Anti-Kickback Statute

Anti-Kickback Statute, Healthcare

Eleventh Circuit opinion creates an avenue to win criminal prosecution charging lack of medical necessity.

Difference Of Opinion Is Insufficient to Prove False Billing Today, the Eleventh Circuit ruled in United States v. AseraCare, Inc. that a mere difference of reasonable opinion among doctors is insufficient to prove objectively false billing. Unfortunately, the opinion significantly curtails an FCA win by hospice chain AseraCare, Inc. in the trial court. United States v. AseraCare, Inc The underlying…

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Anti-Kickback Statute, Healthcare

The Twenty-Eighth Annual National Seminar on Federal Sentencing

                          Marissel Descalzo Marissel Descalzo esteemed panel included David Debold (GibsonDunn), Mark Rankin (Shutts and Bowen), Jean-Jacques Cabou (Perkins Coie), and Ben Au (Durie Tangri).  The panel discussed recent changes to the Sentencing Guidelines and their implications in economic crime cases.  I discussed loss calculation in health care fraud…

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Anti-Kickback Statute, Healthcare, Uncategorized

Patient Assistance Programs, Co-Pays, and Access to Medication

[et_pb_section fb_built=”1″ _builder_version=”3.22″][et_pb_row _builder_version=”3.25″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”3.27.4″ text_font=”Helvetica||||||||” text_font_size=”21px” text_line_height=”1.3em”] Last week, I attended the American Bar Association National Institute on White Collar Crime in San Diego. I had the opportunity to speak on a panel with a great group of lawyers, which included Laura B. Angelini, Laura G. Hoey, Joseph G. Petrosinelli, and Gregg Shapiro. The panel…

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