Under the False Claims Act (FCA), a healthcare facility or entity may be held liable for the conduct of its individual employees, or even the conduct of other entities with which the healthcare facility or entity contracts or associates. This is true even where the healthcare facility or group practice entity has no actual knowledge ...
May 1st, 2014
Shed light on the dark side of electronic health records (EHRs) to safeguard your practice. By Mary A. Inman, JD, and Timothy P. McCormack, JD Organizations around the country—from government entities to private insurers—have been touting electronic health records (EHRs) as a way to increase efficiency, improve patient care, and reduce costs in the medical field. But ...
In Audit
Sep 16th, 2011
California-based medical billing company Janzen, Johnston & Rockwell Emergency Medicine Management Services Inc. (JJ&R) has agreed to pay $4.6 million to settle allegations that it submitted false claims to Medicare and Louisiana’s Medicaid program, according to the Department of Justice (DOJ). California Billing Company Ponies Up $4.6M to Settle False Claims Allegations was last modified: ...
In Audit
Dec 10th, 2010
Money, free travel, grants, honoraria, and other valuable goods and services sound nice but when they’re offered by drug makers and other vendors to physicians, they’re called illegal kickbacks. Kos Pharmaceuticals, a subsidiary of Abbott Laboratories, found that out the hard way. The Delaware-based company agreed, Dec. 7, to pay more than $38 million to settle criminal ...
May 1st, 2010
By G. John Verhovshek, MA, CPC In the spring of 2003, Columbia/HCA agreed to pay $631 million in civil penalties and damages for filing false claims to Medicare, along with an additional $250 million to resolve overpayment issues. Several years earlier, in late 2000, Columbia/HCA pled guilty to related criminal charges, for which the company ...