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Sep 7th, 2021
Medical practitioners in Michigan are held responsible for their role in Medicare fraud scheme. On Aug. 24, U.S. Attorney Andrew B. Birge announced criminal and civil enforcement actions against four Michigan medical practitioners for their role in perpetuating a telemedicine scheme to defraud Medicare. The practitioners signed off on illegitimate orders for medical braces and ...
Here’s what you need to know to protect your healthcare entity’s revenue stream. We all know that the heart is one of the most important organs of the body. The heart is responsible for multiple life-giving processes such as enabling the transportation of nutrients, hormones, oxygen, and waste products throughout the body. When your heart ...
In Billing
Jul 12th, 2021
Interim final rule lays groundwork for implementing No Surprises Act by 2022. On July 1 the U.S. Department of Health and Human Services (HHS), Labor, and Treasury, and the Office of Personnel Management issued Requirements Related to Surprise Billing; Part I, an interim final rule (IFR) that is a first step toward implementing the No ...
In Audit
Jul 7th, 2021
Nothing stays the same, including the way the feds interpret the law. The False Claims Act (FCA) has become the government’s fraud enforcement vehicle of choice, and the changes to the FCA under the Fraud Enforcement Recovery Act of 2009 (FERA) and the Affordable Care Act (ACA) have enhanced the Department of Justice’s (DOJ’s) enforcement ...
In CMS
Mar 1st, 2021
Understand the importance of listing hospital charges publicly...