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Hospice Update: Surveyors Called to Identify Quality of Care Concerns and Potential Fraud Referrals

Hall Render

The Centers for Medicare & Medicaid Services (CMS) is reinforcing its emphasis on hospice quality of care and identifying fraud. CMSs Focus on Surveys and Fraud Identification The CMS Memo highlights the dual purpose of hospice surveys: Ensuring Compliance : Evaluating whether hospice providers meet CoPs.

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Indiana Physician Fraud Conviction Highlights Compliance Risks

Hall Render

Health care fraud remains a significant focus for federal and state enforcement agencies, with particular attention placed on the integrity of Medicaid and Medicare billing. This disparity highlights the difficulty in accurately assessing the risks and potential penalties associated with health care fraud violations.

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D.C. Court of Appeals Shuts Down Recycled Fraud Claims Under Public Disclosure Bar

Hall Render

Under federal law, the public disclosure bar prohibits a relator from bringing an FCA lawsuit based on fraud that has already been disclosed through certain public channels. Hall Render blog posts and articles are intended for informational purposes only. 3730(e)(4)(A). 3730(e)(4)(A). In 2008, Lampert, OConnor and Johnston, P.C.

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Healthcare Providers’ Role in Preventing Fraud, Waste, and Abuse 

American Medical Compliance

Fraud, waste, and abuse (FWA) in healthcare present significant challenges, causing substantial financial losses, eroding public trust, and compromising the quality of patient care. Unlike fraud, waste is not necessarily intentional but results from inefficiencies.

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Blog Browse: What can recent FCA decisions tell us about the Seventh Circuit pleading standard for health care billing fraud claims?

Health Law Checkup

Can a whistleblower successfully allege Medicaid/Medicare fraud if the whistleblower lacked direct access to records related to the alleged fraud? While the appellate circuits are still split on this issue, we look at recent decisions that indicate a possible shift in the Seventh Circuit’s pleading standard.

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Rethinking Senior Scams?

Bill of Health

Following the findings of “The Age of Fraud,” I’d hypothesize that this way in which we think of scams both feeds and is fed by the apparent misconception that they are a relatively bounded problem for older adults. Social views about fraud and scams would, no doubt, be difficult to change quickly.

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Zocdoc swings back at ousted CEO's fraud allegations

Mobi Health News

The online appointment booking service called for a dismissal and re-filing of the former CEO's lawsuit, and outlined a financial rebound since his dismissal in a new blog post.

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