Make this mistake, and you’ll find sharper enforcement teeth from DOL, FLSA and the IRS. Yikes. If your home health or hospice company is trying to cut some corners by classifying some of its employees as “independent contractors,” watch out:…
Continue reading...5. March 2010
Add “Department of Homeland Security” to the list of federal agencies who are interested in your health care organization’s compliance efforts. As if you didn’t have enough to keep an eye on with the EHR revolution, the health care reform…
Continue reading...15. March 2010
… that they’ve got to wear shades. The rise of compliance and financial regulations is driving another rise — the need for compliance officers and financial personnel. According to a handbook recently released by the U.S. Department…
Continue reading...15. March 2010
‘Arthritis kit’ fraudsters make it harder for legitimate orthotics providers to do their business. If you’ve been reading about Medicare fraud schemes involving ‘arthritis kits,’ and like me, you’re wondering how these schemes work,
Continue reading...15. March 2010
Your quick-start guide to the OIG Exclusion List If you’re looking to a temporary staffing agency to help your facility through a nursing staff crunch, don’t forget to ask, “Do you check the HHS OIG’s Excluded Providers List”? Premier Medical…
Continue reading...5. March 2010
Hospital billing consultant knew exactly how to blow the whistle — and gets $613,000 for his trouble. Brookhaven Memorial Hospital Medical Center in Long Island, NY will pay the federal government $2.92 (excluding interest) to settle…
Continue reading...5. March 2010
Today’s the day you learn how much you know about the RACs, and how prepared you are for them to launch fishing expeditions into your claims. Last week, we posted this RAC quiz,…
Continue reading...4. March 2010
CEO says human error played a role in the alleged violation. What may have been only one coder’s mistake has ended with Connecticut-based Johnson Memorial Hospital paying the federal government $191,193 to settle allegations of fraud, the US…
Continue reading...1. March 2010
Question: Regarding recent posts about physician referrals, is it permissible for an imaging provider to give a gift certificate to a patient who refers a friend? Answer: Maybe, but there are definitely concerns with anti-kickback laws. Medicare…
Continue reading...1. March 2010
Lack of documentation for IRF services the crux of case The federal government gets a $2.8 million settlement from Mercy Medical Center after the hospital admitted it violated the False Claims Act some three years ago by…
Continue reading...28. February 2010
See if you know the score for how RACs operate. To find out if your RAC know-how is on the right track, answer the following questions: 1. The RACs are responsible for auditing which of the following (select one correct…
Continue reading...25. February 2010
Here’s where your electronic billing system may be grabbing overpayments by mistake. At first glance, they don’t look like much — two recent OIG reports, one examining oxaliplatin billing from a Seattle facility, and
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15. March 2010
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