» Healthcare Compliance News – Home Care Compliance Update, Audit, Claims Act

15. March 2010

Don’t Misclassify Independent Contractors

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:…

5. March 2010

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Immigration Compliance: A Growing Concern for Health Care Employers

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…

15. March 2010

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Future’s So Bright for Healthcare Compliance Professionals …

… 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…

15. March 2010

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Texas HEAT Rounds Up More DME Medicare Fraud

‘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,

15. March 2010

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How One CNA Cost One Facility $33,400

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…

5. March 2010

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Professional Whistleblower Nabs Another Hospital for False Outlier Payments

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…

5. March 2010

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Are You RAC-Ready, Healthcare Providers?

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,…

4. March 2010

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Infusion Drug Coding Error Ends in Settlement for Overbilling

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…

1. March 2010

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Can an imaging center give a gift certificate to a patient who refers a friend?

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…

1. March 2010

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Mercy Medical Center Pays $2.8 Million Settlement

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…

28. February 2010

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Test Yourself: Brush Up On The Facts To Stay A Step Ahead Of The RACs

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…

25. February 2010

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Audit Hot Spot: When HCPCS Coding Confusion Leads to Overpayments

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

See more articles in the archive

HC Compliance Essentials

Don’t Misclassify Independent Contractors

Immigration Compliance: A Growing Concern for Health Care Employers

Future’s So Bright for Healthcare Compliance Professionals …

Texas HEAT Rounds Up More DME Medicare Fraud

How One CNA Cost One Facility $33,400

Professional Whistleblower Nabs Another Hospital for False Outlier Payments

Are You RAC-Ready, Healthcare Providers?

Infusion Drug Coding Error Ends in Settlement for Overbilling

Can an imaging center give a gift certificate to a patient who refers a friend?

Mercy Medical Center Pays $2.8 Million Settlement

Test Yourself: Brush Up On The Facts To Stay A Step Ahead Of The RACs

Audit Hot Spot: When HCPCS Coding Confusion Leads to Overpayments

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