Healthcare Compliance -Claims and Procedures

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…
Healthcare Compliance - Medicare

Complying with Stark Law: Can you bill Medicare when treating your family members?

The treatment of family members falls under General Exclusions…
LEIE

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…
Healthcare Compliance Solutions and News

Are you trying to prevent medical identity theft?

Medical identity theft continues to be major problem in the US…
Stark Law

What defines Fraud, Waste and Abuse?

Every individual has the responsibility to detect and report…
Healthcare Compliance -Claims and Procedures

$22 M of Potential Fraud, Waste and Abuse Discovered in 2012 Medicare Ophthalmology Claims

In 2012, approximately 49 million Medicare claims were related…
Healthcare Compliance -Claims and Procedures

What Should You Do After Discovering a Billing Error?

Just correct the problem and you will be compliant? No, but…