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25 Jun 2009, 7:04 am
According to a statement by Secretary of HHS Catherine Sebelius in a June 24 HHS Press Release, "the Obama Administration is committed to turning up the heat on Medicare fraud... [read post]
9 Jul 2010, 8:58 am
According to a recent article in the Chicago Tribune, a group of orthopedic surgeons and Rush University Medical Center have been sued in a federal whistleblower lawsuit. [read post]
9 Dec 2008, 3:31 pm
Physicians enrolling in the Medicare program should be aware that Medicare recently changed the rules applicable to when a physician's enrollment is deemed to take effect. [read post]
16 Dec 2009, 6:57 am
In a 2008 report, the the Congressional Budget Office estimated that the savings from tort reform would amount to only about $4 Billion over the period from 2010 to 2019. [read post]
8 Aug 2012, 10:40 am
Recent press releases provide notice of activities that draw the government's ire -- and result in serious criminal consequences. [read post]
29 Dec 2015, 10:21 am
The federal Affordable Care Act requires certain employers to provide employees with forms reporting offers of health coverage and coverage provided by the employer in 2015 by no later than February 1, 2016. [read post]
20 Jul 2015, 5:12 am
You may have heard that CMS recently expanded its authority to deny enrollment and revoke the Medicare billing privileges of providers and suppliers. [read post]
28 Feb 2014, 4:43 pm
The drive for reduced costs and increased quality in the delivery of healthcare is an almost universally held goal among those in the industry. [read post]
22 Feb 2010, 5:49 am
According to an article in the Philadelphia Inquirer over the weekend, a total of 83 in the Philadelphia area have been charged in connection with an alleged scheme to stage automobile accidents and file false claims for insurance benefits. [read post]
26 Aug 2009, 10:31 am
The number of physicians seeking employment with hospitals seems once again to be on the rise and not surprisingly, physicians negotiating those arrangements will do their best to ensure that they are paid fairly for their services. [read post]
26 Oct 2010, 10:03 am
The recently enacted health reform law has ignited a great deal of public interest in rising health care costs and the underlying reasons for them. [read post]
27 Feb 2012, 2:28 pm
In June of 2011, I reported on this blog about a software program being launched by the federal Department of Health and Human Services to use a technology called predictive modeling to identify fraudulent and abusive billing practices on a prepayment basis. [read post]
8 Nov 2010, 5:26 am
Two recent Advisory Opinions by the Office of Inspector General (OIG) shed some much needed light of the OIG's view of marketing by health care providers. [read post]
18 Feb 2011, 2:48 pm
With what is likely to be one of the largest Medicare fraud take downs of its kind, the Federal Bureau of Investigation (FBI) announced yesterday that the Medicare Fraud Strike Force charged 111 defendants in nine cities for their alleged participation in Medicare Fraud schemes involving more than $225,000,000 in improper billing to the Medicare program. [read post]
16 Feb 2016, 11:37 am
The Affordable Care Act (ACA) requires Medicare providers to return overpayments within 60 days of the date they are identified in order to avoid liability under the False Claims Act. [read post]
30 Jan 2013, 2:04 pm
Today I am focusing on the self-referral ban under the federal Stark laws. [read post]
11 Jan 2010, 7:29 am
According to a Department of Justice Press Release, a Texas Hospital has agreed to pay the federal government close to a million dollars in settlement of allegations that the hospital violated the federal False Claims Act. [read post]
20 Sep 2012, 5:30 am
In my experience, many healthcare providers fail to take seriously the importance of fair market value in their business arrangements. [read post]
31 Oct 2012, 1:27 pm
This week the Office of Inspector General of the Department of Health and Human Services published Advisory Opinion 12-15 in which it blessed an on-call compensation arrangement between a hospital and specialist physicians on its staff. [read post]
29 Dec 2017, 1:15 pm
Fox Rothschild’s HIPAA & Heath Information Technology Blog recently published two posts directly relevant to physicians and medical practices. [read post]
