Government Enforcement Compliance and White Collar Litigation

John A. Schwab Receives Nora Barry Fischer Award for 2015

January 4, 2016

PITTSBURGH, PA (January 4, 2016) – John A. Schwab, partner in the Pittsburgh office of Pietragallo Gordon Alfano Bosick & Raspanti, LLP, is the recipient of the Nora Barry Fischer Award for 2015.  The Nora Barry Fischer Award serves to recognize an attorney within the Firm who has given back to the legal profession and the… Read more »

PACDL White Collar Practice Institute

November 13, 2015

Kevin E. Raphael will present at the PACDL White Collar Practice Institute on “Unsettled Times Ahead? The Memo on Individual Accountability for Corporate Wrongdoing and Health Care Matters.” Related Information: white_collar_practice_brochure_lowres.pdf

HHS/OIG Notes Lack Of Supporting Documentation A Significant Problem In Billing For Sleep Study Services

October 27, 2015

The proliferation of sleep medicine specialty services in recent years has not gone unnoticed by the federal government.  As sleep specialists pursue innovation in both diagnoses and therapies, the likelihood of challenges in submitting charges for those services has increased.  Data published by the government illustrates the magnitude of the charges being submitted in the… Read more »

The SEC’s New Admissions Policy Means Sometimes Having To Say You’re Sorry

October 20, 2015

In 2013, the Securities and Exchange Commission (“SEC”) announced a new policy requiring admissions as part of settlement in certain cases. While still using “no admit, no deny” in the majority of cases, the SEC, in certain circumstances, will now require defendants to admit wrongdoing in order to settle with the agency. While some heralded… Read more »

DOJ Continues Its Focus On False Claims In Mental Healthcare

October 19, 2015

Mental health care providers should be mindful that DOJ has maintained its vigilance in pursuing false claims cases against mental health care providers when evidence calls into question the extent of services provided or demonstrates that the claimed services were not medically necessary.  The most recent example is the case of Santiago Borges, Erik Alonso,… Read more »

DOJ Settles Civil Medical Necessity Claims With Health System While Orthopedic Surgeon Remains A Fugitive From Criminal Charges

October 15, 2015

On Friday, the DOJ announced it had reached an agreement with an Ohio health system to settle allegations of violations of the False Claims Act for costs resulting from medically unnecessary procedures performed at one of the system’s hospitals.  Under the agreement, Cincinnati-based West Chester Hospital and its parent company, UC Health, will pay $4.1… Read more »

DOJ Pursues Political Corruption By Targeting Political Operatives And Lobbyists

October 8, 2015

The practice of lobbying and government relations, particularly on behalf of companies doing business with the government, has long been a focus of DOJ investigators and prosecutors.  They are known to look skeptically at the purpose of “consulting fees,” particularly when those consulting fees appear to be spun into political contributions.  One recent example is… Read more »

DOJ Refocuses Policies and Priorities in Combating Intellectual Property Crime

October 7, 2015

While the Computer Crime and Intellectual Property Section (CCIPS) of DOJ has been in existence for nearly 20 years, the emphasis on criminal enforcement of intellectual property laws has gained significant importance in more recent years.  Beginning with its Task Force on Intellectual Property more than ten years ago, DOJ has continued to ramp up… Read more »

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