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8 Aug 2012, 10:40 am by Dave Restaino
  The defendants were caught when the services billed exceeded the volume of chemotherapy drugs actually purchased from suppliers, and the activities were made worse by efforts to cover up the fraud in advance of a scheduled audit. [read post]
8 Aug 2012, 10:40 am by Dave Restaino
  The defendants were caught when the services billed exceeded the volume of chemotherapy drugs actually purchased from suppliers, and the activities were made worse by efforts to cover up the fraud in advance of a scheduled audit. [read post]
8 Aug 2012, 10:40 am by Dave Restaino
  The defendants were caught when the services billed exceeded the volume of chemotherapy drugs actually purchased from suppliers, and the activities were made worse by efforts to cover up the fraud in advance of a scheduled audit. [read post]
Finally, regulations have been issued to permit hospitals and health systems to donate cybersecurity technology to physician practices. [read post]
8 Nov 2012, 7:43 am by The Health Law Firm
  Often Medicare fraud criminal charges arise out of routine Medicare audits, probe audits, or patient complaints.The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, home health care agencies, nursing homes, group homes and other healthcare providers in Medicaid and Medicare investigations, audits and recovery actions.To contact The Health Law Firm please call (407) 331-6620 or (850) 439-1001 and visit… [read post]
8 Jul 2021, 10:39 am by Peter Briccetti
Beverly Brouse, the former Director of Internal Audit at AGHS, blew the whistle on AGHS under the qui tam provisions of the False Claims Act. [read post]
8 Jul 2021, 10:39 am by Peter Briccetti
Beverly Brouse, the former Director of Internal Audit at AGHS, blew the whistle on AGHS under the qui tam provisions of the False Claims Act. [read post]
8 Jun 2012, 6:55 am
The criminal charges were related to Orthofix's failure to disclose information concerning certificates of medical necessity, during a June 2008 audit by a Medicare contractor. [read post]
29 Aug 2019, 8:08 am by Jerri Lynn Ward, J.D.
Therapy evaluation and treatment orders should have the appropriate therapist and physician signatures. ? [read post]
18 May 2009, 10:31 am
 The Idaho Statesman reports today that a Boise woman, Tina Lancaster has been indicted on 52 counts of health care fraud and obstruction of a federal audit. [read post]
8 Jul 2010, 2:41 pm by The Health Law Partners
OIG also alleged that United caused certain hospitals to submit claims for designated health services that resulted from prohibited referrals in violation of the Physician Self-Referral Law (Stark law). [read post]
28 Feb 2013, 4:43 am by David J. DePaolo
As is the Audit Unit’s existing practice, the Audit Unit will review all complaints received about this practice during the next random or targeted audit of any payor about whom such a complaint has been received. [read post]
27 May 2009, 6:46 am
  An annual coding and documentation audit with the help of a health care attorney and billing consultant is hands-down one of the best things you can do from a compliance standpoint and it need not be expensive. [read post]
30 Aug 2011, 8:43 am by Todd Rodriguez
All of these factors of course spell a potential “perfect storm” from a healthcare compliance perspective, so physicians and providers should take careful stock of there compliance efforts, including regular documentation and billing audits and a regular review of contractual arrangements to ensure compliance with applicable federal and state fraud and abuse legislation. [read post]
26 Jul 2012, 12:29 pm by jfreemire
Routine access audits are a must – it would have been better had the hospital caught the improper access before the physician began contacting patients. [read post]
26 Jul 2012, 12:29 pm by jfreemire
Routine access audits are a must – it would have been better had the hospital caught the improper access before the physician began contacting patients. [read post]
17 May 2023, 10:48 am by Michael R. Costa
For the better part of the last three years, many healthcare providers either voluntarily or by force have put many of the mandated HIPAA self-assessment audit requirements on the back burner. [read post]
24 Feb 2011, 5:44 pm by M. Scott Koller
Massachusetts General Hospital and its physicians organization have agreed to pay the federal government $1,000,000 to settle claims related to a worker leaving personal health documents on the subway. [read post]
24 Feb 2011, 5:44 pm by Scott Koller
Massachusetts General Hospital and its physicians organization have agreed to pay the federal government $1,000,000 to settle claims related to a worker leaving personal health documents on the subway. [read post]