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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.

Catherine Short
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
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Healthcare Regulatory Compliance Solutions

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…
Julie Sheppard, BSN, JD, CHC
1st Healthcare Compliance, ACA, Anti-Kickback Statute, Audit Zone, Blog, Breach, Business Associate, compliance program, Covered Entity, Dashboard Zone, effective compliance program, FCA, Fraud, LEIE, OIG, OIG Work Plan, Stark Law, Uncategorized, Waste, Whistleblower
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Performance Improvement Plan

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…
First Healthcare Compliance Staff
1st Healthcare Compliance, Abuse, ACA, Anti-Kickback Statute, Audit Zone, Blog, Breach, compliance program, Corporate Integrity Agreement, Dashboard Zone, DOJ, effective compliance program, Employee Zone, FCA, Fraud, Healthcare, HIPAA, HIPAA Zone, ICD-10, Individual Accountability, LEIE, OSHA, OSHA Zone, physician self-referral law, Quarterly Zone, Stark Law, Uncategorized, Whistleblower, Wrongdoing
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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.”…
Sheba Vine, JD, CPCO
1st Healthcare Compliance, Abuse, Anti-Kickback Statute, Audit Zone, Blog, Corporate Integrity Agreement, DOJ, Fraud, Individual Accountability, OIG, Overutilizaton, physician self-referral law, Quarterly Zone, Uncategorized, Waste, Whistleblower, Wrongdoing, Yates Memo
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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…
First Healthcare Compliance Staff
1st Healthcare Compliance, Abuse, ACA, Affordable Care Act, Anti-Kickback Statute, Audit Zone, Blog, Breach, Business Associate, CMS, compliance program, Corporate Integrity Agreement, Covered Entity, false claims act, Fraud, HHS, HIPAA, HIPAA Zone, HITECH, ICD-10, Imaging, Medicare, Medicare Rules, OCR, OIG, OIG Work Plan, Overutilizaton, PHI, physician self-referral law, Quarterly Zone, self-disclosure, Stark Law, Waste, Whistleblower
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Healthcare Compliance Solutions and News

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…
Julie Sheppard, BSN, JD, CHC
1st Healthcare Compliance, Abuse, ACA, Affordable Care Act, Anti-Kickback Statute, Audit Zone, Blog, Breach, Business Associate, CIA, CMS, compliance program, Corporate Integrity Agreement, Covered Entity, Dashboard Zone, false claims act, FCA, Fraud, HHS, LEIE, Medicare Rules, OCR, Offshore contractors, OIG, OIG Work Plan, Overutilizaton, PHI, physician self-referral law, Quarterly Zone, security breach, Stark Law, Uncategorized, Vendor Zone, Waste, Whistleblower
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Testimonials

  • 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!

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

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