Draft a regulatory compliance research memorandum evaluating Congressional amendments to the False Claims Act and their implications for healthcare provider client billing practices

Governing Statute or Amendment * Choose FCA provision... Amendments Act of 1986 - Qui Tam Provisions Health Insurance Portability and Accountability Act (HIPAA) 1996 FCA Amendments Fraud Enforcement and Recovery Act (FERA) 2009 Patient Protection and Affordable Care Act 2010 Anti-Kickback Safe Harbor Agriculture Appropriations Act 2018 Overpayment Provisions American Rescue Plan Act 2021 Cybersecurity Reporting Civil Cyber-Fraud Initiative (CCFI) 2021 ACA Section 6402(d) Overpayment Provisions 31 U.S.C. § 3729(a)(1) Liability Provisions 31 U.S.C. § 3730(h) Retaliation Protections Custom - Specify Other Amendment

Healthcare Provider Type * Select provider category... Multi-Hospital Health System (>1000 beds) Regional Medical Center (200-999 beds) Community Hospital (<200 beds) Critical Access Hospital (CAH) Academic Medical Center Federally Qualified Health Center (FQHC) Physician Practice Group (Multi-Specialty) Ambulatory Surgery Center (ASC) Skilled Nursing Facility (SNF) Dialysis Center Medicare Advantage Plan Pharmacy Chain (Government Contracts) Medical Device Manufacturer Healthcare IT Vendor

Billing Context Documentation *

Key Risk Areas * Identify risk area... Medicare/Medicaid Overpayment Identification Medical Necessity Documentation Deficiencies Upcoding Practices Unbundling of Services Enrollment/Eligibility Verification Provider-Based Billing Compliance Telehealth Service Claims Clinical Trial Billing Reference Laboratory Arrangements Stark Law and Anti-Kickback Overlaps Cybersecurity Incident Reporting Quality Metric Manipulation Electronic Health Record False Claims 340B Drug Pricing Compliance

Jurisdictional Parameters *

Enforcement Timeline * Choose limitation period... Standard 6-Year Limitation Period Extended 10-Year for Overpayment Statutes CCVI Cybersecurity Timeline (60-day reporting) 60-Day Limitation for Competitive Bidding Malpractice/Civil Damages 3-Year Limitation Potential Tolling Agreement Negotiation Pending DOJ Investigation (Indefinite) Self-Disclosure Protocol (60-day window)

Qui Tam Considerations Include qui tam factors?... No Qui Tam Factor (Pure Regulatory Analysis) First-to-File Advantage Analysis Public Disclosure Bar Exceptions Original Source Certification Internal Compliance Reports as Disclosure Employee Protection/Retaliation Claims Financial Stake Evaluation (Disclosure Formula) Parallel Civil/Criminal Investigation

Memorandum Output Format * Choose output style... Formal Legal Memorandum (Bluebook citations) Client Advisory Letter (Email format) Regulatory Guidance Document (25-page max) Executive Summary for Board (5 pages) Due Diligence Report for Transaction Settlement Evaluation Brief Litigation Strategy Memo Policy Impact Assessment

Additional Regulatory Cross-References

Professional Standards Compliance * Choose compliance standard... ABA Model Rule 1.1 Competence Standard ABA Model Rule 1.4 Client Communication ABA Model Rule 3.3 Candor to Tribunal Duty to Prevent Fraudulent/Frivolous Claims Attorney-Client Privilege Implications ABA Model Rule 5.1 Firm Governance ABA Ethics Opinion 489 (Government Counsel) Rule 11 Equivalent (Federal Court Requirements)

Privileged and Confidential Flags