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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 .
http://en.wikipedia.org/wiki/Electronic_Data_Systems

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 .
http://ezinearticles.com/?Combating-Health-Care-Fraud,-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 .
http://www.butzel.com/health-care-practice-teams/

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 .
http://www.gdit.com/WorkArea/DownloadAsset.aspx?id=6442451856

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.
http://www.cjr.org/the_audit/outsourcing_investigations_to.php

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NEPA News

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 .
http://www.lw.com/practices/RegulatoryEnforcementAndFraudDefense


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  Forest Service Report on Sustainable Forests Offers Support for All-Lands Approach to Resource Management

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 .
http://www.skadden.com/practice/health-care-and-life-sciences


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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 .
http://www.nixonpeabody.com/health_care_fraud_and_abuse


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 .
http://www.grassicpas.com/services/consulting/

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 .
http://www.sbnonline.com/2011/10/how-employers-can-reduce-the-risk-of-fraud-and-improve-their-bottom-line/

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 .
http://www.drinkerbiddle.com/people/attorneys/witten-jesse-a

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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 .
http://www.mpo-mag.com/news/2011/12/19/trans1_under_investigation_for_alleged_healthcare_fraud

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 .
http://www.bankinfosecurity.com/healthcare-anti-fraud-coalition-formed-a-4988


Online Training Course
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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.
    http://www.mercer-government.mercer.com/pages/1394490

  • 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 .
https://www.morganlewis.com/pubs/PLCLifeSciences_OverviewHealthcare_2006-07.pdf

 

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 .
    http://www.ebglaw.com/showbio.aspx?Show=2759



  • 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 .
    http://www.morganlewis.com/index.cfm/bnodeID/3CCE52AD-FE8C-4C72-AF44-4AA98FEDE9B4/eventID/b74dde6d-dee3-4818-af7f-8b6f166a9295/fuseaction/event.detail



  • 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 .
    http://www.dechert.com/healthcare_investigations/



  • 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' .
    http://www.globaloptions.com/state-required-fraud-training



  • 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 .
    http://www.kslaw.com/health

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outsoucing health care fraud investagations

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September 27-29

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 .
http://www.ebglaw.com/showbio.aspx?Show=15517&PrintPage=True


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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 .
http://www.nixonpeabody.com/New_Health_Care_Fraud_Prevention_Partnership

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, .
http://www.hollandhart.com/services/uniEntity.aspx?xpST=ServiceDetail&service=907

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EPSTEINBECKERGREEN HEALTH CARE & LIFE SCIENCES ...
Develop and negotiate co-development, co-promotion, outsourcing and other . and other state and Congressional health care fraud investigations and inquiries .
http://www.ebglaw.com/files/46634_HCLS-IS-Pharmaceutical_med_device[1].pdf

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Important Links

fraud investigator jobs in Missouri | careerjet.com
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.
http://www.careerjet.com/fraud-investigator-jobs/missouri-388.html

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 .
http://www.technologylawsource.com/promo/services/

USU

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 .
http://www.murphyaustin.com/articles/Compliance_outsourcing.pdf


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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.
http://ediwatch.com/

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, .
http://www.lw.com/people/KatherineALauer

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, .
http://www.ebglaw.com/showbio.aspx?Show=2062


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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 .
http://www.dechert.com/thomas_lee/


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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 .
http://www.foley.com/health-care/

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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 .
http://www.ebglaw.com/showbio.aspx?Show=2540


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 .
http://www.ebglaw.com/showbio.aspx?Show=9204


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 .
http://www.kslaw.com/people/Gregory-Sicilian


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 .
http://www.linkedin.com/pub/lorna-smith-ahfi/7/131/600


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, .
http://www.hoganlovells.com/ron-wisor/



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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 .
http://www.hoganlovells.com/lillian-hardy/


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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, .
http://www.ebglaw.com/showbio.aspx?Show=14942