CMS estimated improper payments to Medicare Advantage Organizations (MAOs) to be 9.5 percent or $14.1 billion based on a national audit that reviewed 2013 payments. Of those improper payments, CMS estimated that 73 percent were the result of insufficient medical documentation submitted to support the diagnoses the MAOs submitted, according to an April 2016 Government… Read more »
Marc Stephen Raspanti and Pamela Coyle Brecht will speak at the “Current Trends in False Claims Act/Qui Tam Whistleblower Litigation,” CLE presented by the SC Bar CLE Division, SC Federal Bar Association Qui Tam Section, and the Charleston School of Law. Marc will discuss, “Ten Practice Tips for Relators- Doing Your Best to File a Winning Qui Tam… Read more »
As we head into the second quarter of an already turbulent 2017, it is worth reflecting on the truly extraordinary events of 2016. Of course, there was the hotly-contested, historic election in November, which may usher in sweeping changes to our nation’s healthcare system. Although the potential impact of these future changes remains to be… Read more »
When Congress discovered that Great Depression-era employers were scheming to circumvent wage provisions in federal contracts, it enacted the first anti-kickback law, the Copeland Act, in 1931. The statute, which is still good law, prohibits federal building contractors and subcontractors from inducing their workers to “kick back” or return any part of the compensation to… Read more »
Marc Stephen Raspanti will speak on “False Claims Act Developments” at the HCCA’s 21st Annual Compliance Institute in National Harbor, MD.
In 2014, the federal government reported that government auditors had recovered only $10 million of an estimated $1.9 billion in annual improper payments in the Medicare Part D prescription drug benefit program. One reason for the low recovery rate? Insufficient investigative resources. But help is on the way. Conscientious employees inside the Part D program… Read more »
PHILADELPHIA, PA – Marc Stephen Raspanti, a name partner with Pietragallo Gordon Alfano Bosick & Raspanti, LLP, will be recognized as the recipient of the 22nd Annual Beccaria Award for his contribution to the cause of justice and the advancement of legal education. The Justinian Society of Philadelphia and Philadelphia Bar Association’s Criminal Justice Section will present… Read more »
Pamela Coyle Brecht will speak at the 3rd Annual Qui Tam Conference at InterContinental Century City in Los Angeles, CA. She will participate in discussions on “Medicare Part D Fraud” and “Relator’s Counsel.”
Marc Stephen Raspanti will speak on “Best Practices for Dealing with the States in False Claims Act Investigations, Litigation and Settlement,” at the Healthcare Enforcement Compliance Institute. He will be co-presenting with Candice M. Deisher, Assistant Attorney General, Virginia Attorney General’s Office. The event takes place from October 23-26, 2016 in Washington D.C.
Pamela Coyle Brecht will be a panelist at the 2016 Federal Litigation and Qui Tam Conference for the Federal Bar Association in Washington, D.C. She will participate in the Qui Tam breakout session titled, “Health Law and the False Claims Act.”