According to the Office of Inspector General (OIG), the government’s primary civil tool for addressing health care fraud is the False Claims Act (FCA).  Most FCA cases are resolved through settlement agreements in which the government alleges fraudulent conduct and the settling parties do not admit liability. » Read More

The Office of Inspector General (OIG) recently posted a video entitled “Eye on Oversight Video: Corporate Integrity Agreements” that describes how providers accused of false claims or other health care fraud may settle their cases by entering into a Corporate Integrity Agreement (CIA) with the OIG. » Read More

Health care providers and entities routinely check the Office of Inspector General’s (“OIG”) List of Excluded Individuals and Entities (“LEIE”) prior to employing or entering into a contract with an individual to determine the exclusion status of the potential employee or contractor. » Read More

Physicians should be aware of the risks that accompany entering into arrangements with third-party diagnostic testing entities, also known as Mobile Diagnostic Testing Companies (“MDTC”).  Increasingly prevalent in recent years, MDTCs typically offer to perform certain diagnostic tests for physicians’ patients at his/her practice location. » Read More