Advanced Search

Home Health & Hospice Week

Industry Notes:

The feds continue to see benefits

Published on Fri Jan 07, 2011

The feds continue to see benefits from threatening providers with False Claims Act lawsuits, and that could mean more trouble for you down the road. Seven hospitals in six states have agreed to pay $6.3 million to settle allegations of overbilling for kyphoplasty procedures, according to a Department of Justice release. The procedures should have been performed outpatient instead of inpatient in many cases, the DOJ contends. The government has been using the FCA to strong-arm providers into fraud settlements when they were merely guilty of billing mistakes, the American Hospital Association recently protested (see Eli's HCW, Vol. XX, No. 1, p. 4).
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All