Health Law RX

NOVEMBER 10, 2022

The United States alleged that, between August 1, 2016 and June 30, 2017, Sutter Health fraudulently billed and received reimbursement from government health programs for lab tests that Sutter Health did not itself perform. Consequently, the best possible defense to such a claim involves disciplined application of clinical guidelines.

Governance 52

Governance Medicare Medicare Medicaid 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. The article states “An example of this was Wells Fargo in 2016.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. The article states “An example of this was Wells Fargo in 2016.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Verisys

MARCH 24, 2022

We’ll explore what the OFAC Sanctions List means for healthcare organizations, how maintaining compliance with OFAC rules reduces reputational, financial, and patient risk, and the steps individual providers and entities can take to be removed from the OFAC list. In 2016, Alcon Laboratories was slapped with a $7.6 However, the U.S.

ACA 52

ACA Compliance Governance Medicaid 52

CMS.gov

NOVEMBER 16, 2018

Administrator, Centers for Medicare & Medicaid Services. Fraud, waste, & abuse. One of my commitments as the Administrator of the Centers for Medicare & Medicaid Services (CMS) is to ensure we remain steadfast in our commitment to strengthen Medicare by making sure that tax dollars are spent appropriately. percent in 2016 to 35.54

Medicare 20

Medicare Medicare Overpayments Overpayment 20

Health Law Advisor

APRIL 13, 2023

These FAQs address subjects including “ General Questions Regarding Certain Fraud and Abuse Authorities ,” the “ Application of Certain Fraud and Abuse Authorities to Certain Types of Arrangements ,” and “ Compliance Considerations.” The vast majority of the principles articulated in the updated FAQs will undoubtedly be familiar to many.

Public Health 52

Public Health Fraud COVID-19 Medicaid 52

Health Law RX

JULY 18, 2023

Those subject to the CMP Final Rule should consider prioritizing their compliance efforts because the OIG will begin enforcing the Rule on September 1, 2023. Health IT vendors should consider information blocking to be a new frontier of fraud and abuse enforcement.

Fraud 52

Fraud Compliance Medicaid Medicaid 52

Florida Health Care Law Firm

DECEMBER 2, 2021

On November 8, 2021, The Department of Health & Human Services (HHS), Office of Inspector General (OIG) released a revised and renamed Provider Self-Disclosure Protocol (SDP), now known as the “Health Care Fraud Self Disclosure “protocol. The OIG recognized that there are benefits to disclose potential fraud.

Overpayments 40

Overpayments Overpayment Fraud Medicare 40