Department of Justice (DOJ) news from FierceHealthcare
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HIPAA prosecution targets AR clinic's employee
A new HIPAA criminal case suggests that healthcare organizations may be not criminally liable for employee disclosures of protected health information if they have strong protections in place or are Read more...
Department of Justice faces 500-case healthcare whistle-blower backlog
In theory, having scores of whistle-blowers file cases identifying cases of potential fraud is a good thing. However, a recent surge in such cases has so overwhelmed staff at the federal Department Read more...
Consortium formed to fight medical fraud
The FBI is among several groups that have jointly established a new consortium of insurance investigators and other stakeholders to help fight medical fraud. Participating groups include Consortium Read more...
Walgreens agrees to $35M drug-switching settlement
Walgreen Co. has agreed to pay $35 million to the U.S. Department of Justice to resolve allegations that it had switched patients to more expensive drugs to boost its Medicaid reimbursement. In the Read more...
Cardiac devicemaker pays $2M settlement over corruption
Cardiac devicemaker AGA Medical has agreed to pay a $2 million criminal penalty and submit to three years of independent oversight by a external monitor to avoid federal prosecution on foreign Read more...
AMA, SEIU ask court to stop UnitedHealth deal
A group of opponents including the AMA and the SEIU Nevada have filed suit to stop UnitedHealth Group's planned buyout of Las Vegas-based health plan Sierra Health Services. The deal already has been Read more...
FL system settles federal claim over MD overpayments
Baptist Health South Florida has agreed to pay the federal government $7.75 million to settle allegations that it paid an oncology group excessive compensation to generate referrals for two of its Read more...
SPOTLIGHT: House plans several healthcare hearings
It should be an interesting summer for the healthcare industry, with Congress taking a closer look at Medicare Advantage plans, nursing home ownership structures, Department of Justice enforcement Read more...
Report: Antifraud compliance getting tougher for hospitals
A new report from the Deloitte Forensic Center argues that it's getting increasingly difficult for hospitals to comply with state and federal anti-fraud rules given the surge in new anti-fraud Read more...
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Paid Research Reports
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- Impact of Pharmacogenomics on Public Healthcare Policy
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- 2008 Trends to Watch: Pharmaceutical Technology
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