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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 Broad and Cassel, excluded, federal healthcare programs, LEIE, Medicaid, OIG, physician, practitioner, providers
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 60-Day Rule, Broad and Cassel, CMS, compliance, health law, Health Law Practice Group, HHS, Medicaid, New York, Obamacare, OIG, PPACA, regulatory, Whistleblower
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 CMS, compliance, fraud, fraud and abuse, Health Law Practice Group, HHS, liability, malpractice, Medicaid, Medicare, OIG, providers, tax liability, TRICARE, waste
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
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
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 Broad and Cassel, compensation packages, executive compensation, Florida health law, health care, health care delivery, health care delivery system, health care industry, health law, Health Law Practice Group, healthcare, healthcare system executives, nonprofit hospital, nonprofit providers, OIG, OIG 2014 work plan
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 Broad and Cassel, Florida health law, Florida Patient Brokering Act, fraud, fraud and abuse, health care industry, health law, Health Law Practice Group, healthcare, HHS, Kickback Prohibition, laboratory payments, Medicaid, Medicare, Office of Inspector General, OIG, physicians, referring physicians, special fraud alert, Stark Law
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 accountable care, accountable care organization, accountable care organizations, ACO, ACOs, Agency for Healthcare Research and Quality, Broad and Cassel, Florida health law, health care, health care industry, Health Law Practice Group, healthcare, healthcare reform, OIG, Patient Safety, quality, quality of care
