On May 16, the U.S. Attorney’s Office for the District of Massachusetts announced that Cape Cod Hospital agreed to pay $24.3 million to resolve alleged violations of the federal False Claims Act (FCA) for knowingly failing to follow Medicare’s requirements for certain procedures performed.
Beginning in 2015, the hospital offered transcatheter aortic valve replacement (TAVR)
The U.S. Attorney’s Office for the Eastern District of Michigan announced on May 8 that Michigan Ear Care PLLC and James Aronovitz, D.O. agreed to pay over $2 million to resolve allegations that they submitted false claims to the Medicare and Medicaid programs.
Aronovitz allegedly billed for ear care services under his own National Provider
On April 11, the medical director and the owner of a pain clinic in Kentucky were sentenced to prison for their roles in a scheme to defraud federal healthcare programs and commercial insurance companies for medically unnecessary urine drug testing. Previously, in March 2023, the clinic’s medical director, William Lawrence Siefert, was convicted of healthcare
On April 10, Virginia-based nurse practitioner Daphne Jenkins was sentenced to prison for her participation in a $7.8 million telemedicine fraud scheme that involved medically unnecessary orders for durable medical equipment (DME). As part of the scheme, Medicare claims were submitted based on false documentation and tainted by kickbacks.
The orders Jenkins signed were pre-populated
On Thursday, April 11, in the next installment of Rivkin Radler’s Healthcare Compliance Lunch & Learn series, Rivkin Radler’s Bob Hussar, Chris Kutner and Mary Aperance will present “Defending Provider Audits.” The program will take place from 12:00 noon to 1:00 PM Eastern time via Zoom.
The program will cover the similarities and differences in
An article in the April issue of Healthcare Risk Management, “Patient and Family Complaints Require Careful Response,” highlights ways that healthcare organizations can address patient and family complaints in a professional and courteous way to avoid further escalation. Rivkin Radler partner Eric Strober was quoted in the article.
“Healthcare professionals should be
Rivkin Radler’s Dental Practice Counseling Group will be exhibiting and presenting at the Greater Long Island Dental Meeting from April 2-3 at the Melville Hilton. “Practice Transitions for the Practicing Dentist” will be presented by Ben Malerba, Doug Menikheim, Joel Greenberg, Eric Ploumis, and Sean Simensky on Tuesday, April 2 from 6:00 PM to 8:00
Marc S. Ullman, of counsel to Rivkin Radler, wrote the March 28 article “FDA sends a message with two warning letters to Amazon” in Natural Products Insider.
In the article, Marc explains the importance of the FDA warning letters on homeopathic “supplements” and products that contain active pharmaceutical ingredients. Marc writes, “During the
Rivkin Radler’s Frank Izzo and Jeff Ehrhardt authored an article in the Spring 2024 issue of USLAW magazine, “New York Joins List of States Prohibiting Geofencing Near Healthcare Facilities.” The article discussed geofencing laws, enacted partly in response to the Supreme Court Dobbs decision, in depth by state.
Sign up to receive Rivkin Rounds at
A March 11 article in Part B News, “Warning: Minor Errors Can Mean Big Takebacks for AWV Claims,” discussed how compliance shortcomings can cause problems for claims to Medicare for annual wellness visits (AWVs). Rivkin Radler’s Mary Aperance was quoted in the article.
“Routine internal audits should be conducted to hone in