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The managing partner of the Miami office for Direct Access Partners (“DAP,” a U.S. based broker-dealer), Ernesto Lujan, was arrested at his home in Wellington, Florida, today on felony charges of conspiring to violate the Foreign Corrupt Practices Act in connection with a bribery and kickback scheme involving the Banco de Desarallo Economico y Social Read more →

The Florida Department of Health closed an investigation against a Registered Nurse represented by the Firm after a panel of the Board of Nursing found no probable cause to believe the nurse acted improperly in connection with the death of patient. The Firm investigated the preliminary complaint against the nurse and prepared a rebuttal that Read more →

Earlier today, the OIG launched an online submission process for its voluntary Self-Disclosure Protocol. This online disclosure tool is designed to make it even easier for providers who wish to voluntarily disclose self-discovered evidence of potential fraud to OIG. According to the OIG’s associated press release, “Self-disclosure gives providers the opportunity to avoid the costs Read more →

On May 17, 2013, HHS published a rule change that will allow state Medicaid programs to use federal funds to data mine for erroneous and false claims. The rule change is expected to generate an estimated $60 million in additional recoveries over the next decade. In order to obtain a portion of the approximately $12 Read more →

In order to avoid erroneous billing practices for “New Patient” Evaluation and Management services, CMS issued Change Request 8165 which informs Medicare contractors about changes to Medicare’s Common Working File system that detects errors in billing.  According to Medicare manuals, “New Patient” is defined as: a patient who has not received any professional services, i.e., Read more →