Category Archives: Compliance

FLSA Overtime Rule Hearing Decision Expected Next Week

UPDATE: A ruling is expected to be issued on November 22, National Law Review reported. Another hearing trial could be set on November 28 if the motion is denied, NLR reported. This doesn’t leave much time to wait out whether … Continue reading

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Mother, Son Face Prison Time for Pharmacy Fraud

A mother and son based in Miami were sentenced today to 120 months and 30 months in prison, respectively, for their roles in spearheading a $9.5 million health care fraud conspiracy that targeted Medicare Part D. Assistant Attorney General Leslie … Continue reading

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Senators Demand Mylan Repay $50M to the Pentagon for EpiPen

A group of senators wants to know if Mylan Pharmaceuticals will refund $50 million for charging the Department of Defense “exorbitant rates” at retail pharmacies for the EpiPen emergency allergy device. Their demand followed a Reuters report last week that Pentagon spending … Continue reading

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Feds Probing Express Scripts’ Relationships with Drugmakers, Specialty Pharmacies

Federal investigators are looking into Express Scripts’ dealings with pharma companies, charitable foundations and specialty pharmacies. The nation’s largest pharmacy benefit manager on Tuesday revealed it received a civil investigative demand in August from the U.S. Attorney’s Office for the Southern … Continue reading

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2017 Trial for Alleged Leader in $1B Health Care Fraud

A fall 2017 trial date is set for a South Florida businessman accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme. Court records show a Miami federal judge on Wednesday scheduled 48-year-old Philip Esformes’ trial for Sept. 18. … Continue reading

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Walgreens Clinical Pharmacy Manager Pleads Guilty to Fraud Scheme

On Oct. 25, 2016, Amber Reilly, 33, of Jonesborough, Tenn., pleaded guilty to one count of healthcare fraud contained in a federal information, before the Honorable J. Ronnie Greer, U.S. District Judge.  Reilly was the former Clinical Pharmacy Manager at … Continue reading

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Former American Senior Communities Executives Indicted

United States Attorney Josh J. Minkler announced the indictment of four individuals for their roles in a vast fraud, kickback, and money laundering scheme involving Indiana nursing home chain American Senior Communities (ASC).  Those charged include James Burkhart, 51, of Carmel, … Continue reading

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Lifecare Settles Whistleblower Lawsuit for $145 Million

Life Care Centers of America Inc. (Life Care) and its owner, Forrest L. Preston, have agreed to pay $145 million to resolve a government lawsuit alleging that Life Care violated the False Claims Act by knowingly causing skilled nursing facilities … Continue reading

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AARP Sues US Agency Over Wellness Incentive Rules

A lobbying group representing older Americans sued the Obama administration on Monday claiming regulations for programs designed to rein in employee health care costs will subject workers to invasions of their medical privacy. Rules released in May by the U.S. … Continue reading

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OCR Announces HIPAA Settlement and New Initiative for Smaller Breaches

The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) recently settled with Advocate Health Care Network (Advocate), one of the largest health systems in the country.  Advocate agreed to pay $5.55 million and implement corrective actions … Continue reading

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