Can a 40-year-old fraud and abuse law that compared to many others is relatively straightforward still get providers into trouble? Answer: You bet! In fact, in the first quarter of 2022 alone, the U.S. Attorney for the...more
4/19/2022
/ Best Practices ,
Civil Monetary Penalty ,
Enforcement Actions ,
False Billing ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
List of Excluded Individuals/Entities (LEIE) ,
Medicaid ,
Medical Reimbursement ,
Medicare ,
OIG ,
Settlement Agreements
Doctors, nurses, hospitals and other health care providers, should know that the pandemic has not deterred federal or state authorities from prosecuting false claims, HIPAA and other types of enforcement actions in...more
11/4/2020
/ Anti-Kickback Statute ,
Coronavirus/COVID-19 ,
Department of Justice (DOJ) ,
Drug Distribution ,
Enforcement Actions ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
HIPAA Breach ,
Infectious Diseases ,
Medicaid Reimbursements ,
Medicare Billing Privileges ,
OxyContin ,
Pain Management ,
PHI ,
Restitution
Medicare Part A and B providers and suppliers should take note of new regulations recently issued by the Centers for Medicare & Medicaid Services that implement the Affordable Care Act’s 60-day rule on reporting and returning...more
3/5/2016
/ 60-Day Rule ,
Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Civil Monetary Penalty ,
False Claims Act (FCA) ,
Final Rules ,
Health Care Providers ,
Look-Back Measurement Period ,
Medicare Part A ,
Medicare Part B ,
New Regulations ,
OIG ,
Overpayment ,
Proposed Rules ,
Provider Self-Disclosure Protocol ,
Reporting Requirements ,
Self-Referral Disclosure Protocol