Overview of a Corporate Integrity Agreement (CIA)
Health care fraud recoveries for fiscal years 2009- 2014 exceeded…
Are You Prepared for the HIPAA Phase 2 Audits?
After reviewing the HIPAA Privacy case investigations from 2009-2011,…
Billing Care Plan Oversight Risks
Care Plan Oversight describes the physician or other healthcare…
Are You Aware of the Whistleblower Provisions of the False Claim Act ?
The whistleblower provisions of the False Claims Act have lead…
Complying with Stark Law: Can you bill Medicare when treating your family members?
The treatment of family members falls under General Exclusions…
LEIE: Do You Know About the List of Excluded Individuals and Entities?
The Exclusions Statute is one of five major federal fraud and…
How would your staff react to an auditor or investigator?
Audits and investigations are stressful events either with or…
Avoiding Overutilization vs. Patient Satisfaction: What’s a provider to do?
An increasingly important issue for many providers is the dilemma…
Are you trying to prevent medical identity theft?
Medical identity theft continues to be major problem in the US…
$22 M of Potential Fraud, Waste and Abuse Discovered in 2012 Medicare Ophthalmology Claims
In 2012, approximately 49 million Medicare claims were related…