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Fraud Abuse and Waste

Goodwin

The Impact of Trump’s Executive Order on Eliminating Information Silos

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Hello, everyone. My name is Allan Medina. I am a partner in Goodwin’s Washington, DC, office, with a practice focus on government investigations. I’m here with Liza Craig, who is also a partner in the DC office. We are...more

Cozen O'Connor

Cozen Currents: Trump's Full Court Press

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“Despite the myriad factions among congressional Republicans, President Donald Trump has for the most part imposed his will on GOP lawmakers. He is now shifting his focus to the independent judiciary.” — Howard Schweitzer,...more

Fox Rothschild LLP

The EPA’s New Funding Hurdles: What to Expect

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A recent shift in EPA funding approvals has raised questions about potential delays in environmental projects, disaster response and clean energy initiatives. According to an AP report, all EPA division directors and deputy...more

McCarter & English Blog: Government Contracts...

A Contractor’s Guide to Successfully Navigating Non-Payment, Suspensions/Stop-Work Orders, Terminations for Convenience,...

Well, it is certainly an interesting time to be a federal government contractor. In the last few weeks, we have seen Executive Orders (EOs) flying fast and furious, and a lot of other activity impacting federal government...more

Cozen O'Connor

Enter DOGE: Trump Executive Order Formalizes DOGE and Directs Agencies on Next Cost Cutting Steps

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While it is not our intent to flood your inbox with articles, alerts, and analyses; the pace, breadth, and volume of actions by the Trump administration in its first month (not even 100 days) is nothing short of remarkable....more

Axinn, Veltrop & Harkrider LLP

Conspiracy Theories Newsletter, 2025 Edition: Predictions for Cartel Enforcement Under Trump 2.0

In many ways, criminal antitrust enforcement during President Trump’s first term illustrates what to expect under Trump 2.0. Among other highlights, the Delrahim DOJ obtained indictments and pleas involving public procurement...more

K2 Integrity

Ensuring Integrity In Disaster Recovery: Lessons From NYC Rapid Repairs

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In the wake of the devastating LA wildfires, the importance of stringent controls and oversight in disaster recovery efforts cannot be overstated. As we mobilize to rebuild and restore, it is crucial to learn from past...more

Health Care Compliance Association (HCCA)

[Event] Research Compliance Conference - June 2nd - 4th, Orlando, FL

Get the latest insights in research compliance - The risks and challenges that come with clinical research are unique, as are the abundance of government regulations and enforcers that oversee them. HCCA’s Research...more

Pillsbury Winthrop Shaw Pittman LLP

New Congress, More Scrutiny? Preparing for Congressional Oversight and Investigations

With unified Republican control and President-elect Trump in the White House, the new 119th Congress is certain to launch a wave of oversight activities. Organizations should prepare now for a high-stakes and unpredictable...more

Rivkin Radler LLP

HHS-OIG Issues Nursing Facility Compliance Program Guidance

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On November 20, 2024, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) released the “Nursing Facility ICPG,” an industry-specific compliance program guidance for nursing facilities....more

StoneTurn

Risk Awareness and Mitigation in Disaster Recovery: After a Catastrophe

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Natural disasters, while undoubtedly disruptive and damaging, can serve as powerful catalysts for organizational transformation if approached with foresight and strategic intent. As we’ve explored, successful post-disaster...more

StoneTurn

Risk Awareness and Mitigation in Disaster Recovery: Before, During and After a Catastrophe

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Business leaders and risk managers should always be prepared for the worst. As of October 11, 2023, the United States already experienced 24 separate “billion-dollar” weather and climate disasters in the calendar year,...more

StoneTurn

Risk Awareness and Mitigation in Disaster Recovery: During a Catastrophe

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In 2022, the United States experienced 18 separate weather and climate disasters costing at least one billion dollars according to NOAA. In 2023, that number rose to 28 separate billion dollar weather events. The frequency...more

Holland & Knight LLP

OIG Releases New Compliance Program Guidance for All Healthcare Stakeholders

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The Office of Inspector General of the U.S. Department of Health and Human Services (OIG) on Nov. 6, 2023, issued new General Compliance Program Guidance (GCPG) as a reference guide for the healthcare compliance community....more

Venable LLP

OIG Enhanced Review: OIG to Investigate the Life Cycle of Managed Care Contracts

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In August 2023, the Office of Inspector General for the Department of Health and Human Services (OIG) announced a new strategic plan to investigate the life cycle of Medicare Advantage and Medicaid managed care contracts from...more

Venable LLP

A Proposed New Regulatory Environment for Medicare Hospice Providers: Application of the 36-Month Rule, Increasing Enrollment...

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On July 10, 2023, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule (Proposed Rule) that would (i) include hospices in the 36-month rule ownership transfer restrictions that currently exist for home...more

Holland & Knight LLP

Information Blocking Enforcement Penalties Begin Sept. 1, 2023

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The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently posted the final rule establishing civil monetary penalties (CMPs) for information blocking (IB Enforcement Rule). The Rule...more

ArentFox Schiff

AI’s Increasing Role in the Health Care Delivery System: Key Legal Considerations

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No personal services are more important than health care. The use of artificial intelligence (AI), involving machines to perform tasks normally requiring human intelligence, is leading to an expansion of the term “personal.”...more

Oberheiden P.C.

DOJ Announces Launch of Puerto Rico and U.S. Virgin Islands (USVI) Environmental Crimes Task Force

Oberheiden P.C. on

On May 11, 2023, the U.S. Department of Justice (DOJ) announced the launch of its Puerto Rico and U.S. Virgin Islands (USVI) Environmental Crimes Task Force. This new task force will focus specifically on combating...more

Harris Beach Murtha PLLC

OMIG Fraud, Waste and Abuse Engagement Sessions Slide Presentation

The New York State Office of the Medicaid Inspector General (“OMIG”) conducted three statewide sessions to outline its audit process as it pursues its mission to prevent and detect fraud, waste and abuse in the Medicaid...more

Health Care Compliance Association (HCCA)

[Webinar] Healthcare Fraud, Waste, & Abuse Investigations - May 2nd, 12:00 pm - 1:30 pm CT

Learning Objectives - The importance of developing investigation standards - How to avoid regency bias when conducting investigations - Presenting your investigation findings to stakeholders (OIG, AG, MFCU, etc.)...more

Sheppard Mullin Richter & Hampton LLP

Attention New York Medicaid Providers: It’s Time to Upgrade Your Compliance Program

On January 31, 2023, the New York State Office of the Medicaid Inspector General (OMIG) released three guidance documents to assist Medicaid providers in meeting the requirements of recently adopted regulations governing (i)...more

Rivkin Radler LLP

OMIG Update: Compliance, Self-Disclosure, and Managed Care Fraud, Waste and Abuse Guidance Posted

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On the heels of publishing their final regulations, on January 31, the New York Office of the Medicaid Inspector General (OMIG) released a variety of guidance documents addressing compliance programs; self-disclosure; and...more

Rivkin Radler LLP

OMIG Update: Compliance, Self-Disclosure, and Managed Care Fraud, Waste, & Abuse Regulations Guidance Posted

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On the heels of the release of the final regulations on December 28, today, the Office of the Medicaid Inspector General just released guidance on Compliance Programs; Self-Disclosure; and Medicaid Managed Care Fraud, Waste...more

Rivkin Radler LLP

[Webinar] Lunch and Learn Series: OMIG's FINALIZED Regulations: What You Need to Do - NOW! - February 9th, 12:00 pm - 1:00 pm ET

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Please join us on February 9 as Partner Bob Hussar and Associates Ashley Algazi and Mary Connolly present on OMIG’s finalized regulations. On December 28th, the Office of Medicaid Inspector General (OMIG) released their...more

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