Stacy L. Brainin

State Medicaid RAC Audits to Begin in 2012
Stacy L. Brainin,Bill Morrison,Michael L. Silhol, December 1, 2011
Medicaid providers will be subject to new audits by Medicaid Recovery Audit Contractors (RACs), beginning in January 2012. These new audits will be in addition to existing audits being conducted by Medicare RACs, Medicaid Integrity Contractors (MICs) and Zone Program Integrity Contractors (ZPICs),...

Senators Criticize OIG for Lack of Guidance on Physician Joint Ventures: Request Study on Physician Owned Distributorships
Stacy L. Brainin,Michael L. Hood,Bill Morrison,Michael L. Silhol, June 14, 2011
A bipartisan U.S. Senate committee has asked both the Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) for the U.S. Department of Health and Human Services to study the proliferation of physician owned distributorships (PODs), citing a lack of regulatory...

Supreme Court Holds FOIA Responses Trigger FCA Public Disclosure Bar
Stacy L. Brainin,Ronald W. Breaux,Ben Johnson,Jeremy D. Kernodle,Bill Morrison,Sarah Teachout, May 25, 2011
The Supreme Court recently held that a federal agency’s response to a Freedom of Information Act (FOIA) request could bar a later False Claims Act case based on the information disclosed. In Schindler Elevator Corp. v. United States ex rel. Kirk, 563 U.S. (2011), the Court held that a...