Tag Archives: OIG

Beware of Excluded Individuals and Entities

By: Anne Novick Branan One of the recent enforcement trends landing practitioners in hot water is the federal government’s pursuit of those who employ Medicare or Medicaid excluded individuals or entities. Federal statutes allow the Office of Inspector General for … Continue reading

Posted in Anne Novick Branan, Fraud/Abuse | 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 , , , , , , , , , , , , ,

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

Posted in Compliance, Fraud/Abuse, Mike Bittman | Tagged , , , , , , , , , , , , , ,

Do Not Expect the Pace of Change to Slow in 2016

By: Stephen Siegel This year  has been a challenging one for healthcare providers. Just to recall, a few of the challenges in 2015 were: the final implementation of ICD-10; two multi-million dollar Civil False Claims settlements involving physician-hospital relationships in … Continue reading

Posted in Reform, Regulatory, Stephen Siegel | Tagged , , , , , , , , , , , , , , , , , ,

Exclusion from the Federal Health Care Programs; Is It an Economic Death Sentence?

By: Stephen Siegel Physicians and other healthcare providers must contend with a number of what economists call “barriers to entry,” that must be overcome before they can successfully provide healthcare items and services to the public. Some of these barriers, … Continue reading

Posted in Care Delivery, Stephen Siegel | Tagged , , , , , , , , ,

Shachi Mankodi Hosts Florida Bar CLE Webinar

Shachi Mankodi, an Associate in Broad and Cassel’s Fort Lauderdale office, recently hosted a webinar for the Health Law Section of The Florida Bar. “The OIG Work Plan and Other Relevant News for Healthcare Attorneys” covered the newest OIG initiatives … Continue reading

Posted in Practice News | Tagged , , , ,

Broad and Cassel Attorneys Published in Compliance Today

Attorneys Hannah Levinson and Stephen Siegel each contributed articles to the February 2015 issue of the Health Care Compliance Association’s (HCCA) Compliance Today magazine. Please visit the links below to view their articles. Prescription drug copayment coupons come under OIG … Continue reading

Posted in Practice News, Stephen Siegel | Tagged , , , , , , , , , , ,

Reasonable Compensation for Nonprofit Providers

Please click here to read Christine Burke Worthen’s recent article from The Advisory Board Company Health Care Law Rountable’s General Counsel Agenda (page 7).

Posted in Care Delivery | Tagged , , , , , , , , , , , , , , ,

OIG Issues Special Fraud Alert Focusing on Laboratory Payments to Referring Physicians

By: Stephen H. Siegel, Esq. On June 25, 2014, the HHS- Office of Inspector General (“OIG”) issued its “Special Fraud Alert: Laboratory Payments to Referring Physicians.” The OIG focused on blood-specimen collection, processing, and packaging arrangements, as well as so-called … Continue reading

Posted in Fraud/Abuse, Stephen Siegel | Tagged , , , , , , , , , , , , , , , , , , ,

Accountable Care Organizations and Patient Safety

By: Vanessa Reynolds The Affordable Care Act created incentives for Accountable Care Organization (ACO) providers to coordinate patient care across inpatient and outpatient settings to avoid unnecessary duplication of services and to improve patient outcomes. The latter are often dependent … Continue reading

Posted in ACO, Vanessa Reynolds | Tagged , , , , , , , , , , , , , , , ,