Tag Archives: South Florida Hospital News

The Need for More Data Analytics Professionals in South Florida

By: Paul R. DeMuro Increasingly around the country and in South Florida, employers and other stakeholders are looking to hire data analytics professionals who can critically analyze data to help them grow and manage their businesses and to be more … Continue reading

Posted in Paul DeMuro, Technology | 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

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

Data Analytics and Population Health – Keys to the Transition to Payment for Quality and Cost Effectiveness

By: Paul R. DeMuro In 1854, John Snow helped solve a public health problem by concluding that the cause of cholera in London was primarily from people drinking water from the pump on Broad Street which had the bacterium that … Continue reading

Posted in Care Delivery, Paul DeMuro, Technology | Tagged , , , , , , , , , , ,

A New Year for Collecting Deductibles and Coinsurance Payments

By: Stephen Siegel January 1 was the first day of the New Year. Many events and efforts begin on the first day of the year, including the start of a new insurance claims cycle – which brings with it new … Continue reading

Posted in Regulatory | Tagged , , , , , , , ,

CMS Steps Up Medicare Revocation Actions

By: Anne Branan The Centers for Medicare and Medicaid Services (“CMS”) published a final rule, effective February 3, 2015, that drastically expanded CMS’s ability to revoke a provider’s Medicare billing privileges (“Final Rule”). This Final Rule has proved to be … Continue reading

Posted in Anne Novick Branan, Care Delivery, Reform | Tagged , , , , , , , , , , , ,

More Than Just “Window Dressing”: A Salute to the Compliance Profession

By: Gabriel Imperato More than two months have now gone by since the beginning of my official tenure as president of the Society of Corporate Compliance and Ethics and the Health Care Compliance Association. I have been active with the organization … Continue reading

Posted in Compliance, Gabriel Imperato | Tagged , , , , , , , , , ,