Anti-Kickback Statute Blog Articles | First Healthcare Compliance

The Biggest Recent Health Care Scams & How to Avoid Being a Target

Catherine Short speaks with Stephen Bittinger, Health Care Reimbursement Partner at K&L Gates, about the topic of “The Biggest Recent Health Care Scams & How to Avoid Being a Target.” We will be learning the mechanics of some of the largest recent health care fraud scams, how many providers became victims of these scams, and how to avoid these types of risks in the future. We will study the mechanics of health care fraud scams and the impact on providers caught in them, discover how to identify health care fraud scams and discuss resources for providers to educate themselves, and learn from other providers' mistakes on how to avoid health care fraud scams and decrease risk to revenue cycle.

By Catherine Short|June 10th, 2020|Abuse, Anti-Kickback Statute, compliance program, Compliance Tips, effective compliance program, False Claim Act, false claims act, FCA, Fraud, Fraud, Waste, and Abuse, General Compliance, Healthcare Compliance, Podcasts, Waste|

Eliminating Kickbacks in Recovery Act (EKRA)

Catherine Short speaks with Elizabeth Sullivan, Esq. and Emily A. Johnson, Esq., Members, of McDonald Hopkins LLC , about the topic of “Eliminating Kickbacks in Recovery Act (EKRA).” In October 2018, the Eliminating Kickbacks in Recovery Act (EKRA) was signed into law as part of the larger SUPPORT Act. It is an important piece of

By Catherine Short|December 16th, 2019|Anti-Kickback Statute, Fraud, Waste, and Abuse, Podcasts|

Jumpstart Your Compliance Program

The beginning of the New Year is a popular time for new initiatives. Many healthcare organizations are looking for ways to improve quality and reduce risk. A compliance program is an effective way to detect, deter and prevent wrongdoing in the healthcare setting and an ongoing system assures conformity with governing laws and regulations. An

Is Your Compliance Program Effective?

Having a compliance program in place is a start but having an effective compliance program is the goal. Proactively assessing the effectiveness of one’s own compliance program is better than the Department of Justice making a determination of the adequacy as a result of an investigation for alleged misconduct. To set benchmarks for an effective

Beware of Individual Liability: Yates Memo

On September 9, 2015, the Department of Justice (DOJ) Deputy Attorney General Sally Yates released a policy memorandum, titled “Individual Accountability for Corporate Wrongdoing,” also known as the “Yates Memo.” To read the full contents of the Yates Memo, click here. Essentially, the Yates Memo shifts the DOJ’s approach to fighting corporate fraud and misconduct

By Sheba Vine, JD, CPCO|November 16th, 2015|1st Healthcare Compliance, Abuse, Anti-Kickback Statute, Audit Zone, Corporate Integrity Agreement, DOJ, Fraud, Individual Accountability, OIG, Overutilizaton, physician self-referral law, Quarterly Zone, Uncategorized, Waste, Whistleblower, Wrongdoing, Yates Memo|

OIG WORKPLAN 2016

The Office of the Inspector General (OIG) is responsible for protecting the integrity of the programs in Health and Human Services against fraud, waste and abuse as well as recommending improvements to the system that would promote efficiency and efficacy within the limits of the health care laws. Although OIG oversight includes programs such as

Overview of a Corporate Integrity Agreement (CIA)

Health care fraud recoveries for fiscal years 2009- 2014 exceeded previous records with five straight years of more than $2 billion in annual recovery from cases involving fraud and false claims against federal health care programs such as Medicare and Medicaid. Most healthcare providers are aware of significant civil liability due to recent enforcement. However,

Kris Jones-Bartley, CPCPresident,
Healthcare Management System
The First Healthcare Compliance solution allows our business and our clients to save time and money, and mitigate compliance risks. I highly recommend it to other healthcare billing companies.
Mary Ann Tyler, Practice AdministratorSinclair Retina Associates, PC, Media, PA
Compliance in all areas always seemed to take a back seat to day to day operations. First Healthcare Compliance has developed a solution that easily brings any size office into compliance. It gives me peace of mind.
Paul Smiley, NHAAdministrator, Gilpin Hall
The First Healthcare Compliance solution offers a simple and effective centralized system to access and assemble our compliance data with minimal effort and maximum return. I highly recommend it!
Robert Henry, PA-C, CEOAmbient Care, Seaford, DE
In an era of ever changing regulations, First Healthcare Compliance has given us the tools to seamlessly and efficiently stay on top of our compliance requirements. This allows us more time to focus on patient care and other aspects of practice management.
Dr. Marc D. Grobman, DO FACPInternal Medicine & Primary Care, Wilmington, DE
Using this solution, I am confident that I am meeting the guidelines or that I can seek help for areas in which I cannot perform the requirements on my own.
Neil S. Kalin, MDKalin Eye Associates, Newark, DE
I’d been searching for a compliance plan for many years. The First Healthcare Compliance solution is cost-effective and efficient. All of the compliance materials are in one place.
R.K. Conell, Practice ManagerAlexiou Hearing and Sinus Center, PLC and Harrisonburg Dermatology, PLC, Harrisonburg, VA
The First Healthcare Compliance solution has everything you need to get started. It helps a practice become compliant on a very timely basis. Without this, it would have been a very extensive and intensive process.
Anne Elkin, EsquirePractice Manager, Boothwyn Medical Associates
The solution has been a great help to our practice. We can now organize all our compliance data in one place.