American Medical Compliance

JANUARY 9, 2024

The following Documentation and Provider Standards Training educates healthcare providers on the significance of documentation compliance in healthcare. It also provides an introduction to all things related to healthcare compliance, which is important for all healthcare facilities to know about.

Fraud 52

Fraud Compliance HIPAA Health Insurance 52

Med-Net Compliance

JULY 20, 2022

The HHS-OIG Fraud Section leads the Criminal Division’s efforts to combat healthcare fraud through its Health Care Fraud Strike Force Program, which since March of 2007 has charged more than 4,200 defendants who have collectively falsely billed the Medicare Program for more than $19 billion. HHS-OIG and OMIG investigated the case.

Fraud 59

Fraud Doctors Medicare Medicare 59

Health Law RX

JANUARY 31, 2023

In such cases, a defendant is typically accused of falsely attesting to compliance with conditions of payment or other requirements under government programs. In these cases, the relator is not alleging the absence of a product or service for which the government has paid. Below, the U.S. of America v. Burr , 551 U.S.

Governance 52

Governance Fraud Compliance 52

Healthcare Law Blog

APRIL 19, 2023

The issue is a significant one for both the government and relators on one side, and potential defendants on the other, as False Claims Act (FCA) liability imposes treble damages and penalties exceeding $20,000 per claim as well as relators’ attorneys’ fees and costs. The Court’s questioning did not signal the likely decision.

Governance 52

Governance Fraud Compliance 52

Health Law RX

JUNE 2, 2023

2] Companies that regularly submit claims to the federal government are familiar with the complex maze of rules and regulations that often govern them. 6] These government payor programs limit the amount pharmacies can charge for generic medications to the “usual and customary” price. [7] per 30-day supply). [9] June 1, 2023).

Fraud 52

Fraud Governance Medicaid Medicaid 52

Health Law Advisor

AUGUST 14, 2023

1] With the end of the PHE having occurred over three months ago, that temporary waiver of sanctions ended and can no longer be relied upon for legal compliance with the Stark Law. [2] 5, 2007) (emphasis added). [5] 4] and (B) each such physician (not their staff) personally perform all DMEPOS Supplier requirements. [5] 2, 2023). [2]

COVID-19 52

COVID-19 Medicare Medicare Public Health 52

Hall Render

JUNE 7, 2023

3] FCA Requires Subjective Knowledge of and Belief in Falsity of Claims The FCA prohibits an individual from knowingly submitting a false claim for payment to a government health care program. [4] 47 (2007), the U.S. Thus, it’s important to seek legal counsel to resolve concerns about statutory or regulatory non-compliance.

Fraud 40

Fraud Medicaid Medicaid Governance 40