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THE LATEST ON GOVERNMENT INQUIRIES AND ENFORCEMENT ACTIONS

Government Investigations and White Collar Litigation Group

Tag Archives: Medicare

Compliance, Enforcement and Prosecution Policy and Trends

Thirteenth Individual Convicted in Medicare Psychiatric Treatment Fraud

On September 10, a Houston psychiatrist became the thirteenth individual convicted in relation to partial hospitalization program (PHP) services fraudulently billed to Medicare. The psychiatrist was convicted by a federal jury and is scheduled to be sentenced in December. The government has charged numerous individuals with causing Houston’s Riverside General Hospital to submit approximately $158… Continue Reading
Compliance, Enforcement and Prosecution Policy and Trends

OIG Warns Physicians of Potential Exposure for Unlawful Compensation Arrangements

While the Department of Justice and the Department of Health and Human Services Office of Inspector General (OIG) have long scrutinized physician compensation arrangements, including medical director agreements, penalties traditionally have been sought against the institutional party to the arrangement and not the individual physicians. OIG’s recent fraud alert indicates this may no longer be… Continue Reading

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