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Renal Care Group Slapped With $19.4 Million CMP
Mother company Fresenius denies fraud allegations with an appeal. The federal court’s verdict is guilty, and Nashville company Renal Care Group (RCG) gets $19.4 million penalty for taking advantage of Medicare’s End Stage Renal Disease (ESRD) program by organizing another…
Continue reading...Obama Cries Foul on Fraudsters
22. March 2010
President wants to step up efforts from private audit firms like the RACs. As if he were gearing up for the health care reform bill’s passage just yesterday, President Barack Obama denounced health care fraud, waste and inefficiency during a…
Continue reading...Future’s So Bright for Healthcare Compliance Professionals …
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...Infusion Drug Coding Error Ends in Settlement for Overbilling
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...Test Yourself: Brush Up On The Facts To Stay A Step Ahead Of The RACs
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...No Red Flags Rule for Health Care Providers?
8. February 2010
A recent legal victory for lawyers may mean less regulatory paperwork for you. The American Bar Association has won a lawsuit against the Federal Trade Commission that will exclude ABA members from Red Flags Rule enforcement. Now health care provider trade groups are citing the ABA’s victory in a bid…
Continue reading...Organized Crime Turns to Health Care Fraud
31. January 2010
Mobsters see home health care as a happy hunting ground for ill-gotten gains. The fact that federal fraud fighters recover $4 billion a year in false claims sounds pretty impressive — until you consider that Medicare & Medicaid fraudsters rake…
Continue reading...Hospital System Admits Errors, See Benefits All Around
24. January 2010
What happens when a formal trial lawyer becomes a risk manager? One hospital is lifting the veil of secrecy that has traditionally surrounded patient claims and litigation and makes it a policy to apologize for…
Continue reading...OIG 2010 Work Plan Alerts Hospitals to Hot Compliance Areas
18. January 2010
POA, PHI & adverse events will be hot spots this year. Make sure your hospital is ready for the new year by studying the HHS OIG’s 2010 Work Plan, which experts say includes a range of…
Continue reading...Prepare for Increased Fraud Enforcement with Medicaid Compliance Plan
11. January 2010
Medicaid compliance differs from Medicare compliance in 3 key ways. Given that both the feds and the states are ramping up their efforts in the area of Medicaid fraud enforcement, it’s time for your practice…
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5. April 2010
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