HC Compliance Essentials

Latest HEAT Bust: Miami Man Admits to Fraudulent Testing Scheme

Conspiracy between workers and patients in a Detroit clinic cost Medicare nearly $5.4M. A resident of Miami, FL has conceded to submitting $7.42 million in false claims to Medicare in a fraudulent medical testing scheme, the Departments of Justice and…

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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…

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Does ‘The Consultant Told Me to Do It’ Hold Up in Court?

Snake charming? No, thank you. Texas hospital pays nearly $10 million for inflated outlier charges If your health system has increased charges to potentially increase outlier reimbursement, you’d better have the documentation…

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