Tuesday, January 25, 2022

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No Way Home: Recent Medicaid Fraud Settlements with Home Healthcare Companies

Two home healthcare companies in two different states recently settled with both the Department of Justice and those states for submitting false claims to state Medicaid programs. Academy Health Care Services of Dayton, Ohio settled with the Department of Justice for $500,000, and Home Care VNA of Chicopee, Massachusetts settled with the Commonwealth of Massachusetts […]
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Sixth Circuit Rules That Statute of Limitations for FCA Retaliation Claims Is Triggered by...

The Sixth Circuit held in El-Khalil v. Oakwood Healthcare, Inc. that the decision to terminate an employee, rather than notice to an employee of...

Top Ten Challenges for White-Collar Crime and Investigations Lawyers in 2022

We asked our global white collar crime team for their views on key challenges in 2022 for in house investigations teams and white collar crime lawyers, and how to manage the associated risks. Here are the top ten. Understand evolving expectations on corporate accountability. Don’t take your eye off intermediaries. Old and new financial gatekeepers […]
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Growth of Holistic Risk Management

The last five years has included an increased focus on corporate risk management. For years, companies paid “lip service” to the idea of risk management. In many cases, companies implemented “immature” risk management systems that do not stand up to scrutiny and assessment. These programs are often understaffed with a singular focus on enterprise risk […]
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Compendium of Statistics about FCPA Enforcement Actions in 2021

In previous articles this month, Mike Koehler has been examining a variety of statistics about FCPA enforcement actions in 2021, and comparing them to historical statistics. Here Koehler compiles links to ten of these articles. He notes that the small number of corporate enforcement actions last year make some of these statistics “less than enlightening.” […]
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Cyber Compliance for Private Equity Firms

Private equity firms are looking to improve their oversight of cybersecurity and sustainability among the companies in their portfolios, as they also anticipate more regulation under the Biden administration. Jennifer Boyce is general counsel for Riverside Co., and was hired as the firm’s first chief compliance officer after the 2010 Dodd-Frank Act required many private-equity […]
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Not Positive: Last Week’s Lab Fraud Schemes

The United States Department of Justice recently settled cases against UC San Diego Health and Boca Toxicology Lab LLC (dba Lab Dynamics) for submitting claims for unnecessary tests to Medicare. Under the terms of the settlement, the academic health system of the University of California, San Diego paid $2.98 million. The owner of Florida-based Boca […]
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Court Concludes Government Agencies Cannot Categorize Regulatory Violations as Material as a Matter of...

On January 7, 2022, a district court in the Western District of Kentucky dismissed DOJ’s implied false certification theory relating to allegedly medically unnecessary...

Sixth Circuit Clarifies When Statute of Limitations Commences in False Claims Act Whistleblower Retaliation...

On January 10, 2022, the Sixth Circuit held in El-Khalil v. Oakwood Healthcare, Inc. that the statute of limitations period for a False Claims Act whistleblower retaliation case commences when the whistleblower is first informed of the retaliatory adverse employment action, rather than when the action is finalized. While working as a podiatrist at Oakwood […]
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Bank Fraud Involving PPP Loans Could Lead to Prison Time, Even for Relatively Small...

The U.S. Department of Justice has recently begun charging defendants with bank fraud in relation to Paycheck Protection Program loans as part of its continuing efforts to investigate and prosecute individuals for crimes associated with COVID-19 related aid. If the government is able to prove that fraud occurred, individuals face the prospect of significant time […]
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