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June 30, 2022 | New York Law Journal

The Anti-Kickback Statute's Role in Health Insurance Fraud Cases

The AKS and FCA are two of the most important federal fraud and abuse laws applicable in the health care context and, when acting in tandem, their power is multiplied.
10 minute read
June 17, 2022 | New York Law Journal

The FTC's Newest Focus: 'Preventing Digital Deception'

The FTC's recent activities on a variety of privacy issues demonstrate that the FTC is aware of and intends to address privacy online.
10 minute read
May 06, 2022 | New York Law Journal

The FTC/CafePress Settlement as Guidance for Businesses

The framework provided in the CafePress settlement emphasizes that accuracy and honesty is the best policy when it comes to data security and privacy.
8 minute read
May 06, 2022 | Law.com

Using Process Improvement and LPM for Competitive Advantages in Pricing and Fee Arrangements

This article explores the connection between process improvement, project management, and pricing. Clients want budget predictability, options in fee arrangements, and value. The firms that do this well, regardless of their size or location, will have the competitive advantage.
10 minute read
May 05, 2022 | New Jersey Law Journal

Geico Lodges $2.3 Million RICO Suit Against Clinic

This suit was surfaced on Law.com Radar. Read the document here.
1 minute read
May 05, 2022 | New York Law Journal

Rule 9(b) Pleading Requirements Under the False Claims Act

The governing law in the U.S. Court of Appeals for the Second Circuit, including the need to plead representative examples of fraudulent claims, derives from the Second Circuit's decision in 'U.S. ex rel. Chorches v. American Medical Response'.
10 minute read
April 18, 2022 | New York Law Journal

FTC Appears Ready To Begin Enforcing Its Health Breach Notification Rule

Although the Health Breach Notification Rule has long been available to the FTC, the FTC has not actively enforced it. However, the FTC now appears to be poised to changing its approach. It has signaled renewed interest in the Rule, largely in recognition of the evolution of technology and health care since the Rule's passage that has caused an explosive expansion of the amount of health data collected by organizations and entities that are not otherwise governed by HIPAA and its progeny.
10 minute read
March 03, 2022 | New York Law Journal

The Opioid Crisis: An Epidemic Exacerbated by Fraud

As Michael A. Sirignano discusses in this edition of his Insurance Fraud column, opioid fraud (or allegations of such fraud) reaches into nearly every segment of the industry, from prescribing physicians and medical staff to pharmacies, and results in significant financial losses to private insurance carriers and government health insurance programs including Medicare and Medicaid.
10 minute read
February 28, 2022 | New Jersey Law Journal

NEW PARTNERS YEARBOOK 2022

Congratulations to these new partners, made and hired laterally over the past year.
52 minute read
February 14, 2022 | New York Law Journal

When Opportunity Knocks: Paid Market Research Survey Offers and the TCPA

Among the many TCPA-related issues that courts across the country have faced in recent years is one that recently divided the U.S. Courts of Appeals for the Second and Third Circuits: Does an unsolicited faxed invitation to participate in a market research survey in exchange for money constitute an "unsolicited advertisement" under the TCPA? Shari Claire Lewis explores the case law in this edition of her Internet Issues/Social Media column.
9 minute read

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