Vive La Différence? American and French Healthcare Fraud, Waste, and Abuse Laws

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America and France share many common ideals. The American Constitution is founded on the principle of government “of the people, by the people, and for the people.” The French Constitution embodies this same principle in the ideals of “liberté, égalité, fraternité.” Based upon these shared values, our two countries have forged an indelible alliance through… Read more »

Genetic Testing Gold Rush Gives Rise To Fraud Allegations

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On Sept. 27, the U.S. Department of Justice announced criminal charges against 35 individuals across various jurisdictions, allegedly involved in genetic testing fraud schemes that cost taxpayers over $2.1 billion. The government asserted that the individuals had engaged in audacious schemes to target seniors and the disabled through the ordering of cancer genetic screening, or… Read more »

Frank Stoy Has Been Elected Partner at Pietragallo

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Pietragallo Gordon Alfano Bosick & Raspanti, LLP is pleased to announce the election of its newest partner: Frank Stoy. Bill Pietragallo said, “In recognition of and in response to their legal skills, committed industry and professional bearing, I am pleased to announce that Frank has been elected Partner of the Firm.” Mr. Stoy is a… Read more »

Tips For Representing Corporations, Employees In Government Investigations

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Individual liability continues to be at the forefront of criminal investigations and the litigation that often follows. Throughout the past five years, the U.S. Department of Justice’s edicts on individual culpability have varied in tone and rigidity, but the underlying focus on individuals has remained constant. On Sept. 9, 2015, former Deputy Attorney General Sally… Read more »

Storm Clouds on the Horizon: Private Equity and the False Claims Act

Posted by & filed under Keep Informed, Publications.

The United States recently filed a False Claims Act Complaint in Intervention against Florida-based compounding pharmacy Patient Care America (“PCA”), two PCA employees, as well as the private equity (“PE”) firm that acquired PCA and helped manage the company.1 The scheme alleged by the government was a common one: the payment of kickbacks for referrals… Read more »

CMS And HHS-OIG Issue Proposed Stark Law Exceptions And Anti-Kickback Safe Harbors To Facilitate Movement Toward Coordinated Care And Value-Based Reimbursements

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What Happened: As federal payors move away, with increasing speed, from fee-for-service payments toward value-based payment reforms, CMS and HHS-OIG released, on October 9, 2019, proposed Stark Law Exceptions and Anti-Kickback Statute Safe Harbors to better permit health care providers to engage in coordinated care reimbursed by these value-based payments.  The proposed Rules remove “potential… Read more »

Construction Legal Edge, Fall 2019 Edition

Posted by & filed under Construction Legal Edge, Publications.

Articles in this Issue: Superior Court of Pennsylvania Update Cybersecurity in the Construction Industry – It is not a matter of if, but when… Preparing for Pennsylvania’s Consumer Privacy Legislation The One Thing Construction Law, Star Wars, and The Avengers have in Common The Commonwealth Court Rules that a State Senator Lacks Standing to Prevent… Read more »

Third and Final Settlement Announced in Philadelphia Whistleblowers’ $63 Million Case: Glenn Kline, D.O., Lancaster, PA Surgeon, Pays $4.25 Million to Resolve Allegations of Kickback Relationship with HMA

Posted by & filed under Keep Informed, News.

The United States Attorney’s Office for the Eastern District of Pennsylvania (USAO E.D. Pa.) announced today that Dr. Glenn Kline, DO, a Lancaster, Pennsylvania-based general surgeon, together with his company, Community Surgical Associates, will pay $4.25 million, with interest, plus the whistleblowers’ attorney’s fees, to settle a longstanding Qui Tam lawsuit filed under the federal… Read more »