New DOJ Memo Shifting Government Policy in False Claims Act Cases Should make Healthcare Providers Happy!

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

On January 29, 2018, the U.S. Department of Justice (DOJ) released a new internal memorandum that we believe signals a backing-off of government support for False Claims Act cases. The memorandum sent by Associate Attorney General Rachel Brand, references “vast reams” of government agency guidance explaining the government’s views and interpretation of various laws. It includes laws related to requirements for accurate billing of Medicare and Medicaid by healthcare providers.

The “Brand Memorandum.”

In the memo, Brand said the DOJ “may not use its enforcement authority to effectively convert agency guidance documents into binding rules.” The memo is a product of Attorney General Jeff Sessions’ move in November 2017, to curtail “regulation by guidance.”

It states that it specifically applies to civil enforcement of laws, […]

Former Oral Surgeon Gets House Arrest for Defrauding Medicaid

George Indest HeadshotBy George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law
On July 14, 2016, a former oral surgeon in Oklahoma was sentenced to six months’ house arrest for fraudulently billing Medicaid for anesthesia services that were performed by unlicensed dental assistants. W. Scott Harrington, whose dental practice led to thousands of patients’ being tested for HIV and Hepatitis, pled guilty in April 2016 to money laundering and agreed to pay nearly $30,000 in restitution under an agreement with federal prosecutors. He was also sentenced to two years’ probation and ordered to pay a $20,000 fine within one month.

It is actually quite remarkable that he did not get any prison time, given the facts of the case.

Unsanitary Clinic Conditions Found.

In 2013, Harrington’s two Tulsa area clinics were shut down due to unsanitary conditions. State health […]

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