Compliance – Page 4 – Health Law & Policy

CMS overhauling Medicare fraud audit process – Modern Healthcare Modern Healthcare business news, research, data and events

20 Aug

Facing a crushing caseload of appeals to denied Medicare claims, the CMS is launching a new audit process to reduce the number of providers that have their claims challenged. Source: CMS overhauling Medicare fraud audit process – Modern Healthcare Modern ... Read more »

Chicago Podiatrist Sentenced for Health Care Fraud Charges | USAO-EDMO | Department of Justice

20 Aug

Tom Brewer

Source: Chicago Podiatrist Sentenced for Health Care Fraud Charges | USAO-EDMO | Department of ... Read more »

2017 National Health Care Fraud Takedown | Media Materials | Office of Inspector General | U.S. Department of Health and Human Services

13 Jul

Tom Brewer

Source: 2017 National Health Care Fraud Takedown | Media Materials | Office of Inspector General | U.S. Department of Health and Human ... Read more »

Federal False Claims Act Recoveries Are the Third Highest in History | The Health Law Sidebar

1 May

Tom Brewer

The United States Department of Justice (“DOJ”) reported that it obtained over $4.7 billion in civil settlements and judgments involving federal False Claims Act fraud and abuse claims against the … Source: Federal False Claims Act Recoveries Are the Third ... Read more »

CMS delays expansion of bundled payment programs – Modern Healthcare

21 Mar

Tom Brewer

For now, it’s a delay of three months, but the CMS is considering pushing back the Comprehensive Care for Joint Replacement program and its cardiac bundles until 2018. Source: CMS delays expansion of bundled payment programs – Modern ... Read more »

UnitedHealth sued by U.S. government over Medicare charges | Reuters

21 Feb

Tom Brewer

Source: UnitedHealth sued by U.S. government over Medicare charges | ... Read more »

Santa Fe cardiologist admits health care, wire fraud | Albuquerque Journal

20 Feb

Tom Brewer

Doctor faces two years in federal prison, followed by supervised release Source: Santa Fe cardiologist admits health care, wire fraud | Albuquerque ... Read more »

Delaware County Podiatrist Sentenced to 8 Years in Prison for Health Care Fraud | USAO-EDPA | Department of Justice

10 Feb

Tom Brewer

Source: Delaware County Podiatrist Sentenced to 8 Years in Prison for Health Care Fraud | USAO-EDPA | Department of ... Read more »

How to Build an Effective Compliance Program (Without Breaking the Bank) [Presentation]

16 Jul

Tom Brewer

In this presentation from the 2014 Clinical Practice Compliance Conference, Brigid Maloney walks us through nine steps to develop an effective compliance program without breaking the bank. She includes best practices for essential steps like how to identify an appropriate ... Read more »

Questions that Leadership Should Ask the Compliance Officer

5 Jul

Tom Brewer

By Roy Snell roy.snell@corporatecompliance.org Below are some questions leadership should ask the compliance officer and a suggestion about how to implement these questions in your organization. You need to collaborate with leadership to pick a subset of the questions to ... Read more »