Daniel Meier

Daniel Meier

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OIG Publishes Special Fraud Alert Regarding Laboratory Payments To Referring Physicians – Some Arrangements May Violate the...

The laboratory market has become quite competitive in recent years, raising compliance concerns and investigations into lab relationships with referring physicians. Accordingly, on June 25, 2014, the OIG released a Special...more

6/30/2014 - Clinical Laboratories Fraud OIG Physicians

The Halifax $85 Million Lesson: Compensation Arrangements Between Hospitals and Physicians Must Be Reviewed

The Department of Justice (“DOJ”) announced another multi-million dollar settlement of alleged False Claims Act violations on March 11, 2014. Specifically, Halifax Hospital Medical Center and Halifax Staffing, Inc. agreed to...more

6/10/2014 - Billing Corporate Integrity Agreement False Billing False Claims Act Halifax Hospital Healthcare Hospitals Medicare Patient Referrals Physician Medicare Reimbursements Qui Tam Relators Stark Law

Long Island Radiology Group Settles FCA Allegations That It Billed Medicaid And Medicare For Unnecessary Tests For $15.5M

A company operating diagnostic testing facilities in New York has agreed to pay $13.65 million to the federal government and $1.85 million to New York and New Jersey for a total of $15.5 million in penalties to settle claims...more

3/7/2014 - Corporate Integrity Agreement False Billing FCA HHS Kickbacks Medicaid Physician Medicare Reimbursements Whistleblowers

The UMPC – Highmark Dispute: The Beginning of the End of Medical Practices Using Hospitals’ Managed Care Contract Rates?

Recent trends across the country have health systems buying out private physician practices and reclassifying them as hospital-outpatient departments. There are a number of motivations behind these transactions, the greatest...more

3/3/2014 - Healthcare Healthcare Reform Hospitals

OIG Releases 2014 Work Plan

The OIG recently made available its 2014 Work Plan. The Plan identifies OIG focus areas and priority projects for the coming year. This post provides a brief summary of many of the new OIG projects for fiscal year 2014 to...more

2/10/2014 - Fraud and Abuse Healthcare Healthcare Fraud Medicare OIG

Medicare Physician Fee Schedule Expands Telehealth Coverage in 2014

The Centers for Medicare & Medicaid Services (“CMS”) recently released the final rule for Medicare’s Physician Fee Schedule for 2014 Calendar Year (“CY). While physicians are expected to see a 20.1% reduction to their...more

1/7/2014 - CMS Healthcare Medicaid Medicare Physician Fee Schedule Physician Medicare Reimbursements Telehealth Telemedicine

NYS Identifies $496 Million in Medicaid Home Health Erroneous Payments

On October 30, 2013, the New York State Office of the Medicaid Inspector General (“OMIG”) issued a press release that New York recovered $211 million from the federal government out of an identified $496 million in Medicaid...more

10/31/2013 - Home Health Care Medicaid Medicare OMIG Overpayment

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