In Audit
Mar 14th, 2018
Although most providers aim to stay under the radar of the Office of Inspector General (OIG) and private payers for fraudulent billing practices, others hide intentional wrong-doing and are fearful of being discovered. While still other providers choose to self-disclose once errors and fraudulent conduct is revealed. If your healthcare organization finds illegal billing activity, consider ...
Apr 16th, 2013
Intermountain Health Care Inc., the largest health system in Utah, agreed to pay the United States $25.5 million to settle Stark Statute and False Claims Act violation claims. The allegations are for “engaging in improper financial relationships with referring physicians,” according to a U.S. Department of Justice (DOJ) Press Release on April 3. The alleged relationships involved 209 ...
Jul 1st, 2009
Stimulus legislation changes the way we’re used to doing business. By David Behinfar, J.D., LL.M, CHC, CIPP In the face of an economic crisis, the Obama administration has seized an opportunity to strengthen the medical record privacy landscape for all Americans by making significant modifications to the privacy and security regulations of the Health Insurance ...
May 1st, 2008
10 Telltale Signs a Health Care Provider Is Not Interested in Compliance by Robert A. Pelaia, Esq., CPC Believe it, or not, there are still providers in the health care industry who do not take compliance activities seriously. The Office of Inspector General (OIG) of the Department of Health and Human Services’ (HHS) list of ...