Health Care Fraud Report Index-Summary

ELDER ABUSE

– Cal. law needs reform to thwart abuse by in-home caregivers, report, 301
– HHS advisory board, nominations sought, 611
– Nursing home supervisor, abuse reported, retaliation (5th Cir.), 169

ELECTRONIC HEALTH RECORDS

– Anti-kickback laws, final rule for temporary certification, 545
– Incentive funds entice schemes, professionals say, 205
– Information technology incentives, meaningful use rule discussed, 816
– Outlook, 42
– Stark exceptions for e-records, comments sought on data collection burdens, 735

EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA)

See PATIENT DUMPING

EMERGENCY SERVICES

– EMTALA issues

See PATIENT DUMPING

EMPLOYMENT AND RECRUITING

– Hospitals

– – Accreditation, interim staffing effectiveness standards, 163
– – Contract, neurosurgeon, loan payments, remand (S.D. Cal.), 124

– Long-term care, CMS accepts grant applications for employee background checks, 495; six states receive grants, 832
– Qui tam suits

– – Job contracts, whistleblowers, 162
– – Motion to compel arbitration granted (N.D. Ohio), 748
– – OxyContin, marketing fraud, insufficient pleading (4th Cir.), 303; employment pact issue (U.S., rev sought), 740; (rev den), 837

– SNFs, failure to check exclusion list, Conn. facility fined, 409; employee sentenced (D. Conn.), 664
– Wrongful discharge

See RETALIATION

EMTALA (EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT)

See PATIENT DUMPING

END-STAGE RENAL DISEASE (ESRD)

– Ambulance services, unnecessary transports

– – Dallas, manager pleads guilty (N.D. Tex.), 294; owner pleads guilty, 843
– – Executive sentenced (S.D. Tex.), 511
– – Houston, owners sentenced (S.D. Tex.), 663

– False claims, dialysis services firm must repay $19.3M (M.D. Tenn.), 291
– Medicare, drug costs, bundled payment rates, IG, 736

ENFORCEMENT POLICY

– Anti-fraud reform, reality vs. rhetoric, Insight, 92
– Corporations, compliance professionals, Atty. Gen. Holder, Insight, 142
– Data sharing would help to fight fraud, report, 834
– Deferred- and nonprosecution pacts, accountability, 65
– False claims, criminal cases, increase discussed, 284
– FERA, effect discussed at conference, 284
– Improper payments to federal agencies

See LEGISLATION, FEDERAL, S 1508

– Individual fraud, Outlook, 41
– Medicare, state education and outreach urged, 494
– New York

– – Medicaid fraud, state office criticized, 35; task force appointed, 131
– – Southern district, civil fraud unit established, 286

– Office of Inspector General

See INSPECTOR GENERAL (IG), HHS

– Prosecutor details anti-fraud methods, Special Report, 184
– Self-referrals, DOJ predicted to litigate more Stark law cases, 496
– Trends, Special Report, 140

ESRD

See END-STAGE RENAL DISEASE (ESRD)

EVIDENCE

– Chemotherapy tests, Medicare denial ignored evidence (W.D. Pa.), 794
– Discovery

See DISCOVERY

– Fraud case, defendant doctor denied medical board files (Tex. Ct. App.), 516
– Hospital billing fraud, discovery of DOJ memos (D. Idaho), 169
– Pediatrician's seized patient files, suppression vacated (6th Cir.), 521
– Protective order to limit use of documents granted (E.D. Mich.), 556
– Qui tam relators may use documents obtained by state enforcers (S.D. Tex.), 612
– Wheelchairs unnecessary, evidence did not support claim (S.D. Tex.), 844

EXCLUSIONS AND TERMINATIONS

– Cardiologists' suit alleging hospital kickbacks dismissed (S.D. Tex.), 618
– Company chart, program exclusions, 91; 183; 263; 353; 433; 529; 634; 714; 772; 861
– Digests of recent decisions of Civil Remedies Division

See DEPARTMENTAL APPEALS BOARD

– “Excluded persons”

– – IG authority

See LEGISLATION, FEDERAL, HR 6130

– – Preparations for listings urged, 499

– Hospital's suspension of doctor reportable to federal data bank (11th Cir.), 800
– Medicaid enrollment analysis, excluded providers, IG report, 446
– OxyContin misbranding, drug firm executives (D.D.C.), 119
– PPACA, terminated providers, CMS notice, 547
– Self-referrals, exceptions for whole and rural hospitals, CMS proposed rule, 607
– SNFs, failure to check employee exclusion list, Conn. facility fined, 409; employee sentenced (D. Conn.), 664

EYE CARE

– Cataract surgery

– – False claims, patient vs. doctor and clinic (M.D. Fla.), 123
– – Unnecessary procedures alleged, qui tam suit dismissed in part (W.D. Wash.), 754