Tag Archives: compliance

Assistance with Rules Requiring Emergency Power

Emergency rules requiring emergency power sufficient to maintain an ambient temperature of 80 degrees Fahrenheit or below for 96 hours in nursing homes and assisted living facilities have just been announced. All nursing homes and assisted living facilities MUST submit an … Continue reading

Posted in Care Delivery, Compliance, David Miller, Douglas Mannheimer, Frank Rainer, Jay Adams, John Loar, Joshua Brian, Leonard Collins, Uncategorized | Tagged , , , , , , , , , , ,

Compliance Program Training for Your Board of Directors: What You Need to Know

By: Anne Novick Branan Members of the Board of Directors[1] for health care organizations have important responsibilities related to corporate compliance. Government regulators expect health care Boards to assume greater responsibility to provide oversight for the corporate compliance programs and … Continue reading

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Compliance Leaders Offer Sound Advice at Orlando Health Care Forum

ORLANDO, Fla. (May 4, 2017) – The risks to Florida health care providers from enforcement activity is at an all-time high. But, how do providers develop and maintain a culture of compliance? It starts at the top, according to attorneys … Continue reading

Posted in Compliance, Health Forum | Tagged , , , , , , , ,

Whistleblowers in Health Care- What’s a Company To Do?

By: Anne Novick Branan              Joe, the Practice Manager at a local medical group, cringed as he spied Susan, one of the nurses at the practice, marching toward him with an anxious, yet determined, look on her face.  About two … Continue reading

Posted in Anne Novick Branan, Fraud/Abuse, Risk/Liability | Tagged , , , , , , , , , , ,

Mount Sinai Affiliated Hospitals to Pay $3 Million Settlement for Delaying Medicaid Overpayments

By: Fred Segal On August 24, 2016, the US Attorney for the Southern District of New York, in conjunction with the US Department of Health and Human Services, Office of the Inspector General (OIG) announced that it settled a whistleblower … Continue reading

Posted in Compliance, Fred Segal, Regulatory | Tagged , , , , , , , , , , , , ,

Supreme Court Upholds the False Claims Act Implied Certification Theory

By: Stephen Siegel The following article was published in the July 2016 edition of South Florida Hospital News and Healthcare Report. TREBLE DAMAGES PLUS A PENALTY of as much as $11,000 per claim; that is the exposure a physician, hospital … Continue reading

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In-House Counsel Increasingly Must Focus on Data Analytics

By: Paul R. DeMuro The Obama Administration plans to move billions of dollars in Medicare payments into contracts that radically alter how hospitals and physicians are paid. The idea is to find alternative payment mechanisms to Medicare’s fee-for-service system that … Continue reading

Posted in Paul DeMuro, Uncategorized | Tagged , , , , , , , , , , , , , , ,

Department of Justice increases focus on organizational compliance

By: Gabriel Imperato The Department of Justice (DOJ) has recently articulated important enforcement policies and created the position of Compliance Counsel, which are expected to have a dramatic impact on criminal and civil prosecution of healthcare fraud matters. The policy … Continue reading

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6 ways health care providers can reduce fraud, waste and abuse risks in 2016

By: Michael Bittman Health care providers such as hospitals and doctors face a variety of legal risks: malpractice, tax, and fraud, waste and abuse. Recent cases have shown that fraud, waste and abuse exposure can dwarf the risk of malpractice … Continue reading

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Paul DeMuro Published in December Issue of Compliance Today

Fort Lauderdale Of Counsel Paul DeMuro penned two articles in the December 2015 issue of Compliance Today magazine, continuations from the first two installments in the October 2015 issue. Compliance Today is published by the Health Care Compliance Association (HCCA) … Continue reading

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