False Claims Act: Medically Unnecessary Medical Services
March 23, 2022
During the fiscal year ending September 30, 2021, the U.S. Department of Justice resolved a number of matters in which providers billed federal health care programs for medically unnecessary services or services not rendered as billed. For example, SavaSeniorCare LLC and related entities agreed to [...]
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False Claims Act: Kickbacks In The Health Care Industry
March 22, 2022
Kickbacks in the healthcare industry are pernicious because of their potential to subvert medical decision-making and to increase healthcare costs. In addition to pursuing improper payments by drug manufacturers, the department resolved other schemes involving the willful solicitation or payment of [...]
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GAO Report Regarding VA Community Living Centers
March 11, 2022
The United States Government Accountability Office (“GAO”) report entitled “VA Community Living Centers: Opportunities Exist to Strengthen Oversight of Quality of Care” that was publicly released on December 30, 2021 stated, in part: “VA provides care to about 9,000 vet[...]
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Emergency Department Medical Malpractice Statistics
February 24, 2022
A retrospective study of closed medical professional liability (MPL) claims involving adult patients cared for in emergency departments (ED) and urgent care settings from the Medical Professional Liability Association’s Data Sharing Project database from 2001 through 2015 identified 6,779 closed c[...]
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Surgery Malpractice Statistics
February 21, 2022
A report dated February 2022 by Coverys entitled “Surgery Risks: Through the Lens of Malpractice Claims” stated: “Each year in the United States, more than 48 million surgical inpatient procedures are performed and more than 35.8 million outpatient surgical procedures occur. The av[...]
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Adverse Events In Nursing Homes
February 20, 2022
The term “adverse event” describes harm to a patient or resident as a result of medical care. An adverse event indicates harm to the patient as a result of medical care, including the failure to provide needed care. Adverse events include medical errors but they may also include more general sub[...]
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