MedLaw.com - Fraud & Abuse

New OIG Opinion Approves Pay For Call Plan But Limitations Reinforced

Stephen A. Frew JD — Sat, 23 May 2009 01:44:52 UT

FTC EXTENDS DEADLINE TO AUGUST 1

Fri, 08 May 2009 20:39:54 UT

LESS THAN 30 DAYS TO FTC RED FLAG DEADLINE FOR HEALTHCARE

Stephen A. Frew JD — Sat, 04 Apr 2009 01:09:57 UT

With less than 30 days left to the FTC Red Flag enforcement
deadline May 1, many hospitals and most clinics and medical
offices have not even started on their compliance
policies.

Tags: FTC, Identity Theft, red flag, toolkit

New Quality of Care Standards For Nursing Home Compliance Offer Plans To Reduce Suits, Citations, and Fraud Charges

Wed, 15 Oct 2008 15:19:21 UT

On September 30, 2008, the Office of Inspector General (OIG) issued new voluntary guidance standards aimed at quality of care issues in nursing homes and a reduction of fraud and abuse and anti-kickback violations. This in turn is expected to reduce the risk of lawsuits that typically flow from public announcements of nusing home violations.

Court Cases

Thu, 24 Jan 2008 10:33:14 UT

Corporate Compliance Policies and Practices

Thu, 24 Jan 2008 10:33:14 UT

Anti-Kickback Statute / STARK Compliance

Thu, 24 Jan 2008 10:33:14 UT

Medicare Fraud and Abuse

Thu, 24 Jan 2008 10:33:14 UT

Fraud & Abuse

Thu, 24 Jan 2008 10:33:14 UT

EMTALA Implications In The Air With On-Call Ruling

Tue, 02 Oct 2007 17:00:00 UT

In the first advisory opinion on the issue of paying for on-call, the Office of Inspector General has agreed not to prosecute a hospital that is paying for on-call services.

Count-Down Nears For Medicaid Providers Deadline

Stephen A. Frew JD — Mon, 09 Oct 2006 17:00:00 UT

If your hospital receives more than $5 million in Medicaid payments per year, you are coming down to a significant compliance deadline on January 1, 2007, under Deficit Reduction Act (DRA) employee education about false claims

IRS Changes Independent Contractor Rules

Fri, 11 Aug 2006 17:00:00 UT

Whether someone who works for you is an employee or an independent contractor is an important question. The answer determines your liability to pay and withhold Federal income tax, social security and Medicare taxes, and Federal unemployment tax.

Pediatrics Office Repays $450,000 In False Billing For Free Vaccine

Thu, 29 Jun 2006 17:00:00 UT

Government alleges that pediatrics practice billed insurance and Medicare for free vaccines it received.

Physician Pleads Guilty To Double Billing

Thu, 29 Jun 2006 17:00:00 UT

Over-charged $117,000 to insurers and Medicaid.

Medicare Exclusion Puts Hospital In Bankruptcy And Closes The Doors

Fri, 10 Mar 2006 17:00:00 UT

A December warning from HHS that it would exclude a Florida hospital from Medicare for failing to abide by a 2002 Corporate Integrity Agreement has resulted in the facility closing.