraudulent Medicare billing.  These 107 suspects are responsible for $452 million dollars of billing in multiple areas of health care including mental health services, and durable medical equipment and supplies.  More than 500 law enforcement agents were involved in the fraud crackdown from FBI, HHS-Office of Inspector General (OIG) and  multiple state Medicaid Fraud Control Units.  Physicians, nurses, suppliers and owners were included in the list of person that were arrested in the raids.  The seven cities where suspects were arrested were included Miami, detroit, Chicago, Houston, Los Angeles, Tampa and Baton Rouge.

These significant fraud enforcement activities represent the new “normal” as Federal and State government agencies combine resources and use very sophisticated data analytics tools aimed at finding and fighting Medicare fraud.

More detailed information is available at the Office of the Inspector General’s website at www.oig.hhs.gov and you can find a press release on the Department of Justice Website here  —> DOJ Pres Release.

For more information on the Medicare Strike Force or regulatory enforcement in general, please feel free to contact Janet Feldkamp or any member of our health care practice group.

DHHS IG, Daniel Levinson Advises at HCCA that Fraud Enforcement Recovers 7 Dollars for Every Dollar Spent

Daniel R. Levinson, the Inspector General of the U.S. Department of Health and Human Services (“OIG’”) gave a keynote presentation at the Health Care Compliance Association’s 2012 Compliance Institute this past week.

The presentation was full of interesting details and issues relating to how the OIG and IG Levinson approach fraud and abuse enforcement. Below are some highlights of IG Levinson’s presentation.

The OIG’s ROI

IG Levinson reminded the audience of the significant return on investment the government gets from its fraud fighting efforts. According to IG Levinson, the government now recovers an average of 7 dollars for every dollar spent on its fraud fighting efforts. In his discussion, he pointedly remarked on how these statistics continue to show the significance of fraud in the health care system. Continue reading

Lifewatch Services, Inc. enters into $18.5 Million Settlement and CIA to resolve False Claims Act Allegations

Lifewatch Services, Inc., an Illinois-based company, recently agreed to pay the United States $18.5 Million to resolve False Claims Act allegations filed by two separate whistleblowers. In addition to the settlement, Lifewatch entered into a comprehensive Corporate Integrity Agreement with the Office of Inspector General.

The whistleblower complaints alleged that Lifewatch improperly billed Medicare for ambulatory cardiac telemetry (“ACT”) services. Continue reading

Connect with our Health Care Practice at HCCA’s 16th Annual Compliance Institute

Members of our Health Care Practice will be attending and speaking at the Health Care Compliance Association’s 16th Annual Compliance Institute, April 29 – May 2, 2012, in Las Vegas Nevada. Two of our health care partners will be speaking on the following topics at the Institute -

2012 OIG Work Plan: Priorities and Concerns for Post Acute Care Providers

Alan Schabes, Esq. will be speaking with David Cade, Deputy General Counsel of the U. S. DHHS in a session entitled – 2012 OIG Work Plan: Priorities and Concerns for Post Acute Care Providers on Monday, April 30th at 4:30-5:30PM

Quality of Care Issues: Prevention and Response

Ari J. Markenson, J.D., M.P.H. will be speaking with Robert Hussar, Counsel, Manatt, Phelps & Phillips, LLP  in a session entitled Quality of Care Issues: Prevention and Response on Monday, Monday, April 30th at 11AM-12PM Continue reading