Tag Archive | "Medicaid"
Computers Follow the Scent of Medicaid Fraudsters in GA
Data analysis helped health care investigators recover $26M in 2009. The state of Georgia has found an effective way to recover fraud money: computer data analysis. The state Attorney General’s office hopes to make use of the new method of…
Continue reading...HHS Must Draft New Regs on Visitation, Advance Directives at Hospitals
Monday, April 26, 2010
Hospitals that receive federal dollars must report on treatment of LGBT patients, create new policies to allow designated visitors. Just in time for National Health Care Decisions Day — a national campaign that aims to encourage people to complete…
Continue reading...Prepare for Increased Fraud Enforcement with Medicaid Compliance Plan
Monday, January 11, 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…
Continue reading...Happy New Year: States Increasing Medicaid Fraud Enforcement
Monday, January 4, 2010
If you thought having a Medicare compliance plan was enough to keep you out of hot water with the feds, think again. States are increasing enforcement efforts to root out Medicaid fraud, and the feds have decided…
Continue reading...Children on Medicaid More Likely to Take Antipyschotics
Monday, December 14, 2009
Antipsychotics are the single biggest Medicaid drug cost — $7.9 billion in 2006. We’re not big fans of audits here at HC Compliance Essentials. But some new findings about the rate that children on Medicaid are prescribed antipsychotic medications seems to…
Continue reading...‘Sub-Standard Care’ the Crux of Medicaid FCA Case
Monday, November 9, 2009
Therapists formerly employed at a residential treatment center blow the whistle. Many times, False Claims Act cases in health care hinge on the fact that claims were submitted to Medicare or Medicaid when no actual care was provided at all.…
Continue reading...FERA: How and Why Congress Linked the FCA and Medicaid
Monday, November 2, 2009
What do these guys have to do with Medicaid? You'd be surprised. How a qui tam case involving generators for Navy destroyers ended up going all the way to the Supreme Court…
Continue reading...Can a provider pay patients for referrals?
Monday, October 5, 2009
Question: I know that there are restrictions on gifts that providers who receive Medicare or Medicaid payments can give other doctors for referrals, and they cannot pay them for such referrals. But are providers restricted from paying their…
Continue reading...What Are the Compliance Guidelines for New Patient Freebies?
Monday, September 28, 2009
Question: What kind of gift can a provider give new patients? Can the provider advertise an iPod for every new braces patient, for example? Answer: If the patient is not a Medicare or Medicaid beneficiary, you don’t…
Continue reading...
Monday, May 3, 2010
0 Comments