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Shipley News
July 2011

Feature Article

Electronic Data Systems - Wikipedia, the free encyclopedia
Its purpose is to provide IT and business process outsourcing (BPO) services in the . after merging with other EDS state and local non-healthcare groups. . claims processing and payment, fraud investigations, physician enrollment etc. in .

Combating Health Care Fraud, Abuse and Waste
Jul 19, 2012 . Fraud investigation programs - reactive auditors and investigations conducted when there are indications that health-care fraud has been .,-Abuse-and-Waste&id=7187094

Health Care White Collar Investigations - Butzel Long
Health Care Outsourcing . Health Care White Collar Investigations . Butzel Long's white collar criminal defense team handles health care fraud cases and .

Re-imagine Your Fraud, Waste and Abuse Management Strategy
Fraud and other improper payments drive up health care costs for everyone. . Special Investigations Unit (SIU) Outsourcing is becoming an attractive way of .

Outsourcing Investigations to the Suspects : CJR
May 23, 2011 . Outsourcing Investigations to the Suspects . to domestic investigations involving issues as varied as health-care fraud and shady accounting.

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Proposed and Recently Implemented NEPA Procedures

Healthcare Regulatory Enforcement & Fraud ... - Latham & Watkins
Latham & Watkins has defended US-based clients, including the largest hospital system in the country, in several of the largest healthcare fraud investigations .

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Health Care and Life Sciences | Skadden
Skadden is at the center of major health care and life sciences matters. . of potential violations of the False Claims Act (FCA) and health care fraud and abuse laws. . We have conducted internal investigations on behalf of boards of directors and . We advise health care clients in connection with the outsourcing of all types .

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Health Care Fraud & Abuse
As rules governing fraud and abuse continue to change, hospitals, physicians, and other . Health Care Fraud Investigations and Enforcement Alert | July 30, 2012 . Services, Trust Outsourcing & Consulting, Trusts & Estates Litigation, United .

Business Consulting Services | Business Advisory Services | Grassi ...
Our Certified Fraud Examiners work with organizations to help them understand their . Corruption and Bribery Investigations; Healthcare Fraud Investigations .

How employers can reduce the risk of fraud and improve their ...
Oct 1, 2011 . Howard Levinson, clinical fraud director, Special Investigations Unit, HealthLink. Health care fraud costs the nation more than $200 billion a .

Jesse A. Witten
Health Care Fraud Report: The Government's Investigation of Medicare Billing for ICDs . Hospital Compliance Programs Face Outsourcing Dilemma; 8/19/1999 .

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Trans1 Under Investigation for Alleged Healthcare Fraud - MPO ...
. Twitter | Facebook · Medical Product Outsourcing . Trans1 Under Investigation for Alleged Healthcare Fraud. Posted on December 19, 2011 @ 10:45 am .

Healthcare Anti-Fraud Coalition Formed - GovInfoSecurity
Jul 26, 2012 . The voluntary group includes healthcare organizations and . Against Insurance Fraud;; Federal Bureau of Investigations;; Health and . Vendor Management Part I: FDIC Explains How to Manage Your Outsourcing Risks .

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  • Audio and visual presentations
  • Fraud and Abuse - Mercer: Consulting. Outsourcing. Investments.
    As health care costs continue to rise to unprecedented heights, States are seeking new . for improving fraud and abuse prevention, detection, and investigation.

  • Self Check Quizzes (Test your knowledge along the way)
  • Final Quiz
  • Certificate of Completion

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Overview of healthcare fraud investigations in the US
What activities lead to healthcare fraud investigations. ?. Settlement of a healthcare . independent legal authorities. Recent examples of healthcare fraud investigations at the state . Collaborations, M&A and Outsourcing. Litigation and .


NEPA Tip of the Month

Effective Environmental Policy:

  • Carrie Valiant :: Epstein Becker & Green, P.C.
    Defending clients undergoing civil and criminal investigation for health care fraud by the Department of Justice, the Department of Health and Human Services .

  • ABA 22nd Annual National Institute on Health Care Fraud > FDA ...
    May 9, 2012 . ABA 22nd Annual National Institute on Health Care Fraud . Cartel Investigations & Litigation: Criminal & Civil · EU Competition Law · General . Business Process Outsourcing · Human Resources Outsourcing · Information .

  • Healthcare Investigations and Litigation | Practices | Dechert LLP
    Dechert lawyers regularly represent healthcare companies in a broad range of matters involving allegations of healthcare “fraud and abuse.” These matters .

  • State Required Fraud Training | GlobalOptions
    Comprehensive outsourcing programs. . GlobalOptions provides fraud training to all of a client's staff, nationwide. . The Use of Surveillance in Insurance Investigations; Healthcare Fraud; Life & Disability Insurance Fraud; Viatical Fraud . Fraud courses covering Life & Disability, Health Care, Auto Insurance, Workers' .

  • Healthcare Industry | Practices | King & Spalding
    King & Spalding represents healthcare companies involved in the delivery of . and civil healthcare fraud investigations in the Department of Defense healthcare .

Excerpt from “Collaboration in the NEPA Process (CNP)” workshop manual

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O. Benton Curtis III :: Epstein Becker & Green, P.C.
O. BENTON (BEN) CURTIS III is a Member of the Firm in the Health Care and . in their investigation and prosecution of health care fraud-related offenses in the .

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October - December 2011
Please visit our website

Federal and state government agencies partner with health care ...
Jul 30, 2012 . Health Care Fraud Investigations and Enforcement Alert . the Federal Bureau of Investigation, the Health and Human Services Office of the . Fiduciary Services, Trust Outsourcing & Consulting, Trusts & Estates Litigation .

Government Investigations and White Collar Defense - Holland & Hart
They are relentless advocates experienced in government investigations, litigation, regulatory matters, and . Government health care fraud investigations can lead to federal and state criminal . World Trade Center Outsourcing Conference, .

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Develop and negotiate co-development, co-promotion, outsourcing and other . and other state and Congressional health care fraud investigations and inquiries .[1].pdf

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Important Links

fraud investigator jobs in Missouri |
Insurance fraud, law enforcement, or military experience also helpful. Hourly . Sr . Special Investigation Unit Investigator Job Title: Sr. Special Investigation Unit . or audits that identify, evaluate and measure potential healthcare fraud. . functionality allowing LogistiCare to offer a complete outsourcing solution to our clients.

Services : Technology Law Source
. the sciences and engineering, healthcare, software industry, software design, . and computer forensics, data recovery, Internet and email investigations, and . investigations; IT outsourcing and business process outsourcing; Healthcare . Appellate Court Split On Scope of Computer Fraud and Abuse Act's Reach to .


American Health Lawyers Association
fraud and abuse laws - are today growing at rapidly accelerating rates. . What is obviously driving the outsourcing trend in health care is rapid system . not just that they may be exposed to a criminal investigation and prosecution, but that .

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The outsoucing health care fraud investagations Group

Healthcare | Fraud Prevention | Fraud Detection | Fraud Recovery
EDIWatch - is a leading provider of anti-fraud, waste and abuse (FWA) technology solutions exclusively to the healthcare payor industry.

Latham & Watkins LLP - Global Directory - Katherine A. Lauer
She has defended some of the country's largest and most high-profile civil and criminal government healthcare fraud investigations and qui tam cases, .

Jason E. Christ :: Epstein Becker & Green, P.C.
Defends a variety of health care entities in civil and criminal government investigations relating to health care fraud and abuse arising under anti-kickback laws, .

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Contact us at

Thomas H. Lee, II | Lawyers | Dechert LLP
Discussing Off-Label Related Investigations & Exposure . nursing homes, and other health care providers in government health care fraud investigations and .

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Remember that outsoucing health care fraud investagations can assist you with any aspect of your NEPA document(s)

Health Care | Industry Teams | Services | Foley & Lardner LLP
Foley's Health Care Industry Team has been named “Law Firm of the Year — Health . fraud and abuse matters, and other compliance-related investigations and . Outsourcing: Our attorneys have created technology and business process .

Improving Communication from the Federal Government to the Public
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Kerry M. Parker :: Epstein Becker & Green, P.C.
He also practices in the firm's Health Care Fraud and Abuse and Litigation/ Government Investigations Groups, which focus on federal and state fraud and abuse .

Alaap B. Shah :: Epstein Becker & Green, P.C.
Advises clients on federal and state data privacy and security laws; Advises clients on government investigations relating to health care fraud and abuse .

Gregory C Sicilian | People | King & Spalding
He is a member of the firm's Healthcare Practice Group and his practice focuses on the . Co-Author, Health Care Fraud Investigations: Avoiding Indictment and .

Lorna Smith, AHFI | LinkedIn
Experienced healthcare fraud Investigator and Manager with extensive knowledge . Healthcare fraud investigations, Fraud risk assessments, International investigations, Law enforcement liaison. . Fraud Operations Outsourcing Forum logo .

Ronald L. Wisor, Jr. - Our People - Hogan Lovells
In addition, he conducts internal investigations of health care companies under government scrutiny and in regulatory due diligence reviews for major merger, .

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Lillian S. Hardy - Our People - Hogan Lovells
Lillian's practice concentrates on health care fraud and abuse investigations involving alleged violations of the Anti-kickback Statute, the False Claims Act , and .


Gregory Harris Epstein :: Epstein Becker & Green, P.C.
Advises and assists health care entities in civil and criminal government investigations relating to health care fraud and abuse arising under anti-kickback laws, .