Category: Uncategorized

June 22, 2019 | otmseo

Health Care Fraud – What the Government Must Prove

Health Care Fraud is one of the most common white collar crimes charged by the Federal Government. The Health Care Fraud statute states: (a)Whoever knowingly and willfully executes, or attempts to execute, a scheme or artifice— (1) to defraud any health care benefit program; or (2) to obtain, by means of false or fraudulent pretenses, representations, […]

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March 15, 2018 | otmseo

How Medicare Providers can Fight a Medicare Recoupment

CHICAGO – Medicare and Medicaid providers are more often than ever facing audits from government agencies, regulators, or their surrogates. When contacted by any such an entity the first step is to determine your potential liability and exposure. Too many times, I have seen providers expose themselves needlessly to a criminal prosecution based on what started […]

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February 22, 2018 | otmseo

DOJ False Claims Act Policy Memo

Chicago – The Department of Justice issued an internal memorandum on January 10, 2018, which was soon released publicly and can be found here. The memorandum was quickly praised by the False Claims Act defense bar, but a reasoned review of the memorandum shows that the plaintiff bar should also welcome the policy statements outlined […]

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