» How One CNA Cost One Facility $33,400

How One CNA Cost One Facility $33,400

Monday, March 15, 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…

Professional Whistleblower Nabs Another Hospital for False Outlier Payments

Friday, March 5, 2010

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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…

FERA Expands Overpayment Liability with ‘Reverse False Claims’

Monday, November 9, 2009

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Plus, why it’s easier than ever for folks to become whistleblowers. If you don’t know what a reverse false claim is, it’s time to figure it out. With the Fraud Enforcement and Recovery…

COMPLIANCE TRENDS: Covenant Case Holds Stark Reminders for Hospitals, Physicians

Monday, November 2, 2009

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Don’t rely overly on the employment exception — or discount a competitor’s ability to stir up trouble. Covenant Medical Center in Waterloo, Iowa, recently agreed to fork over a hefty $4.5 million to settle a federal False Claims Act lawsuit involving alleged…

PT Pleads Guilty to Falsifying Medicare Claims

Tuesday, September 8, 2009

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A Detroit-area physical therapist (PT) has learned the hard way that fraudulently billing Medicare will eventually catch up with you. According to an Aug. 26 press release from the FBI’s Detroit office, the PT pleaded…

What To Do When Your Competitor Threatens to Blow the Whistle

Tuesday, August 25, 2009

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Wikipedia photographer: Jarrett Campbell of Cary, NC Plus, 4 steps that protect you from whistleblowing competitors Quick. Think ‘whistleblower’ and ‘qui tam.’ Bet you think…

HEAT in Houston & Other Urban Areas

Tuesday, July 21, 2009

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Texas Medical Center Lesson Learned: Health care providers in medical centers harbor fraudsters in their midst —and increased federal scrutiny. If you’re a health care provider near a university medical center…

HC Compliance Essentials

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