James A. Cannatti III

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James A. Cannatti III practices at the intersection of today’s most pertinent healthcare issues, including in the areas of digital health, health IT policy, and the fraud and abuse laws. He counsels healthcare providers, health information technology companies, and other healthcare and life sciences organizations on matters ranging from Anti-Kickback Statute, Stark Law and EKRA compliance to information blocking and interoperability. With more than a decade spent in the Office of Inspector General (OIG) at the US Department of Health and Human Services, and the wealth of experience gained from serving as OIG’s Senior Counselor for Health Information Technology, James is well-attuned to the regulatory issues impacting the rapidly evolving healthcare landscape. Read James A. Cannatti III's full bio. 

HHS OIG Develops Toolkit to Analyze Telehealth Claims to Assess Program Integrity Risks

By , , , , and on Jun 13, 2023
Posted In Employee Benefits, Health and Welfare Plans

The US Department of Health and Human Services Office of the Inspector General (HHS OIG) recently unveiled a new toolkit that seeks to help analyze telehealth claims for federal healthcare program integrity risks. It is based on methodologies highlighted in OIG’s September 2022 data brief; the data brief identified billing practices by Medicare providers that...

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Pandemic Response Accountability Committee Report Highlights Telehealth Program Integrity Concerns

By , , and on Jan 18, 2023
Posted In Digital Health, Employee Benefits, Health and Welfare Plans

On December 1, 2022, the Pandemic Response Accountability Committee (PRAC) Health Care Subgroup issued its report on fraud, waste and abuse risks that arose as a result of the dramatic increase in telehealth services provided during the COVID-19 pandemic. The PRAC was created under the CARES Act to oversee the historic spending that was part of the...

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DOJ’s Enforcement Activity Against Individuals: Acute Focus on Telemedicine

By , and on Jun 12, 2019
Posted In Benefit Controversies, Health and Welfare Plans

DOJ’s focus on individual accountability is particularly important with respect to telemedicine. Telemedicine is a burgeoning field, with a projected market increase of 18% annually over the next six years, reaching $103 billion in 2024. In light of this recent surge in profitability, DOJ has begun paying extra attention to telemedicine, with at least one...

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