Categories
FCPA Compliance Report

Mary Inman on Top FCA Recoveries and Issues from 2022

Welcome to the award-winning FCPA Compliance Report, the longest-running podcast in compliance. In this episode, I am joined by with Mary Inman, a partner at Constantine Cannon. We discuss the recently released US Fraud statistics and preventative measures with Inman. Inman explains that the US Department of Justice put out statistics on the False Claims Act for 2022, with healthcare dominating the recovered funds. Inman discusses how whistleblowers can still launch cases, even if the government does not join in, and encourage listeners to report fraud to their respective insurance departments if it later results in higher premiums for their organizations.

Key Topics:

·      The Increase of Managed Care Plans in Medicare [00:04:16]

·       The Power of Whistleblowing and the Impact of Joining Government Cases [00:08:19]

·      Medicare and Medicaid Fraud in California and Florida [00:12:21]

·       Impact of Insurance Fraud on Premiums [00:16:44]

·      The False Claims Act and the Escobar Decision [00:26:09]

Notable Quotes

1.      “And they were basically paying kickbacks to their they know who the physicians are, who are the largest prescribers of their drugs. And they were paying kickbacks to encourage them to basically discourage them from prescribing their competitors’ products and to direct it to them.”

2.     “What happened here is that Mallinckrodt improperly calculated their rebate by claiming that the drug they developed in 1990 was a new drug in 2013. And so that allowed them to greatly decrease the amount of the rebate they would have owed to the Medicaid program.”

3.    “It’s another kind of false billing scenario. It was notable to me that we had 2 big settlements.”

4.     “The whistleblower had accused the Association of shifting costs that it shouldn’t have reimbursed onto the Florida Medicaid program.

 Resources:

Mary Inman on Linkedin

Constantine Cannon

Tom Fox on LinkedIn

Categories
Blog

Cookies, Compliance and GDPR

Are you feeling overwhelmed by GDPR enforcement and data privacy regulations? Are you concerned about the implications of big tech companies, such as Facebook and Instagram, on the data privacy of your customers? The recent fines imposed on Meta, formerly known as Facebook, of €210,000,000 for Facebook and €180,000,000 for Instagram has created a ripple of concern across the globe. I recently had the opportunity to visit with Jonathan Armstrong, partner at Cordery Compliance to explore the implications of this ruling and provide practical steps that organizations can take to ensure they are abiding by GDPR compliance. Be prepared to take a deep dive into the world of Cookie and Online Behavioral Advertising, and learn how to protect your customer data.

Armstrong outline the three steps you need to follow to also get compliance and transparency:

  1. Be transparent about how you handle personal data.
  2. Look at your legal basis for processing data.
  3. Look at any argument based on necessity carefully.

Be transparent about how you handle personal data.

Step 1 for GDPR compliance is to be transparent about how you handle personal data. In order to do this, organizations need to understand what data is being processed, where it is being stored, and how it is being used. Transparency is a core element of GDPR and companies need to ensure that they are providing clear information about their data processing activities to customers and other users of their services. Organizations need to look at the data flows to and from their services, as well as any third parties they are working with, in order to be fully transparent about what personal data they are collecting and how they are using it.

Companies should also look at the legal basis for processing data to ensure that it is compliant with GDPR. Furthermore, organizations should be careful to make sure that any arguments they make based on necessity are supported with evidence to prove that their use of data is necessary. Finally, companies should be aware of the potential risks of online advertising, particularly with big tech companies like Facebook and Instagram, and be cautious when booking online advertising campaigns.

Look at your legal basis for processing data.

Step 2 is to review the legal basis for processing data. To do so, you will need to go through your data processing activities and determine what the legal basis is for each of them. This can be done through a data inventory, which is a list of all the data you are collecting and using. This will help you to identify if you are processing data based on consent, contractual obligation, or some other legal basis.

Once you have identified the legal basis, you will need to make sure that the basis is GDPR compliant. This means that you must ensure that the legal basis is legitimate, freely given, and specific. You must also make sure that you are transparent with individuals about how their data is being used, that they have the right to access and control their data, and that you are providing adequate security for the data. Finally, you must ensure that you have the right processes in place to ensure that any data you are processing is done so in accordance with GDPR.

Look at any argument based on necessity carefully.

When looking at any argument based on necessity, it is important to look at it carefully in order to determine if it meets the requirements of GDPR. Necessity is defined in GDPR as the process of processing personal data necessary for the performance of a contract, or necessary for compliance with a legal obligation, or necessary for the purposes of legitimate interests pursued by the controller or by a third party, except where such interests are overridden by the interests or fundamental rights and freedoms of the data subject.

When analyzing an argument based on necessity, it is important to take into account the specifics of the situation, and to ensure that the data processing is indeed necessary for the purpose it is being used for. Additionally, it is important to consider the rights of the data subject, and to ensure that any processing of their data does not override their fundamental rights and freedoms. If the argument is found to be valid and necessary, it is important to ensure that the data is processed in a transparent and secure manner, in accordance with the GDPR requirements.

For more information, check the podcast I did with Jonathan on this topic on Life with GDPR. Check out Cordery Compliance here.

Categories
Daily Compliance News

February 27, 2023 – The Maximum Pain Edition

Welcome to the Daily Compliance News. Each day, Tom Fox, the Voice of Compliance, brings you compliance-related stories to start your day. Sit back, enjoy a cup of morning coffee, and listen to the Daily Compliance News. All from the Compliance Podcast Network. Each day we consider four stories from the business world, compliance, ethics, risk management, leadership, or general interest for the compliance professional.

Stories we are following in today’s edition of Daily Compliance News:

  • Indonesia wants its share of the bribery fine. (FT)
  • FATF suspends Russia. (WSJ)
  • New levels of sanctions against Russia. (WSJ)
  • Roger Ng begs for mercy. (Reuters)

Categories
Because That's What Heroes Do

Picard Season 2, Episodes 1-4

In this podcast series, two complete MCU fans, Tom Fox, founder of the Compliance Podcast Network, and Megan Dougherty, co-founder of One Stone Creative, indulge in a passion for all things in the Marvel Cinematic Universe by re-watching each movie and then podcasting on every movie in the MCU. However, we will go in a different direction over the next three episodes and review Picard Season 2. In this podcast, we take up the first four episodes.

Key Highlights

Episode 1-Synopsis [1:16]

Episode 1-Commentary [2:41]

Episode 2-Synopsis [13:28]

Episode 2-Commentary [14:50]

Episode 3-Synopsis [23:38]

Episode 3-Commentary [24:58]

Episode 4-Synopsis [33:14]

Episode 4-Commentary [35:28]

Next time, we will continue our deep dive into Picard Season 2 by looking at episodes 5-8.

Categories
Sunday Book Review

February 26, 2023 – The Bribery Edition

In the Sunday Book Review, I consider books that interest the compliance professional, the business executive, or anyone curious. It could be books about business, compliance, history, leadership, current events, or anything else that might interest me. In today’s edition of the Sunday Book Review, we consider some of the top books on bribery which every compliance professional should read in 2023:

·       The Ethics of Bribery Theoretical and Empirical Studies by Robert W. McGee and Serkan Benk

·       The UK Anti-Bribery Handbook by Christopher Sallon and Sam Tate

·       Bribery and Corruption in International Business: Cases, Causes, and Cures by Rajib Sanyal

·       Anti Bribery A Complete Guide – 2020 Edition by Gerardus Blokdyk

Resources

Best New Bribery Books To Read In 2023 on BookAuthority.org

Categories
Because That's What Heroes Do

Spiderman – No Way Home

In this podcast series, two complete MCU fans, Tom Fox, founder of the Compliance Podcast Network, and Megan Dougherty, co-founder of One Stone Creative, indulge in a passion for all things in the Marvel Cinematic Universe by re-watching each movie and then podcasting on every movie in the MCU. If you want to indulge in your love for the MCU with two fans passionate about all things MCU, this is the podcast series for you. For this offering, we consider the movie Spiderman-No Way Home.

Some of the highlights include:

Ø  The story synopsis.

Ø  What are the key plot points?

Ø  What were some of our favorite cookies?

Ø  How does this movie fit into the overall MCU?

Ø  How is this movie a homage to prior non-MCU movies?

Join us next time as we go in a different direction and begin deep diving into Picard Season 2.

Categories
Kerrville Weekly News Roundup

Kerrville Weekly News Roundup: February 25, 2023

Welcome to the Kerrville Weekly News Roundup. Each week, veteran podcaster Tom Fox and his colleagues Andrew Gay and Gilbert Paiz get together to go over a couple of their favorite stories from the past week from Kerrville and the greater Hill Country. Sit back, enjoy a cup of morning coffee and listen in to get a wrap up of the Kerrville Weekly News. We each consider two of our favorite stories and talk about the upcoming weekend’s events which will enjoy or participate in this weekend.

In this episode, Tom, Gilbert and Andrew discuss the following stories which caught their attention over the past week.

·      Tom talks about the meeting of the Library Board and the great Kerrville music scene.

·      Andrew talks about the Kerrville music scene, a new fast-food joint coming to town and the approval of long-term rental apartment construction in town.

Resources

Tom Fox on LinkedIn

Gilbert Paiz on LinkedIn

Andrew Gay on LinkedIn

Texas Hill Country Podcast Network

Why Your Business Needs a Podcast, lunch workshop, March 3

Categories
Daily Compliance News

February 25, 2023 – The Ozy Fraud Edition

Welcome to the Daily Compliance News. Each day, Tom Fox, the Voice of Compliance, brings you compliance-related stories to start your day. Sit back, enjoy a cup of morning coffee, and listen to the Daily Compliance News. All from the Compliance Podcast Network. Each day we consider four stories from the business world, compliance, ethics, risk management, leadership, or general interest for the compliance professional.

Stories we are following in today’s edition of Daily Compliance News:

  • China is now targeting financial elites with corruption charges. (South China Daily News)
  • NY AG sues the crypto platform. (WSJ)
  • SBF faces additional charges. (WSJ)
  • Carlos Watson was criminally charged with fraud. (WSJ)
Categories
Compliance Kitchen

Compliance Kitchen – Navigating OFAC’s Latest Guidance on Russia’s Metals and Mining Sector

The Compliance Kitchen, hosted by Silvia Surman, is a podcast that examines and evaluates the changing legal framework of international compliance. In this episode, Silvia examines OFAC’s brand new determination concerning the metals and mining sector of the Russian Khanate. She provides listeners with an FAQ about the determination and explains that it authorizes certain energy-related transactions or if General Licensed 6C only authorizes those activities. Silvia further elaborates that the license authorizes transactions related to the production, manufacturing, sale, transport, or provision of medicine and medical devices. Tune into Compliance Kitchen to stay updated with the evolving legal framework of international compliance.

Notable Quotes

1. “This February 24 determination authorizes sanctions on any person that the government determines to operate or have operated in the metals and mining sector of the Russian economy.”

2. “OFAC does not intend to target persons for operating in this metals and mining sectors where the provision of their goods and services is solely for safety and care of personnel protection of human life, prevention of accidents or injuries, maintenance, necessary repairs, to avoid significant or environmental damage or activities that are related to environmental mitigation or remediation.”

3. “Non-US persons generally do not risk exposure to US blocking sanctions. Under executive order 14024 for engaging in transactions with black persons, including in the metals and mining sector where those transactions would not require a license if a US person were engaging in the transactions.”

4. “Non-US persons generally do not risk exposure to US blocking sanctions if they engage in transactions in the mining and metals sector. If General License 8F would normally authorize such transactions as in Frank. That 1 authorizes certain energy-related transactions or if General would only authorize those activities Licensed 6C. That license authorizes certain transactions related to the production, manufacturing, sale, transport, or provision of medicine, medical devices, including certain industrial isotopes used in nuclear medicine.”

Categories
Investing in the Future

Investing in the Future – Episode 3 – Wynita Yancy

How do small towns and rural counties invest in their future? Tom Fox and Andrew Gay explore this topic in their new podcast series Investing in the Future – Developing Leadership in Kerr County. Leadership Kerr County is the premier leadership program in the Hill Country which enables men and women to learn more about the issues and topics that face Kerrville, Kerr County, and the Hill Country daily; everything from education and social services to economic development and health care. Kerr County has decided to invest in its citizens to create future leaders and lay a foundation for their future involvement in the leadership of Kerrville and Kerr County. This podcast is produced and hosted by the Texas Hill Country Podcast Network.

In our 3rd episode, we chat with Wynita Yancy, a current class participant in Leadership Kerr County. Wynita is currently the Director of Marketing and Community Relations at The Hill Country Youth Ranch just outside Kerrville, Texas. Wynita is originally from Chicago and has been here in the Texas Hill Country just over a year now and takes great pride in the impactful work she is doing here for The Hill Country Youth Ranch, the kids’ lives they serve, and in our local community.

Highlights include:

-What led Wynita to find and apply to Leadership Kerr County?

-As a current class participant, what has been a standout experience thus far?

-What impact has the class had on her so far?

-In her perspective, what’s the difference between being involved in a community like Kerr County versus a larger community where she was involved previously (Chicago)?

Resources

Wynita Yancy on LinkedIn

Andrew Gay on LinkedIn

Tom Fox on LinkedIn

For information on The Hill Country Youth Ranch, go here